Surveillance of vancomycin-resistant enterococci reveals shift in dominating clones and national spread of a vancomycin-variable vanA Enterococcus faecium ST1421-CT1134 clone, Denmark, 2015 to March 2019

Author:

Hammerum Anette M1,Justesen Ulrik S2,Pinholt Mette3,Roer Louise1,Kaya Hülya1,Worning Peder3,Nygaard Sanne4,Kemp Michael2,Clausen Marianne Engell5,Nielsen Karen Leth6,Samulioniené Jurgita7,Kjærsgaard Mona8,Østergaard Claus9,Coia John10,Søndergaard Turid Snekloth11,Gaini Shahin121314,Schønning Kristian153,Westh Henrik153,Hasman Henrik1,Holzknecht Barbara Juliane4

Affiliation:

1. Department for Bacteria, Parasites and Fungi, Statens Serum Institut, Copenhagen, Denmark

2. Department of Clinical Microbiology, Odense University Hospital, Odense, Denmark

3. Department of Clinical Microbiology, Hvidovre University Hospital, Hvidovre, Denmark

4. Department of Clinical Microbiology, Herlev and Gentofte University Hospital, Herlev, Denmark

5. Department of Clinical Microbiology, Slagelse Hospital, Slagelse, Denmark

6. Department of Clinical Microbiology, Rigshospitalet, Copenhagen, Denmark

7. Department of Clinical Microbiology, Aalborg University Hospital, Aalborg, Denmark

8. Department of Clinical Microbiology, Aarhus University Hospital, Aarhus, Denmark

9. Department of Clinical Microbiology, Lillebaelt Hospital, Vejle, Denmark

10. Department of Clinical Microbiology, Hospital South West Jutland, Esbjerg, Denmark

11. Department of Clinical Microbiology, Hospital Sønderjylland, Sønderborg, Denmark

12. Centre of Health Research, University of the Faroe Islands, Torshavn, Faroe Islands

13. Department of Infectious Diseases, Odense University Hospital, Odense, Denmark

14. Medical Department, National Hospital Faroe Islands, Torshavn, Faroe Islands

15. Institute of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark

Abstract

We describe clonal shifts in vanA Enterococcus faecium isolates from clinical samples obtained from patients in Denmark from 2015 to the first quarter (Q1) of 2019. During Q1 2019, the vancomycin-variable enterococci (VVE) ST1421-CT1134 vanA E. faecium became the most dominant vanA E. faecium clone and has spread to all five regions in Denmark. Among 174 E. faecium isolates with vanA, vanB or vanA/vanB genes in Q1 2019, 44% belonged to this type.

Publisher

European Centre for Disease Control and Prevention (ECDC)

Subject

Virology,Public Health, Environmental and Occupational Health,Epidemiology

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