{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T18:07:35Z","timestamp":1792001255314,"version":"4.4.0"},"reference-count":43,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2020,3,1]],"date-time":"2020-03-01T00:00:00Z","timestamp":1583020800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Microbial Drug Resistance"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>\n                      The use of antimicrobials and myeloablative chemotherapy regimens has promoted multiresistant microorganisms to emerge as nosocomial pathogens, such as vancomycin-resistant\n                      <jats:italic toggle=\"yes\">Enterococcus faecium<\/jats:italic>\n                      (VREfm). We described a polyclonal outbreak of bloodstream infection caused by Efm in a hemato-oncological ward in Mexico. Our aim was to describe the clonal complex (CC) of the Efm strains isolated in the outbreak in comparison with commensal and environmental isolates.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology:<\/jats:title>\n                    <jats:p>Sixty Efm clinical, environmental, and commensal strains were included. We constructed a cladogram and a phylogenetic tree using Vitek and Multilocus sequence typing data, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>We reported 20 new sequence types (ST), among which 17\/43 clinical isolates belonged to CC17. The predominant ST in the clinical strains were ST757, ST1304, ST412, and ST770. Neither environmental nor commensal isolates belonged to CC17. The phylogeny of our collection shows that the majority of the clinical isolates were different from the environmental and commensal isolates, and only a small group of clinical isolates was closely related with environmental and commensal isolates. The cladogram revealed a similar segregation to that of the phylogeny.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>We found a high diversity among clinical, environmental, and commensal strains in a group of samples in a single hospital. Highest diversity was found between commensal and environmental isolates.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/mdr.2019.0039","type":"journal-article","created":{"date-parts":[[2019,9,23]],"date-time":"2019-09-23T11:42:21Z","timestamp":1569238941000},"page":"227-237","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["High Phenotypic and Genotypic Diversity of\n                    <i>Enterococcus faecium<\/i>\n                    from Clinical and Commensal Isolates in Third Level Hospital"],"prefix":"10.1177","volume":"26","author":[{"given":"Claudia","family":"Mayoral-Ter\u00e1n","sequence":"first","affiliation":[{"name":"Programa de Inmunolog\u00eda Molecular Microbiana, Departamento de Microbiolog\u00eda y Parasitolog\u00eda, Facultad de Medicina, Universidad Nacional Aut\u00f3noma de M\u00e9xico-Ciudad Universitaria, Mexico City, Mexico."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Flores-Moreno","sequence":"additional","affiliation":[{"name":"Programa de Inmunolog\u00eda Molecular Microbiana, Departamento de Microbiolog\u00eda y Parasitolog\u00eda, Facultad de Medicina, Universidad Nacional Aut\u00f3noma de M\u00e9xico-Ciudad Universitaria, Mexico City, Mexico."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel A.","family":"Cevallos","sequence":"additional","affiliation":[{"name":"Centro de Ciencias Gen\u00f3micas, Programa de Gen\u00f3mica Evolutiva, UNAM, Mexico City, Mexico."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"Volkow-Fern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Instituto Nacional de Cancerolog\u00eda, Mexico City, Mexico."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Santiago","family":"Castillo-Ram\u00edrez","sequence":"additional","affiliation":[{"name":"Centro de Ciencias Gen\u00f3micas, Programa de Gen\u00f3mica Evolutiva, UNAM, Mexico City, Mexico."