Journal
MICROORGANISMS
Volume 11, Issue 1, Pages -Publisher
MDPI
DOI: 10.3390/microorganisms11010024
Keywords
antibiotic; vancomycin; drug-resistance; Enterococcus; Staphylococcus aureus
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This review discusses the epidemiology of vancomycin-resistant Enterococcus and S. aureus in healthcare, community, and agricultural settings, explores vancomycin resistance in the context of van and non-van mediated resistance development, and provides insights into alternative therapeutic approaches aimed at treating drug-resistant Enterococcus and S. aureus infections.
Enterococcus faecalis, Enterococcus faecium and Staphylococcus aureus are both common commensals and major opportunistic human pathogens. In recent decades, these bacteria have acquired broad resistance to several major classes of antibiotics, including commonly employed glycopeptides. Exemplified by resistance to vancomycin, glycopeptide resistance is mediated through intrinsic gene mutations, and/or transferrable van resistance gene cassette-carrying mobile genetic elements. Here, this review will discuss the epidemiology of vancomycin-resistant Enterococcus and S. aureus in healthcare, community, and agricultural settings, explore vancomycin resistance in the context of van and non-van mediated resistance development and provide insights into alternative therapeutic approaches aimed at treating drug-resistant Enterococcus and S. aureus infections.
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