Sivertsen, Audun; Pedersen, Torunn Annie; Larssen, Kjersti Wik; Bergh, Kåre; Rønning, Torunn Gresdal; Radtke, Andreas; Hegstad, Kristin (Journal article; Tidsskriftartikkel; Peer reviewed, 2016-05-02)
We report an outbreak of vancomycin-variable vanA+ enterococci (VVE) able to escape phenotypic
detection by current guide-
lines and demonstrate the molecular mechanisms for in vivo switching into vancomycin resistance and
horizontal spread of the vanA cluster. Forty-eight vanA+ Enterococcus faecium isolates and one
Enterococcus faecalis isolate were analyzed for clonality with pulsed-field ...