title: Nosocomial spread of Enterococcus faecium resistant to vancomycin and linezolid in a tertiary care medical center.
abstract: In May 2004 our institution encountered its first clinical isolate of linezolid-resistant, vancomycin-resistant Enterococcus faecium (LRVRE). Between October 2004 and July 2005, 40 patients from whom LRVRE organisms were recovered in clinical specimens were characterized. Epidemiologic investigation and pulsed-field gel electrophoresis patterns indicated a clonal outbreak related to nosocomial spread.
authors.affiliation: Department of Medicine, University of Alabama at Birmingham, 619 South 19th St., 35249, USA.
authors.forename: Thomas E
authors.initials: TE
authors.lastname: Dobbs
authors.forename: Mukesh
authors.initials: M
authors.lastname: Patel
authors.forename: Ken B
authors.initials: KB
authors.lastname: Waites
authors.forename: Stephen A
authors.initials: SA
authors.lastname: Moser
authors.forename: Alan M
authors.initials: AM
authors.lastname: Stamm
authors.forename: Craig J
authors.initials: CJ
authors.lastname: Hoesley
mesh_terms: D000046:Academic Medical Centers; D000081:Acetamides / Q000494:pharmacology*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000407:Alabama / Q000453:epidemiology; D000890:Anti-Infective Agents / Q000494:pharmacology*; D003428:Cross Infection / Q000453:epidemiology / Q000382:microbiology / Q000635:transmission*; D004196:Disease Outbreaks; D024901:Drug Resistance, Multiple, Bacterial / Q000235:genetics; D016521:Electrophoresis, Gel, Pulsed-Field; D016984:Enterococcus faecium / Q000187:drug effects* / Q000235:genetics / Q000302:isolation & purification; D016908:Gram-Positive Bacterial Infections / Q000453:epidemiology / Q000382:microbiology / Q000635:transmission; D006801:Humans; D000069349:Linezolid; D008826:Microbial Sensitivity Tests; D008875:Middle Aged; D023303:Oxazolidinones / Q000494:pharmacology*; D014640:Vancomycin / Q000494:pharmacology*; D020713:Vancomycin Resistance
chemical_list: D000081:Acetamides; D000890:Anti-Infective Agents; D023303:Oxazolidinones; D014640:Vancomycin; D000069349:Linezolid