First molecular characterization of related cases of healthcare-associated infections involving multidrug-resistant Enterococcus faecium vanA in Algeria.
Identifieur interne : 000318 ( PubMed/Curation ); précédent : 000317; suivant : 000319First molecular characterization of related cases of healthcare-associated infections involving multidrug-resistant Enterococcus faecium vanA in Algeria.
Auteurs : Sonia Benammar [Algérie] ; Alix Pantel [France] ; Fabien Aujoulat [France] ; Messaoud Benmehidi [Algérie] ; René Courcol [France] ; Jean-Philippe Lavigne [France] ; Sara Romano-Bertrand [France] ; Hélène Marchandin [France]Source :
- Infection and drug resistance [ 1178-6973 ] ; 2018.
Abstract
Purpose
Vancomycin-resistant
Patients and methods
Medical charts were reviewed for patients with VREfm.
Results
During a 6-month period, VREfm infections occurred in four patients hospitalized in three wards. The four isolates were
Conclusion
This first molecular epidemiology study of VRE in Algeria was useful in delimiting an outbreak involving three of the four HAI cases and revealed rarely encountered genotypes. Considering the threat and burden of VRE infections worldwide, particularly in the USA, and the late emergence in Algeria, our study supports the urgent need for improved and early adequate infection control measures to avoid VRE spread in North African hospitals.
DOI: 10.2147/IDR.S164487
PubMed: 30271181
PubMed Central: PMC6149901
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2, Batna, Algeria.</nlm:affiliation><country xml:lang="fr">Algérie</country><wicri:regionArea>Department of Medicine, University Batna 2, Batna</wicri:regionArea></affiliation></author><author><name sortKey="Courcol, Rene" sort="Courcol, Rene" uniqKey="Courcol R" first="René" last="Courcol">René Courcol</name><affiliation wicri:level="1"><nlm:affiliation>Faculty of Medicine, University of Lille, Lille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Faculty of Medicine, University of Lille, Lille</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:affiliation>Department of Bacteriology, Institute of Microbiology, Lille University Hospital, Lille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Bacteriology, Institute of Microbiology, Lille University Hospital, Lille</wicri:regionArea></affiliation></author><author><name sortKey="Lavigne, Jean Philippe" sort="Lavigne, Jean Philippe" 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Medicine, University Batna 2, Batna, Algeria.</nlm:affiliation><country xml:lang="fr">Algérie</country><wicri:regionArea>Department of Medicine, University Batna 2, Batna</wicri:regionArea></affiliation></author><author><name sortKey="Pantel, Alix" sort="Pantel, Alix" uniqKey="Pantel A" first="Alix" last="Pantel">Alix Pantel</name><affiliation wicri:level="1"><nlm:affiliation>Department of Microbiology, Nîmes University Hospital, Nîmes, France, helene.marchandin@umontpellier.fr.</nlm:affiliation><country wicri:rule="url">France</country><wicri:regionArea>Department of Microbiology, Nîmes University Hospital, Nîmes, France</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:affiliation>Faculty of Medicine, National Institute of Health and Medical Research, INSERM U1047, University of Montpellier, Nîmes, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Faculty of Medicine, National Institute of Health and Medical Research, INSERM U1047, 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xml:lang="fr">Algérie</country><wicri:regionArea>Department of Microbiology, University Hospital Center Touhami Benflis, Batna</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:affiliation>Department of Medicine, University Batna 2, Batna, Algeria.</nlm:affiliation><country xml:lang="fr">Algérie</country><wicri:regionArea>Department of Medicine, University Batna 2, Batna</wicri:regionArea></affiliation></author><author><name sortKey="Courcol, Rene" sort="Courcol, Rene" uniqKey="Courcol R" first="René" last="Courcol">René Courcol</name><affiliation wicri:level="1"><nlm:affiliation>Faculty of Medicine, University of Lille, Lille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Faculty of Medicine, University of Lille, Lille</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:affiliation>Department of Bacteriology, Institute of Microbiology, Lille University Hospital, Lille, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Bacteriology, Institute of Microbiology, Lille University Hospital, Lille</wicri:regionArea></affiliation></author><author><name sortKey="Lavigne, Jean Philippe" sort="Lavigne, Jean Philippe" uniqKey="Lavigne J" first="Jean-Philippe" last="Lavigne">Jean-Philippe Lavigne</name><affiliation wicri:level="1"><nlm:affiliation>Department of Microbiology, Nîmes University Hospital, Nîmes, France, helene.marchandin@umontpellier.fr.