{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T23:03:32Z","timestamp":1767827012036,"version":"3.49.0"},"reference-count":45,"publisher":"FapUNIFESP (SciELO)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Soc. Bras. Med. Trop."],"DOI":"10.1590\/0037-8682-0159-2017","type":"journal-article","created":{"date-parts":[[2018,7,7]],"date-time":"2018-07-07T15:42:23Z","timestamp":1530978143000},"page":"304-309","source":"Crossref","is-referenced-by-count":3,"title":["Occurrence of the vanA gene in Staphylococcus epidermidis from nasopharyngeal secretion of Health-Care Workers, Recife, Brazil"],"prefix":"10.1590","volume":"51","author":[{"given":"Armando Monteiro","family":"Bezerra Neto","sequence":"first","affiliation":[{"name":"Universidade Federal de Pernambuco,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcelle Aquino","family":"Rabelo","sequence":"additional","affiliation":[{"name":"Universidade Federal de Pernambuco,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jailton Lobo da Costa","family":"Lima","sequence":"additional","affiliation":[{"name":"Universidade Federal de Pernambuco,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"St\u00e9fany Ojaimi","family":"Loibman","sequence":"additional","affiliation":[{"name":"Universidade Federal de Pernambuco,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nilma Cintra","family":"Leal","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Am\u00e9lia Vieira","family":"Maciel","sequence":"additional","affiliation":[{"name":"Universidade Federal de Pernambuco,  Brazil; Universidade Federal de Pernambuco,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2018,6]]},"reference":[{"issue":"3","key":"ref1","doi-asserted-by":"crossref","first-page":"949","DOI":"10.1128\/JCM.02295-09","article-title":"Novel screening agar for detection of vancomycin-nonsusceptible Staphylococcus aureus","volume":"48","author":"Burnham CAD","year":"2010","journal-title":"J Clin Microbiol"},{"issue":"1","key":"ref2","first-page":"55","article-title":"Vancomycin-resistant Staphylococcus aureus and coagulase-negative staphylococci in a Brazilian University Hospital","volume":"30","author":"Melo GB","year":"2009","journal-title":"J Bas Appl Pharma Scien"},{"issue":"1","key":"ref3","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1128\/CMR.00042-09","article-title":"Reduced vancomycin susceptibility in Staphylococcus aureus, including vancomycin-intermediate and heterogeneous vancomycin-intermediate strains: resistance mechanisms, laboratory detection and clinical implications","volume":"23","author":"Howden BP","year":"2010","journal-title":"Clin Microbiol Rev"},{"issue":"2","key":"ref4","doi-asserted-by":"crossref","first-page":"94","DOI":"10.17058\/reci.v5i2.4821","article-title":"New cephalosporin as an alternative for treatment of infections by methicillin-resistant Staphylococcus aureus (MRSA)","volume":"5","author":"Batista BG","year":"2015","journal-title":"Rev Epidemiol Control Infect"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"S20","DOI":"10.1093\/cid\/cit614","article-title":"Methicillin-resistant Staphylococcus aureus therapy: past, present, and future","volume":"58","author":"Rodvold KA","year":"2014","journal-title":"Clin Infect Dis"},{"issue":"5","key":"ref6","doi-asserted-by":"crossref","first-page":"704","DOI":"10.4103\/0971-5916.91001","article-title":"Vancomycin resistance among methicillin-resistant Staphylococcus aureus isolates from intensive care units of tertiary care hospitals in Hyderabad","volume":"134","author":"Thati V","year":"2011","journal-title":"Indian J Med Res"},{"issue":"4","key":"ref7","doi-asserted-by":"crossref","first-page":"1428","DOI":"10.1128\/JCM.02098-09","article-title":"Decreased susceptibility to teicoplanin and vancomycin in coagulase-negative staphylococci isolated from orthopedic-device-associated infections","volume":"48","author":"Cremniter J","year":"2010","journal-title":"J Clin