Detection of vanA genes in vancomycin-susceptible Enterococcus faecium isolates: implications for additional testing.

Access microbiology Pub Date : 2025-04-01 eCollection Date: 2025-01-01 DOI:10.1099/acmi.0.000959.v4
Victoria Jordan, Hemalatha Varadhan
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Abstract

To assess the frequency of silent vancomycin resistance, phenotypically susceptible Enterococcus faecium isolates underwent genotypic testing using Cepheid's Xpert vanA/vanB PCR. A total of 6% of isolates had silent vanA genes. However, the clinical relevance of silent van genes and the lack of rapid, random-access genotypic methods poses an ongoing challenge to laboratories.

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