</nlm:affiliation><country wicri:rule="url">France</country><wicri:regionArea>Department of Microbiology, Nîmes University Hospital, Nîmes, France</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:affiliation>Faculty of Medicine, National Institute of Health and Medical Research, INSERM U1047, University of Montpellier, Nîmes, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Faculty of Medicine, National Institute of Health and Medical Research, INSERM U1047, University of Montpellier, Nîmes</wicri:regionArea></affiliation></author><author><name sortKey="Romano Bertrand, Sara" sort="Romano Bertrand, Sara" uniqKey="Romano Bertrand S" first="Sara" last="Romano-Bertrand">Sara Romano-Bertrand</name><affiliation wicri:level="1"><nlm:affiliation>HydroSciences Montpellier, CNRS, IRD, University of Montpellier, University Hospital of Montpellier-Nîmes, Montpellier, France, helene.marchandin@umontpellier.fr.</nlm:affiliation><country wicri:rule="url">France</country><wicri:regionArea>HydroSciences Montpellier, CNRS, IRD, University of Montpellier, University Hospital of Montpellier-Nîmes, Montpellier, France</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:affiliation>Department of Infection Control, Montpellier University Hospital, Montpellier, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Infection Control, Montpellier University Hospital, Montpellier</wicri:regionArea></affiliation></author><author><name sortKey="Marchandin, Helene" sort="Marchandin, Helene" uniqKey="Marchandin H" first="Hélène" last="Marchandin">Hélène Marchandin</name><affiliation wicri:level="1"><nlm:affiliation>Department of Microbiology, Nîmes University Hospital, Nîmes, France, helene.marchandin@umontpellier.fr.</nlm:affiliation><country wicri:rule="url">France</country><wicri:regionArea>Department of Microbiology, Nîmes University Hospital, Nîmes, France</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:affiliation>HydroSciences Montpellier, CNRS, IRD, University of Montpellier, University Hospital of Montpellier-Nîmes, Montpellier, France, helene.marchandin@umontpellier.fr.</nlm:affiliation><country wicri:rule="url">France</country><wicri:regionArea>HydroSciences Montpellier, CNRS, IRD, University of Montpellier, University Hospital of Montpellier-Nîmes, Montpellier, France</wicri:regionArea></affiliation></author></analytic><series><title level="j">Infection and drug resistance</title><idno type="ISSN">1178-6973</idno><imprint><date when="2018" type="published">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>Purpose</b></p><p>Vancomycin-resistant </p></div><div type="abstract" xml:lang="en"><p><b>Patients and methods</b></p><p>Medical charts were reviewed for patients with VREfm. </p></div><div type="abstract" xml:lang="en"><p><b>Results</b></p><p>During a 6-month period, VREfm infections occurred in four patients hospitalized in three wards. The four isolates were </p></div><div type="abstract" xml:lang="en"><p><b>Conclusion</b></p><p>This first molecular epidemiology study of VRE in Algeria was useful in delimiting an outbreak involving three of the four HAI cases and revealed rarely encountered genotypes. Considering the threat and burden of VRE infections worldwide, particularly in the USA, and the late emergence in Algeria, our study supports the urgent need for improved and early adequate infection control measures to avoid VRE spread in North African hospitals.</p></div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">30271181</PMID><DateRevised><Year>2020</Year><Month>10</Month><Day>01</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Print">1178-6973</ISSN><JournalIssue CitedMedium="Print"><Volume>11</Volume><PubDate><Year>2018</Year></PubDate></JournalIssue><Title>Infection and drug resistance</Title><ISOAbbreviation>Infect Drug Resist</ISOAbbreviation></Journal><ArticleTitle>First molecular characterization of related cases of healthcare-associated infections involving multidrug-resistant <i>Enterococcus faecium vanA</i> in Algeria.</ArticleTitle><Pagination><MedlinePgn>1483-1490</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.2147/IDR.S164487</ELocationID><Abstract><AbstractText Label="Purpose" NlmCategory="UNASSIGNED">Vancomycin-resistant <i>Enterococcus</i> (VRE) <i>faecium</i> (VREfm) are highly resistant bacteria emerging worldwide and rarely studied using molecular tools in Algeria since their first report in 2006. The aim of the study was to investigate healthcare-associated infections (HAIs) involving the first VRE in Batna University Hospital, Algeria, and characterize isolates using molecular tools.</AbstractText><AbstractText Label="Patients and methods" NlmCategory="UNASSIGNED">Medical charts were reviewed for patients with VREfm. <i>van</i> genes were detected by multiplex polymerase chain reaction (PCR), and strains were characterized by automated repetitive sequence-based PCR (rep-PCR), multiplex rep-PCR, pulsed-field gel electrophoresis (PFGE), and multilocus sequence typing (MLST).