Microbiol"},{"issue":"9","key":"ref8","doi-asserted-by":"crossref","first-page":"3861","DOI":"10.1128\/AAC.00269-10","article-title":"Underestimation of vancomycin and teicoplanin MICs by broth microdilution leads to underdetection of glicopeptide-intermediate isolates of Staphylococcus aureus","volume":"54","author":"Vaudaux P","year":"2010","journal-title":"Antimicrob Agents Chemother"},{"issue":"2","key":"ref9","first-page":"126","article-title":"Analysis of the genetic diversity of vancomycin-resistant Staphylococcus aureus","volume":"36","author":"Melo GB","year":"2005","journal-title":"Braz J Microbiol"},{"issue":"16","key":"ref10","doi-asserted-by":"crossref","first-page":"1524","DOI":"10.1056\/NEJMoa1303359","article-title":"Transferable vancomycin resistance in a community-associated MRSA lineage","volume":"370","author":"Rossi FMD","year":"2014","journal-title":"N Engl J Med"},{"issue":"3","key":"ref11","doi-asserted-by":"crossref","first-page":"143","DOI":"10.5935\/1676-2444.20150025","article-title":"Methicillin- and vancomycin-resistant Staphylococcus aureus in health care workers and medical device","volume":"51","author":"Breves A","year":"2015","journal-title":"Braz J Pathol Lab Med"},{"issue":"1","key":"ref12","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1128\/JCM.43.1.179-185.2005","article-title":"First report of vancomycin-resistant staphylococci isolated from healthy carriers in brazil","volume":"43","author":"Palazzo ICV","year":"2005","journal-title":"J Clin Microbiol"},{"issue":"2","key":"ref13","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1590\/S1676-24442013000200003","article-title":"Phenotypic methods for determination of methicillin resistance in Staphylococcus spp. from health care workers","volume":"49","author":"Rabelo MA","year":"2013","journal-title":"Braz J Pathol Lab Med"},{"issue":"1","key":"ref14","first-page":"126","article-title":"Epidemiological surveillance and susceptibility of Staphylococcus aureus among healthcare workers at a reference hospital: preliminary assessment","volume":"69","author":"Silva ECBF","year":"2010","journal-title":"Rev Inst Adolfo Lutz"},{"issue":"4","key":"ref15","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1590\/0037-8682-0071-2014","article-title":"The occurrence and dissemination of methicillin and vancomycin-resistant Staphylococcus in samples from patients and health professionals of a university hospital in Recife, State of Pernambuco, Brazil","volume":"47","author":"Rabelo MA","year":"2014","journal-title":"Rev Soc Bras Med Trop"},{"key":"ref16","series-title":"CLSI M07-A9 Methods for dilution antimicrobial susceptibility tests for bacteria that grow aerobically; approved standard","year":"2012"},{"issue":"7","key":"ref17","doi-asserted-by":"crossref","first-page":"716","DOI":"10.1590\/S0074-02762006000700002","article-title":"Identification and molecular characterization of Van A-type vancomycin-resistant Enterococcus faecalis in Northeast of Brazil","volume":"101","author":"Vilela MA","year":"2006","journal-title":"Mem Inst Oswaldo Cruz"},{"key":"ref18","series-title":"CLSI M100-S24 Performance Standards for Antimicrobial Susceptibility Testing - Twenty-Sixth Informational Supplement","year":"2014"},{"key":"ref19","series-title":"CLSI M23-A5 Development of In Vitro Susceptibility Testing Criteria and Quality Control Parameters","year":"2018","edition":"5th Edition"},{"key":"ref20","series-title":"M\u00e9todos de Investiga\u00e7\u00e3o Epidemiol\u00f3gica em Doen\u00e7a Transmiss\u00edveis","volume":"Volume I","year":"1997"},{"issue":"3","key":"ref21","first-page":"020","article-title":"Diversity of Sccmec types in ant Staphylococcus spp. causing Hospital-Associated Infections","volume":"2","author":"Oliveira WLM","year":"2015","journal-title":"J J Microbiol Pathol"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1099\/jmm.0.47144-0","article-title":"Identification and characterization of a