Published in TB and Outbreaks Week, March 21st, 2006
"The incidence of vancomycin-resistant Enterococcus faecium isolation was low ({{<=}}5%) in German hospitals before 2003. Within the second half of 2003 and the first half of 2004, however, increasing frequencies of up to 14% were noticed in several hospitals in southwestern Germany.
"This increase was attributed mainly to the occurrence and spread of epidemic-virulent ampicillin/vancomycin-resistant, vanA- and vanB-positive E. faecium clones, most of which exhibited the virulence factors enterococcal surface protein...
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