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucia","family":"Gra\u00f1a-Miraglia","sequence":"additional","affiliation":[{"name":"Centro de Ciencias Gen\u00f3micas, Programa de Gen\u00f3mica Evolutiva, UNAM, Mexico City, Mexico."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yolanda","family":"L\u00f3pez-Vidal","sequence":"additional","affiliation":[{"name":"Programa de Inmunolog\u00eda Molecular Microbiana, Departamento de Microbiolog\u00eda y Parasitolog\u00eda, Facultad de Medicina, Universidad Nacional Aut\u00f3noma de M\u00e9xico-Ciudad Universitaria, Mexico City, Mexico."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,3,5]]},"reference":[{"key":"e_1_3_4_2_2","first-page":"pp","article-title":"Enterococcus diversity, origins in nature, and gut colonization","author":"Lebreton F.","year":"2014","unstructured":"Lebreton F., , Willems R.J.L, , and Gilmore M.S.. 2014. Enterococcus diversity, origins in nature, and gut colonization. In M.S. Gilmore, D.B. Clewell, Y. Ike, and N. Shankar N (eds.), Enterococci: From Commensals to Leading Causes of Drug Resistant Infection. Massachusetts Eye and Ear Infirmary,, Boston, pp. 5\u201363.","journal-title":"In M.S. Gilmore, D.B. Clewell, Y. Ike, and N. Shankar N (eds.), Enterococci: From Commensals to Leading Causes of Drug Resistant Infection. Massachusetts Eye and Ear Infirmary,"},{"key":"e_1_3_4_3_2","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1016\/j.ajic.2016.10.002","article-title":"A polyclonal outbreak of bloodstream infections by Enterococcus faecium in patients with hematologic malignancies","volume":"45","author":"Alatorre-Fernandez P.","year":"2017","unstructured":"Alatorre-Fernandez P., , Mayoral-Teran C., , Velazquez-Acosta C., , Frnaco-Rodr\u00edguez C., , Flores-Moreno K., , M.\u00c1. Cevallos, L\u00f3pez-Vidal Y., , and Volkow-Fern\u00e1ndez P.. 2017. A polyclonal outbreak of bloodstream infections by Enterococcus faecium in patients with hematologic malignancies. Am. J. Infect. Control, 45:260\u2013266.","journal-title":"Am. J. Infect. Control"},{"key":"e_1_3_4_4_2","doi-asserted-by":"crossref","first-page":"767","DOI":"10.1016\/j.ijantimicag.2016.09.001","article-title":"Polyclonal spread of vanA Enterococcus faecium in Central Denmark region, 2009\u20132013, investigated using PFGE, MLST and WGS","volume":"48","author":"Landerslev K.G.","year":"2016","unstructured":"Landerslev K.G., , Jakobsen L., , Olsen S.S, , Pedersen M.B, , Kristensen B., , Lemming L.E, , Wang M., , Kj\u00e6rsgaard M., , Stegger M., , Hasman H., , and Hammerum A.M.. 2016. Polyclonal spread of vanA Enterococcus faecium in Central Denmark region, 2009\u20132013, investigated using PFGE, MLST and WGS. Int. J. Antimicrob. Agents, 48:767\u2013768.","journal-title":"Int. J. Antimicrob. Agents"},{"key":"e_1_3_4_5_2","doi-asserted-by":"crossref","first-page":"3317","DOI":"10.1128\/JCM.38.9.3317-3322.2000","article-title":"Outbreak of vancomycin-resistant enterococci in a hospital in Gdask, Poland, due to horizontal transfer of different Tn1546-like transposon variants and clonal spread of several strains","volume":"38","author":"Kawalec M.","year":"2000","unstructured":"Kawalec M., , Gniadkowski M., , and Hryniewicz W.. 2000. Outbreak of vancomycin-resistant enterococci in a hospital in Gdask, Poland, due to horizontal transfer of different Tn1546-like transposon variants and clonal spread of several strains. J. Clin. Microbiol. 