vancomycin-resistant Staphylococcus aureus isolated from Kolkata (South Asia)","volume":"57","author":"Saha B","year":"2008","journal-title":"J Med Microbiol"},{"issue":"3","key":"ref23","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1093\/jac\/47.3.297","article-title":"Detection of mecA, mecR1 and mecI genes among clinical isolates of methicillin-resistant staphylococci by combined polymerase chain reactions","volume":"47","author":"Petinaki E","year":"2001","journal-title":"J Antimicrob Chemother"},{"issue":"3","key":"ref24","doi-asserted-by":"crossref","first-page":"799","DOI":"10.1590\/S1517-83822014000300006","article-title":"Staphylococcus sp. colonizing health care workers of a cancer hospital","volume":"45","author":"Costa DM","year":"2014","journal-title":"Braz J Microbiol"},{"issue":"1","key":"ref25","doi-asserted-by":"crossref","first-page":"18","DOI":"10.3844\/ajidsp.2010.18.23","article-title":"Methicilin resistant Staphylococcus aureus carriage amongst Healthcare Workers of the Critical Care Units in a Nigerian Hospital","volume":"6","author":"Fadeyi A","year":"2010","journal-title":"Am J Infect Dis"},{"issue":"3","key":"ref26","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1016\/S1473-3099(01)00091-3","article-title":"Vancomycin-resistant Staphylococcus aureus: a new model of antibiotic resistance","volume":"1","author":"Hiramatsu K","year":"2001","journal-title":"Lancet Infect Dis"},{"key":"ref27","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1093\/jac\/14.suppl_D.7","article-title":"Mode of action and in-vitro activity of vancomycin","volume":"14","author":"Watanakukorn C","year":"1984","journal-title":"J Antimicrob Chemother"},{"issue":"5","key":"ref28","doi-asserted-by":"crossref","first-page":"466","DOI":"10.1016\/j.bjid.2015.06.013","article-title":"Molecular epidemiology of heteroresistant vancomycin-intermediate Staphylococcus aureus in Brazil","volume":"19","author":"Silveira ACO","year":"2015","journal-title":"Braz J Infect Dis"},{"issue":"12","key":"ref29","doi-asserted-by":"crossref","first-page":"4528","DOI":"10.1128\/AAC.00904-08","article-title":"Vancomycin MICs for methicillin-resistant Staphylococcus aureus isolates differ based upon the susceptibility test method used","volume":"52","author":"Prakash V","year":"2008","journal-title":"Antimicrob. Agents Chemother"},{"key":"ref30","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1128\/JCM.41.1.5-14.2003","article-title":"Cell wall thickening is a common feature of vancomycin resistance in Staphylococcus aureus","volume":"41","author":"Cui L","year":"2003","journal-title":"J Clin Microbiol"},{"issue":"4","key":"ref31","first-page":"4496","article-title":"Decolonization of Methicillin resistant Staphylococcus areus Nasal Carriage Among Health Care Workers","volume":"9","author":"Daef EA","year":"2012","journal-title":"Life Scien J"},{"issue":"3","key":"ref32","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1155\/2013\/349891","article-title":"Methicillin-resistant Staphylococcus aureus colonization among health care workers in a downtown emergency department in Toronto, Ontario","volume":"24","author":"Saito G","year":"2013","journal-title":"Can J Infect Dis Med Microbiol"},{"issue":"1","key":"ref33","doi-asserted-by":"crossref","first-page":"116","DOI":"10.3855\/jidc.3535","article-title":"Prevalence of methicillin-resistant Staphylococcus aureus among health care workers of intensive care units in Ecuador","volume":"8","author":"Ruiz A","year":"2014","journal-title":"J Infect Dev Ctries"},{"issue":"3","key":"ref34","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1590\/S0037-86822011005000035","article-title":"Community prevalence of methicillin and vancomycin resistant Staphylococcus aureus in and around Bangalore, southern India","volume":"44","author":"Goud R","year":"2011","journal-title":"Rev Soc Bras Med Trop"},{"issue":"5","key":"ref35","doi-asserted-by":"crossref","first-page":"1730","DOI":"10.1128\/JCM.06208-11","article-title":"Colonization