High prevalence of vancomycin and high-level gentamicin resistance in Enterococcus faecalis isolates.
Multiple drug-resistant enterococci are major cause of healthcare-associated infections due to their antibiotic resistance traits. Among them, Enterococcus faecalis is an important opportunistic pathogen causing various hospital-acquired infections. A total of 53 E. faecalis isolates were obtained from various infections. They were identified by phenotypic and genotypic methods. Determination of antimicrobial resistance patterns was done according to CLSI guidelines. The isolates that were non-susceptible to at least one agent in ≥3 antimicrobial categories were defined as multidrug-resistant (MDR). Detection of antimicrobial resistance genes was performed using standard procedures. According to MDR definition, all of the isolates were MDR (100%). High-level gentamicin resistance was observed among 50.9% of them (MIC ≥ 500 μg/ml). The distributions of aac(6')-Ie-aph(2'')-Ia and aph(3')-IIIa genes were 47.2% and 69.8%, respectively. The aph(2'')-Ib, aph(2'')-Ic, aph(2'')-Id, and ant(4')-Ia genes were not detected. Vancomycin resistance was found in 45.3% of strains. The vanA gene was detected in 37.7% of isolates, whereas vanB and vanC genes were not observed in any strain. Erythromycin resistance rate was 79.2% and the frequencies of ermB and ermC genes were 88.6% and 69.8%, respectively. The ermA and msrA genes were not present in any of the isolates. Our data indicate a high rate of MDR E. faecalis strains. All of high-level gentamicin-resistant isolates carried at least one of aac(6')-Ie-aph(2'')-Ia or aph(3')-IIIa genes. Distribution of vanA was notable among the isolates. In addition, ermB and ermC were accountable for resistance to erythromycin.
['Taji|Asieh|A|', 'Heidari|Hamid|H|', 'Ebrahim-Saraie|Hadi Sedigh|HS|', 'Sarvari|Jamal|J|', 'Motamedifar|Mohammad|M|']
D000900:Anti-Bacterial Agents D024901:Drug Resistance, Multiple, Bacterial D013293:Enterococcus faecalis D005839:Gentamicins D016908:Gram-Positive Bacterial Infections D006801:Humans D007492:Iran D008826:Microbial Sensitivity Tests D015995:Prevalence D014640:Vancomycin D020713:Vancomycin Resistance
multidrug-resistant high-level gentamicin-resistant Iran vancomycin-resistant enterococci