38:3317\u20133322.","journal-title":"J. Clin. Microbiol"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1128\/AAC.00134-10"},{"key":"e_1_3_4_7_2","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1097\/MPH.0b013e318257a5d3","article-title":"Polyclonal outbreak of vancomycin-resistant Enterococcus faecium in a pediatric oncology department","volume":"34","author":"Iosifidis E.","year":"2012","unstructured":"Iosifidis E., , Karakoula K., , Protonotariou E., , Kaperoni M., , Matapa E., , Pournaras S., , Koliouskas D., , Sofianou D., , and Roilides E.. 2012. Polyclonal outbreak of vancomycin-resistant Enterococcus faecium in a pediatric oncology department. J. Pediatr. Hematol. Oncol. 34:511\u2013516.","journal-title":"J. Pediatr. Hematol. Oncol"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1089\/mdr.2011.0025"},{"key":"e_1_3_4_9_2","doi-asserted-by":"crossref","first-page":"893","DOI":"10.1111\/j.1469-0691.2007.01774.x","article-title":"Hospital outbreak of vancomycin-resistant enterococci caused by a single clone of Enterococcus raffinosus and several clones of Enterococcus faecium","volume":"13","author":"Kawalec M.","year":"2007","unstructured":"Kawalec M., , Kedzierska J., , Gajda A., , Sadowy E., , Wegrzyn J., , Naser S., , Skotnicki A.B, , Gniadkowski M., , and Hryniewicz W.. 2007. Hospital outbreak of vancomycin-resistant enterococci caused by a single clone of Enterococcus raffinosus and several clones of Enterococcus faecium. Clin. Microbiol. Infect. 13:893\u2013901.","journal-title":"Clin. Microbiol. Infect"},{"key":"e_1_3_4_10_2","first-page":"pp","article-title":"Enterococcal infection-treatment and antibiotic resistance","author":"Kristich C.J.","year":"2014","unstructured":"Kristich C.J., , Rice L.B, , and Arias C.A.. 2014. Enterococcal infection-treatment and antibiotic resistance. In M.S. Gilmore, D.B. Clewell, Y. Ike, and N. Shankar (eds.), Enterococci: From Commensals to Leading Causes of Drug Resistant Infection. Massachusetts Eye and Ear Infirmary,, Boston, pp. 123\u2013184.","journal-title":"In M.S. Gilmore, D.B. Clewell, Y. Ike, and N. Shankar (eds.), Enterococci: From Commensals to Leading Causes of Drug Resistant Infection. Massachusetts Eye and Ear Infirmary,"},{"key":"e_1_3_4_11_2","first-page":"788","article-title":"Global emergence and dissemination of enterococci as nosocomial pathogens: attack of the clones? Front","volume":"7","author":"Guzman Prieto A.M.","year":"2016","unstructured":"Guzman Prieto A.M., , van Schaik W., , Rogers M.R, , Coque T.M, , Baquero F., , Corander J., , and Willems R.J.. 2016. Global emergence and dissemination of enterococci as nosocomial pathogens: attack of the clones? Front. Microbiol. 7:788.","journal-title":"Microbiol"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.2807\/ese.13.47.19046-en"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1128\/JB.186.3.672-682.2004"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1086\/367711"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1128\/IAI.00941-06"},{"key":"e_1_3_4_16_2","first-page":"222","article-title":"Trends of antibiotic resistance: Enterococcus 1991\u20131999","volume":"19","author":"Atilano-Duran G.","year":"1999","unstructured":"Morfin-Otero, R.E.-A.S., Atilano-Duran G., , Pinto-Trindade D., , Heredia-Cervantes J., , Rodriguez-Chagollan J.J, , and Rodriguez Noriega E.. 1999. Trends of antibiotic resistance: Enterococcus 1991\u20131999. Enf. Infec. Microbiol. 