{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T01:35:32Z","timestamp":1772156132117,"version":"3.50.1"},"reference-count":18,"publisher":"Microbiology Society","issue":"3","license":[{"start":{"date-parts":[[2021,3,1]],"date-time":"2021-03-01T00:00:00Z","timestamp":1614556800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000060","name":"National Institute of Allergy and Infectious Diseases","doi-asserted-by":"crossref","award":["R01AI116610"],"award-info":[{"award-number":["R01AI116610"]}],"id":[{"id":"10.13039\/100000060","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,3,1]]},"abstract":"<jats:p>\n                    <jats:italic>\n                      <jats:named-content content-type=\"species\">\n                        <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/doi.org\/10.1601\/nm.5526\" xlink:type=\"simple\">Enterococcus faecalis<\/jats:ext-link>\n                      <\/jats:named-content>\n                    <\/jats:italic>\n                    and\n                    <jats:italic>\n                      <jats:named-content content-type=\"species\">\n                        <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/doi.org\/10.1601\/nm.5535\" xlink:type=\"simple\">E. faecium<\/jats:ext-link>\n                      <\/jats:named-content>\n                    <\/jats:italic>\n                    are Gram-positive bacteria that normally inhabit the human gastrointestinal tract. They are also opportunistic pathogens and can cause nosocomial infection outbreaks. To prevent the spread of nosocomial infections, hospitals may rely on screening methods to identify patients colonized with multidrug-resistant organisms including vancomycin-resistant enterococci (VRE). Spectra VRE agar (Remel) contains vancomycin and other medium components that select for VRE and phenotypically differentiate between\n                    <jats:italic>\n                      <jats:named-content content-type=\"species\">\n                        <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/doi.org\/10.1601\/nm.5526\" xlink:type=\"simple\">E. faecalis<\/jats:ext-link>\n                      <\/jats:named-content>\n                    <\/jats:italic>\n                    and\n                    <jats:italic>\n                      <jats:named-content content-type=\"species\">\n                        <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/doi.org\/10.1601\/nm.5535\" xlink:type=\"simple\">E. faecium<\/jats:ext-link>\n                      <\/jats:named-content>\n                    <\/jats:italic>\n                    by colony colour. We obtained 66 de-identified rectal swab cultures on Spectra VRE agar that were obtained during routine patient admission surveillance at a hospital system in Dallas, Texas, USA. We analysed 90 presumptive VRE from 61 of the Spectra VRE agar cultures using molecular and culture methods. Using\n                    <jats:italic>ddl<\/jats:italic>\n                    typing, 55 were found to be\n                    <jats:italic>\n                      <jats:named-content content-type=\"species\">\n                        <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/doi.org\/10.1601\/nm.5535\" xlink:type=\"simple\">E. faecium<\/jats:ext-link>\n                      <\/jats:named-content>\n                    <\/jats:italic>\n                    and 32 were found to be\n                    <jats:italic>\n                      <jats:named-content content-type=\"species\">\n                        <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/doi.org\/10.1601\/nm.5526\" xlink:type=\"simple\">E. faecalis<\/jats:ext-link>\n                      <\/jats:named-content>\n                    <\/jats:italic>\n                    . While most of the\n                    <jats:italic>\n                      <jats:named-content content-type=\"species\">\n                        <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/doi.org\/10.1601\/nm.5535\" xlink:type=\"simple\">E. faecium<\/jats:ext-link>\n                      <\/jats:named-content>\n                    <\/jats:italic>\n                    were positive for the\n                    <jats:italic>vanA<\/jats:italic>\n                    gene by PCR (52 of 55 strains), few of the\n                    <jats:italic>\n                      <jats:named-content content-type=\"species\">\n                        <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/doi.org\/10.1601\/nm.5526\" xlink:type=\"simple\">E. faecalis<\/jats:ext-link>\n                      <\/jats:named-content>\n                    <\/jats:italic>\n                    were positive for either\n                    <jats:italic>vanA<\/jats:italic>\n                    or\n                    <jats:italic>vanB<\/jats:italic>\n                    (five of 32 strains). The 27\n                    <jats:italic>E. faecalis vanA<\/jats:italic>\n                    - and\n                    <jats:italic>vanB<\/jats:italic>\n                    -negative strains could not be recultured on Spectra VRE agar. Overall, we found that Spectra VRE agar performed robustly for the identification of vancomycin-resistant\n                    <jats:italic>\n                      <jats:named-content content-type=\"species\">\n                        <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/doi.org\/10.1601\/nm.5535\" xlink:type=\"simple\">E. faecium<\/jats:ext-link>\n                      <\/jats:named-content>\n                    <\/jats:italic>\n                    , but presumptive false positives were obtained for vancomycin-resistant\n                    <jats:italic>\n                      <jats:named-content content-type=\"species\">\n                        <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/doi.org\/10.1601\/nm.5526\" xlink:type=\"simple\">E. faecalis<\/jats:ext-link>\n                      <\/jats:named-content>\n                    <\/jats:italic>\n   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