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[Linezolid-resistant enterococci].

Authors: Tomáš, Kraus;

[Linezolid-resistant enterococci].

Abstract

To assess the occurrence of linezolid-resistant enterococci (E. faecalis and E. faecium) in patients hospitalized at the centers and clinics of the Institute for Clinical and Experimental Medicine (IKEM).For the period from 1. 1. 2017 to 31. 12. 2022, isolates of E. faecalis and E. faecium, which were tested for sensitivity to antibiotics, were retrospectively evaluated. Microbiological data were obtained from the laboratory information system ENVIS LIMS, and clinical data from the hospital information system IKEM. Enterococci were identified using a MALDI-TOF mass spectrometer. Susceptibility testing was performed using the disc diffusion method according to EUCAST criteria. Minimum inhibitory concentrations were determined by the Vitek automated system using the P592 card. Verification of resistance to linezolid and determination of the resistance mechanism took place at the National Reference Laboratory for Antibiotics of the National Institute of Public Health in Prague.In the monitored period, the sensitivity of 6900 strains of E. feacalis (67,0 %) and 3356 strains of E. faecium (33,0 %) was examined. A total of 14 linezolid-resistant enterococci (LRE) were identified - 5x E. faecalis (35,7 %) and 9x E. faecium (64,3 %). The most common mechanism of resistance to linezolid was the presence of the optrA gene in E. faecalis, and 23S rRNA mutation in E. faecium. The material with the largest LRE capture was urine (35,7 %) and secrets or punctates (28,6 %). Only in the species E. faecium, resistance to vancomycin and teicoplanin (LVRE) occurred at the same time. Three patients (21,4 %) developed an LRE infection requiring antibiotic treatment, the remaining eleven patients (78,6 %) were colonized.The proportion of linezolid-resistant enterococci was in the mentioned period low - 0,14 %. Linezolid therefore remains a safe therapeutic alternative for enterococcal infections when first-line drugs cannot be used.

Related Organizations
Keywords

Enterococcus faecium, Drug Resistance, Bacterial, Linezolid, Enterococcus faecalis, Humans, Microbial Sensitivity Tests, Gram-Positive Bacterial Infections, Anti-Bacterial Agents, Retrospective Studies

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
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Average
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