19:222\u2013226.","journal-title":"Enf. Infec. Microbiol"},{"key":"e_1_3_4_17_2","doi-asserted-by":"crossref","first-page":"798","DOI":"10.3201\/eid1305.061421","article-title":"Vancomycin-resistant enterococci, Mexico city","volume":"13","author":"Cuellar-Rodriguez J.","year":"2007","unstructured":"Cuellar-Rodriguez J., , Galindo-Fraga A., , Guevara V., , P\u00e9rez-Jim\u00e9nez C., , Espinosa-Aguilar L., , Rol\u00f3n A.L, , Hern\u00e1ndez-Cruz A., , L\u00f3pez-J\u00e1come E., , Bobadilla-del-Valle M., , Mart\u00ednez-Gamboa A., , Ponce-de-Le\u00f3n A., , and Sifuentes-Osornio J.. 2007. Vancomycin-resistant enterococci, Mexico city. Emerg. Infect. Dis. 13:798\u2013799.","journal-title":"Emerg. Infect. Dis"},{"key":"e_1_3_4_18_2","first-page":"Mexico","article-title":"Infection or colonization and antimicrobial susceptibility of Enterococcus spp","author":"Leo-Amador G.E.","year":"2011","unstructured":"Leo-Amador G.E., , Borbolla-Ramos A., , Morales-Lara J.A, , P\u00e9rez-Gonz\u00e1lez H.A, , Hernandez-Montiel H.L, , and Solis-S J.C.. 2011. Infection or colonization and antimicrobial susceptibility of Enterococcus spp. at a regional hospital in, Queretaro, Mexico. Am. J. Infect. Control 39:615\u2013616.","journal-title":"at a regional hospital in"},{"key":"e_1_3_4_19_2","first-page":"Mexico","article-title":"Vancomycin-resistant Enterococcus spp","author":"Garcia G.M.","year":"2014","unstructured":"Garcia G.M., , Leo-Amador G.E, , Avila-Morales J., , Zald\u00edvar-Lelo de Larrea G., , and Sanchez-Corona J.. 2014. Vancomycin-resistant Enterococcus spp. isolated from community acquired infections and colonizations in Queretaro, City, Mexico. Am. J. Infect. Control 42:578\u2013580.","journal-title":"isolated from community acquired infections and colonizations in Queretaro"},{"key":"e_1_3_4_20_2","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1186\/1471-2180-13-291","article-title":"Molecular analysis and distribution of multidrug-resistant Enterococcus faecium isolates belonging to clonal complex 17 in a tertiary care center in Mexico City","volume":"13","author":"Ochoa S.A.","year":"2013","unstructured":"Ochoa S.A., , Escalona G., , Cruz-Cordova A., , D\u00e1vila L.B, , Salda\u00f1a Z., , C\u00e1zares-Dom\u00edmguez V., , Eslava C.A, , L\u00f3pez-Mart\u00ednez B., , Hern\u00e1ndez-Castro R., , Aquino-Jarquin G., , and Xicohtencatl-Cortes J.. 2013. Molecular analysis and distribution of multidrug-resistant Enterococcus faecium isolates belonging to clonal complex 17 in a tertiary care center in Mexico City. BMC Microbiol. 13:291.","journal-title":"BMC Microbiol"},{"key":"e_1_3_4_21_2","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1159\/000346352","article-title":"One-year surveillance of ESKAPE pathogens in an intensive care unit of Monterrey, Mexico","volume":"58","author":"Llaca-Diaz J.M.","year":"2012","unstructured":"Llaca-Diaz J.M., , Mendoza-Olazaran S., , Camacho-Ortiz A., , Flores S., , and Garza-Gonz\u00e1lez E.. 2012. One-year surveillance of ESKAPE pathogens in an intensive care unit of Monterrey, Mexico. Chemotherapy, 58:475\u2013481.","journal-title":"Chemotherapy"},{"key":"e_1_3_4_22_2","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1016\/j.eimc.2015.09.011","article-title":"Phenotypic and genotypic characterization of vancomycin-resistant Enterococcus faecium clinical isolates from two hospitals in Mexico: first detection of VanB phenotype-vanA genotype","volume":"34","author":"Bocanegra-Ibarias P.","year":"2016","unstructured":"Bocanegra-Ibarias P., , Flores-Trevino S., , Camacho-Ortiz A., , Morfin-Otero R., , Villarreal-Trevi\u00f1o L., , Llaca-D\u00edaz J., , Mart\u00ednez-Landeros E.A, , Rodr\u00edguez-Noriega E., , Calzada-G\u00fcereca A., , Maldonado-Garza H.J, , and Garza-Gonz\u00e1lez E.. 2016. Phenotypic and genotypic characterization of vancomycin-resistant Enterococcus faecium clinical isolates from two hospitals in Mexico: first detection of VanB phenotype-vanA genotype. Enf. Infec. Microbiol. Clin. 34:415\u2013421.","journal-title":"Enf. Infec. Microbiol. Clin"},{"key":"e_1_3_4_23_2","first-page":"96","article-title":"In vitro antimicrobial susceptibility in clinical isolates of Enterococcus species","volume":"45","author":"Calderon-Jaimes E.","year":"2003","unstructured":"Calderon-Jaimes E., , Arredondo-Garcia