</AbstractText><AbstractText Label="Results" NlmCategory="UNASSIGNED">During a 6-month period, VREfm infections occurred in four patients hospitalized in three wards. The four isolates were <i>E. faecium vanA</i> belonging to the hospital-adapted clonal complex 17. PCR-based methods did not discriminate the isolates but MLST and PFGE delineated a subgroup of three VREfm of identical pulsotype and sequence type (ST) 80 (yet identified for five isolates in the international PubMLST database) while the fourth isolate was of ST789 (not previously identified for a VREfm) and displayed an unrelated pulsotype. The three genotypically related isolates were recovered in patients who underwent surgery in the same department, suggesting an outbreak for which the source and route of transmission remained unidentified.</AbstractText><AbstractText Label="Conclusion" NlmCategory="UNASSIGNED">This first molecular epidemiology study of VRE in Algeria was useful in delimiting an outbreak involving three of the four HAI cases and revealed rarely encountered genotypes. Considering the threat and burden of VRE infections worldwide, particularly in the USA, and the late emergence in Algeria, our study supports the urgent need for improved and early adequate infection control measures to avoid VRE spread in North African hospitals.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Benammar</LastName><ForeName>Sonia</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Microbiology, University Hospital Center Touhami Benflis, Batna, Algeria.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Medicine, University Batna 2, Batna, Algeria.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pantel</LastName><ForeName>Alix</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Microbiology, Nîmes University Hospital, Nîmes, France, helene.marchandin@umontpellier.fr.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Faculty of Medicine, National Institute of Health and Medical Research, INSERM U1047, University of Montpellier, Nîmes, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Aujoulat</LastName><ForeName>Fabien</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>HydroSciences Montpellier, CNRS, IRD, University of Montpellier, University Hospital of Montpellier-Nîmes, Montpellier, France, helene.marchandin@umontpellier.fr.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Benmehidi</LastName><ForeName>Messaoud</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Microbiology, University Hospital Center Touhami Benflis, Batna, Algeria.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Medicine, University Batna 2, Batna, Algeria.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Courcol</LastName><ForeName>René</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Faculty of Medicine, University of Lille, Lille, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Bacteriology, Institute of Microbiology, Lille University Hospital, Lille, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lavigne</LastName><ForeName>Jean-Philippe</ForeName><Initials>JP</Initials><AffiliationInfo><Affiliation>Department of Microbiology, Nîmes University Hospital, Nîmes, France, helene.marchandin@umontpellier.fr.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Faculty of Medicine, National Institute of Health and Medical Research, INSERM U1047, University of Montpellier, Nîmes, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Romano-Bertrand</LastName><ForeName>Sara</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>HydroSciences Montpellier, CNRS, IRD, University of Montpellier, University Hospital of Montpellier-Nîmes, Montpellier, France, helene.marchandin@umontpellier.fr.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Infection Control, Montpellier University Hospital, Montpellier, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Marchandin</LastName><ForeName>Hélène</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Department of Microbiology, Nîmes University Hospital, Nîmes, France, helene.marchandin@umontpellier.fr.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>HydroSciences Montpellier, CNRS, IRD, University of Montpellier, University Hospital of Montpellier-Nîmes, Montpellier, France, helene.marchandin@umontpellier.fr.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2018</Year><Month>09</Month><Day>17</Day></ArticleDate></Article><MedlineJournalInfo><Country>New Zealand</Country><MedlineTA>Infect Drug Resist</MedlineTA><NlmUniqueID>101550216</NlmUniqueID><ISSNLinking>1178-6973</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">MLST</Keyword><Keyword MajorTopicYN="N">PFGE</Keyword><Keyword MajorTopicYN="N">genotyping</Keyword><Keyword MajorTopicYN="N">molecular epidemiology</Keyword><Keyword MajorTopicYN="N">outbreak</Keyword><Keyword MajorTopicYN="N">rep-PCR</Keyword></KeywordList><CoiStatement>Disclosure The authors report no conflicts of interest in this work.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2018</Year><Month>10</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2018</Year><Month>10</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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