with Vancomycin-Intermediate Staphylococcus aureus strains containing the vanA resistance gene in a Tertiary-Care Center in North India","volume":"50","author":"Banerjee T","year":"2012","journal-title":"J Clin Microbiol"},{"key":"ref36","first-page":"565","article-title":"Staphylococcus aureus resistant to vancomycin - United States, 2002","volume":"51","year":"2002","journal-title":"Morb Mortal Wkly Rep MMWR"},{"issue":"14","key":"ref37","doi-asserted-by":"crossref","first-page":"1342","DOI":"10.1056\/NEJMoa025025","article-title":"Infection with vancomycin-resistant Staphylococcus aureus containing the vanA resistance gene","volume":"348","author":"Chang S","year":"2003","journal-title":"N Engl J Med"},{"issue":"5","key":"ref38","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1159\/000141513","article-title":"Emergence of high-level vancomycin-resistant Staphylococcus aureus in the Imam Khomeini Hospital in Tehran","volume":"17","author":"Aligholi M","year":"2008","journal-title":"Med Princ Pract"},{"issue":"5","key":"ref39","doi-asserted-by":"crossref","first-page":"668","DOI":"10.1086\/527392","article-title":"Vancomycin-resistant Staphylococcus aureus in United States, 2002-2006","volume":"46","author":"Sievert DM","year":"2008","journal-title":"Clin Infect Dis"},{"issue":"6","key":"ref40","doi-asserted-by":"crossref","first-page":"2354","DOI":"10.1128\/AAC.01702-08","article-title":"Fitness cost of vanA-type vancomycin resistance in methicillin-resistant Staphylococcus aureus","volume":"53","author":"Foucault ML","year":"2009","journal-title":"Antimicrob Agents Chemother"},{"issue":"11","key":"ref41","doi-asserted-by":"crossref","first-page":"4580","DOI":"10.1128\/AAC.00346-09","article-title":"VanA-type vancomycin-resistant Staphylococcus aureu","volume":"53","author":"Perichon B","year":"2009","journal-title":"Antimicrob Agents Chemother"},{"issue":"2","key":"ref42","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1086\/524667","article-title":"Influence of vancomycin minimum inhibitory concentration on the treatment of methicillin-resistant Staphylococcus aureus bacteremia","volume":"46","author":"Soriano A","year":"2008","journal-title":"Clin Infect Dis"},{"issue":"3","key":"ref43","article-title":"Comparative genomics of vancomycin-resistant Staphylococcus aureus strains and their positions within the clade most commonly associated with methicillin-resistant S. aureus hospital-acquired infection in the United States","volume":"3","author":"Kos VN","year":"2012","journal-title":"mBio"},{"issue":"3","key":"ref44","first-page":"1","article-title":"Vancomycin tolerant, methicillin-resistant Staphylococcus aureus reveals the effects of vancomycin on cell wall thickening.","volume":"10","author":"Dom\u00ednguez VC","year":"2015","journal-title":"PLoS One"},{"issue":"156","key":"ref45","first-page":"1","article-title":"Emergence of vancomycin resistant Staphylococcus aureus (VRSA) from a tertiary care hospital from northern part of India","volume":"6","author":"Tiwari HK","year":"2006","journal-title":"BMC Infect Dis"}],"container-title":["Revista da Sociedade Brasileira de Medicina Tropical"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/rsbmt\/v51n3\/1678-9849-rsbmt-51-03-304.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,12,21]],"date-time":"2018-12-21T19:25:08Z","timestamp":1545420308000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0037-86822018000300304&lng=en&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6]]},"references-count":45,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2018,6]]}},"alternative-id":["S0037-86822018000300304"],"URL":"https:\/\/doi.org\/10.1590\/0037-8682-0159-2017","relation":{},"ISSN":["1678-9849","0037-8682"],"issn-type":[{"value":"1678-9849","type":"electronic"},{"value":"0037-8682","type":"print"}],"subject":[],"published":{"date-parts":[[2018,6]]}}}