Molecular epidemiology of vancomycin-resistant Enterococcus faecium infecting recipients of solid organs in the transplant surgery ward in 2005 and 2006.

A Mlynarczyk, W Grzybowska, A Mrowka, S Tyski, T Buczkowska, J Pazik, M Durlik, A Kwiatkowski, L Adadynski, A Chmura, L Paczek, G Mlynarczyk

Transplantation Proceedings 2009 October

BACKGROUND: The aim of the investigations was to compare the vancomycin-resistant Enterococcus faecium (VREfm) strains obtained from our patients.

MATERIALS AND METHODS: Strains were compared using restriction fragment length polymorphism-pulsed field gel electrophoresis (RFLP-PFGE) of bacterial DNA.

RESULTS: VREfm infected 26 liver recipients, 22 kidney recipients, and 9 other surgery or nephrology patients. Only five strains possessed the vanB determinant. The PFGE analysis revealed two large and several small groups of related strains.

CONCLUSIONS: The PFGE analysis enabled the investigation of VRE epidemiology among patients after transplantation. Strains with similar patterns most probably originated from one source and clearly suggested an outbreak.

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