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Pheno- and Genotypic Epidemiological Characterization of Vancomycin-Resistant Enterococcus faecium Isolates from Intensive Care Unit Patients in Central Türkiye

Altan Akineden

Altan Akineden

Department of Clinical Microbiology, Aksaray University Faculty of MedicineAksaray, Türkiye
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Akineden, Altan
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Cemal ÇiÇek

Cemal ÇiÇek

Education and Research Hospital Aksaray University Faculty of MedicineAksaray, Türkiye
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ÇiÇek, Cemal
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SelÇuk TÜrkel

SelÇuk TÜrkel

Education and Research Hospital Aksaray University Faculty of MedicineAksaray, Türkiye
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TÜrkel, SelÇuk
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Izhar U.H. Khan

Izhar U.H. Khan

Ottawa Research and Development Centre, Agriculture and Agri-Food CanadaOttawa, Canada
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Khan, Izhar U.H.
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Amir Abdulmawjood

Amir Abdulmawjood

Institute of Food Quality and Food Safety, University of Veterinary Medicine Hannover, FoundationHannover, Germany
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Abdulmawjood, Amir
  
13. Sept. 2024
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Artikel-Kategorie: ORIGINAL PAPER
Online veröffentlicht: 13. Sept. 2024
Seitenbereich: 403 - 410
Eingereicht: 12. Apr. 2024
Akzeptiert: 27. Juni 2024
DOI: https://doi.org/10.33073/pjm-2024-030
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© 2024 Altan Akineden et al., published by Sciendo
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Fig. 1.

Dendrogram showing the MRFP patterns of 22 vancomycin-resistant Enterococcus faecium isolates, denoted MRFP types P1 to P9, obtained from 22 patients digested with the SmaI restriction enzyme. The dendrogram was constructed with the BioNumerics v6.6 (Applied Maths, Belgium) program, with the Dice coefficient setting tolerance and optimization at 1.0% and 2.0% with 95% similarity cut-off value. Hospital ward: ICU – intensive care unit, IICU – internal medicine intensive care unit, NU – neurointensive care unit.
Dendrogram showing the MRFP patterns of 22 vancomycin-resistant Enterococcus faecium isolates, denoted MRFP types P1 to P9, obtained from 22 patients digested with the SmaI restriction enzyme. The dendrogram was constructed with the BioNumerics v6.6 (Applied Maths, Belgium) program, with the Dice coefficient setting tolerance and optimization at 1.0% and 2.0% with 95% similarity cut-off value. Hospital ward: ICU – intensive care unit, IICU – internal medicine intensive care unit, NU – neurointensive care unit.

Relationship between MRFP types and antimicrobial susceptibility profiles of vancomycin-resistant Enterococcus faecium isolates (n = 22)_

MRFP pattern Number of isolates/patientsa Isolate code Hospital wardb Gender Age Date of admission Diagnostics Short-term outcome Susceptibility profilec Resistance pattern
AMP CIP GN TEC VA LNZ TGC
Pl 2 EN2 ICU female 79 25.08.2021 pneumonia, cerebral infarction died R R S R R S S I
EN5 IICU male 57 06.10.2021 pneumonia, chronic obstructive pulmonary disease died R R R R R S S II
P2 7 EN1 ICU female 40 20.08.2021 pneumonia septicemia, encephalopathy died R R S R R S S I
EN4 ICU female 82 22.10.2021 pneumonia, cerebrovascular disease, heart failure recovered R R R R R S S II
EN9 ICU female 63 11.11.2021 cerebrovascular disease, coronary artery disease died R R R R R S S II
EN10 ICU male 70 16.02.2022 pneumonia chronic obstructive pulmonary disease, heart failure died R R R R R S S II
EN14 ICU male 29 26.03.2022 pneumonia, epilepsy recovered R R R R R S S II
EN15 NU male 71 03.04.2022 pneumonia, cerebrovascular disease, acute renal failure died R R S R R S S I
EN20 ICU female 52 26.06.2022 pneumonia, septicemia, urinary tract infection died R R R R R S S II
P3 2 EN21 ICU male 71 16.09.2021 acute renal failure, hypertension died R R R R R S S II
EN22 ICU male 68 22.09.2021 pneumonia, atherosclerotic heart disease died R R R R R S S II
P4 1 EN3 IICU female 77 22.10.2021 pneumonia, cerebrovascular disease died R R R R R S S II
P4a 1 EN6 ICU female 87 27.11.2021 pneumonia, abdominal pain recovered R R R R R S S II
P5 1 EN7 IICU female 84 20.09.2021 chronic kidney failure, liver cancer recovered R R R R R S S II
P6 1 EN16 ICU male 79 11.06.2022 chronic obstructive pulmonary disease, heart failure died R R R R R S S II
P6a 1 EN8 IICU female 62 15.08.2021 diabetes mellitus, urinary tract infection recovered R R R R R S S II
P7 2 ENI 8 IICU male 62 24.02.2022 syncope, cerebrovascular disease recovered R R R R R S S II
EN19 IICU male 64 29.02.2022 syncope, diabetes mellitus, hypertension recovered R R R R R S S II
P8 2 EN11 ICU male 64 11.02.2022 pneumonia, cerebrovascular disease, heart failure died R R R R R S S II
EN12 ICU male 93 23.02.2022 pneumonia, chronic obstructive pulmonary disease died R R S R R S S I
P8a 1 EN13 ICU female 77 10.01.2022 pneumonia, cerebrovascular disease died R R R R R S S II
P9 1 EN17 ICU male 74 20.06.2022 liver failure, chronic obstructive pulmonary disease died R R R R R S S II
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