J.L, , Aguilar-Ituarte F., , and Garc\u00eda-Roca P.. 2003. In vitro antimicrobial susceptibility in clinical isolates of Enterococcus species. Salud Publ. Mexico, 45:96\u2013101.","journal-title":"Salud Publ. Mexico"},{"key":"e_1_3_4_24_2","doi-asserted-by":"crossref","first-page":"1524","DOI":"10.1128\/jcm.33.6.1524-1527.1995","article-title":"Ability of commercial and reference antimicrobial susceptibility testing methods to detect vancomycin resistance in enterococci","volume":"33","author":"Tenover F.C.","year":"1995","unstructured":"Tenover F.C., , Swenson J.M, , O'Hara C.M, , and Stocker S.A.. 1995. Ability of commercial and reference antimicrobial susceptibility testing methods to detect vancomycin resistance in enterococci. J. Clin. Microbiol. 33:1524\u20131527.","journal-title":"J. Clin. Microbiol"},{"key":"e_1_3_4_25_2","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.42.8.3558-3565.2004"},{"key":"e_1_3_4_26_2","doi-asserted-by":"publisher","DOI":"10.1128\/jcm.33.1.24-27.1995"},{"key":"e_1_3_4_27_2","unstructured":"Felsenstein J. 2009. PHYLIP (Phylogeny Inference Package) Version 3.695. Distributed by the author Department of Genome Sciences University of Washington Seattle WA."},{"key":"e_1_3_4_28_2","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.40.6.1963-1971.2002"},{"key":"e_1_3_4_29_2","doi-asserted-by":"publisher","DOI":"10.1093\/molbev\/msj030"},{"key":"e_1_3_4_30_2","doi-asserted-by":"publisher","DOI":"10.1534\/genetics.105.048975"},{"key":"e_1_3_4_31_2","doi-asserted-by":"publisher","DOI":"10.1038\/nmeth.2109"},{"key":"e_1_3_4_32_2","doi-asserted-by":"publisher","DOI":"10.1080\/10635150390235520"},{"key":"e_1_3_4_33_2","doi-asserted-by":"crossref","first-page":"1768","DOI":"10.1093\/molbev\/msq060","article-title":"Bayesian estimation of divergence times from large sequence alignments","volume":"27","author":"Guindon S.","year":"2010","unstructured":"Guindon S. 2010. Bayesian estimation of divergence times from large sequence alignments. Mol. Biol. Evol. 27:1768\u20131781.","journal-title":"Mol. Biol. Evol"},{"key":"e_1_3_4_34_2","doi-asserted-by":"publisher","DOI":"10.1093\/bioinformatics\/btu033"},{"key":"e_1_3_4_35_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(96)02331-8"},{"key":"e_1_3_4_36_2","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1128\/mr.55.3.335-348.1991","article-title":"Fluorogenic and chromogenic substrates used in bacterial diagnostics","volume":"55","author":"Manafi M.","year":"1991","unstructured":"Manafi M., , Kneifel W., , and Bascomb S.. 1991. Fluorogenic and chromogenic substrates used in bacterial diagnostics. Microbiol. Rev. 55:335\u2013348.","journal-title":"Microbiol. Rev"},{"key":"e_1_3_4_37_2","doi-asserted-by":"publisher","DOI":"10.1128\/am.26.6.863-866.1973"},{"key":"e_1_3_4_38_2","doi-asserted-by":"crossref","first-page":"824","DOI":"10.1136\/jcp.44.10.824","article-title":"Beta-d-glucuronidase activity assay for rapid differentiation of species within beta-haemolytic group C and G streptococci","volume":"44","author":"Cimolai N.","year":"1991","unstructured":"Cimolai N., , and Mah D.. 1991. Beta-d-glucuronidase activity assay for rapid differentiation of species within beta-haemolytic group C and G streptococci. J. Clin. Pathol. 44:824\u2013825.","journal-title":"J. Clin. Pathol"},{"key":"e_1_3_4_39_2","doi-asserted-by":"crossref","first-page":"1177","DOI":"10.1128\/jcm.20.6.1177-1179.1984","article-title":"Detection of beta-glucuronidase in lactose-fermenting members of the family Enterobacteriaceae and its presence in bacterial urine cultures","volume":"20","author":"Hansen W.","year":"1984","unstructured":"Hansen W., , and Yourassowsky E.. 1984. Detection of beta-glucuronidase in lactose-fermenting members of the family Enterobacteriaceae and its presence in bacterial urine cultures. J. Clin. Microbiol. 