drug resistant war stories

Ingvar.Eliasson at alinks.se Ingvar.Eliasson at alinks.se
Mon Oct 31 17:59:12 EST 1994


When you are discussing VRE, are you talking of 
genus Enterococcus, or are you differentiating 
Enterococcus faecalis and Enterococcus faecium?

Multiresistant Enterococcus faecium is an upcoming 
problem in Sweden, but the isolates are still 
generally vancomycin-sensitive.

At our lab, we have recently inroduced a plate 
containing the carbohydrate arabinose and a pH 
indicator, which gives a good separation between 
the two species. This has proven to be of value for 
monitoring purposes, as we are quite active in 
alerting the wards if we find multiresistant 
E.faecium in the urine or wound specimens of 
hospitalized patients.

***************************************** 
* Dr. Ingvar Eliasson, M.D., Ph.D.      * 
* Dept. Clinical Microbiology           * 
* County Hospital                       * 
* S-391 85  Kalmar, Sweden              * 
*                                       * 
* Phone:..... +46-480-448772            * 
* Fax:....... +46-480-81738             * 
* Internet:.. Ingvar.Eliasson at alinks.se * 
*****************************************



>I mean that 6% of all enterococci being isolated 
>are vancomycin resistant.  And, yes, we are in the 
>process of sending several isolates out for 
>genetic testing.
>--
>Kate Black
>rcblack at oeonline.com
>ac415 at detroti.freenet.org
>73241.53 at compuserve.com




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