20:1177\u20131179.","journal-title":"J. Clin. Microbiol"},{"key":"e_1_3_4_40_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jgar.2018.08.016"},{"key":"e_1_3_4_41_2","doi-asserted-by":"crossref","first-page":"1692","DOI":"10.1093\/jac\/dky075","article-title":"Duration of exposure to multiple antibiotics is associated with increased risk of VRE bacteraemia: a nested case\u2013control study","volume":"73","author":"Gouliouris T.","year":"2018","unstructured":"Gouliouris T., , Warne B., , Cartwright E.J.P, , Bedford L., , Weerasuriya C.K, , Raven K.E, , Brown N.M, , T\u00f6r\u00f6k M.E, , Limmathurotsakul D., , and Peacock S.J.. 2018. Duration of exposure to multiple antibiotics is associated with increased risk of VRE bacteraemia: a nested case\u2013control study. J. Antimicrob. Chemother. 73:1692\u20131699.","journal-title":"J. Antimicrob. Chemother"},{"key":"e_1_3_4_42_2","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1016\/j.meegid.2017.08.027","article-title":"Major globally disseminated clonal complexes of antimicrobial resistant enterococci associated with infections in cancer patients in Brazil","volume":"55","author":"Santos B.A.","year":"2017","unstructured":"Santos B.A., , Oliveira J.S, , Cardoso N.T, , Barbosa A.V, , Superti S.V, , Teixeira L.M, , and Neves F.P.G. 2017. Major globally disseminated clonal complexes of antimicrobial resistant enterococci associated with infections in cancer patients in Brazil. Infect. Genet. Evol. 55:56\u201362.","journal-title":"Infect. Genet. Evol"},{"key":"e_1_3_4_43_2","doi-asserted-by":"crossref","first-page":"fnz062","DOI":"10.1093\/femsle\/fnz062","article-title":"Epidemiological linkage of vancomycin-resistant Enterococcus faecium from different sources in Ahwaz, Iran","volume":"366","author":"Arshadi M.","year":"2019","unstructured":"Arshadi M., , Shokoohizadeh L., , Douraghi M., , Owlia P., , Mashhadi R., , Soltani S., , and Pourmand M.R.. 2019. Epidemiological linkage of vancomycin-resistant Enterococcus faecium from different sources in Ahwaz, Iran. FEMS Microbiol. Lett. 366:fnz062.","journal-title":"FEMS Microbiol. Lett"},{"key":"e_1_3_4_44_2","doi-asserted-by":"crossref","first-page":"e59491","DOI":"10.1371\/journal.pone.0059491","article-title":"Comparison of Enterococcus faecium and Enterococcus faecalis strains isolated from water and clinical samples: antimicrobial susceptibility and genetic relationships","volume":"8","author":"Castillo-Rojas G.","year":"2013","unstructured":"Castillo-Rojas G., , Mazari-Hir\u00edart M., , Ponce de Le\u00f3n S., , Amieva-Fern\u00e1ndez R.I, , Agis-Ju\u00e1rez R.A, , Huebner J., , and L\u00f3pez-Vidal Y.. 2013. Comparison of Enterococcus faecium and Enterococcus faecalis strains isolated from water and clinical samples: antimicrobial susceptibility and genetic relationships. PLoS One, 8: e59491.","journal-title":"PLoS One"}],"container-title":["Microbial Drug Resistance"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/mdr.2019.0039","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/mdr.2019.0039","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/mdr.2019.0039","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T20:35:04Z","timestamp":1777667704000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/full\/10.1089\/mdr.2019.0039"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3]]},"references-count":43,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2020,3]]}},"alternative-id":["10.1089\/mdr.2019.0039"],"URL":"https:\/\/doi.org\/10.1089\/mdr.2019.0039","relation":{},"ISSN":["1076-6294","1931-8448"],"issn-type":[{"value":"1076-6294","type":"print"},{"value":"1931-8448","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,3]]}}}