Publications by authors named "I Klare"

Objectives: The aim of this study was to evaluate the occurrence of glycopeptide resistance in enterococci and coagulase-negative staphylococci (CoNS) and to determine the susceptibilities of the identified glycopeptide-resistant isolates to dalbavancin.

Methods: Twenty-two medical laboratories participated in the study conducted in 2016/17 by the Paul-Ehrlich-Society for Chemotherapy. Each laboratory was asked to collect 30 Enterococcus spp.

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Previously it was shown that application of probiotics stopped the acquisition of vancomycin-resistant (VRE) by patients in an early rehabilitation ward. Once the application of probiotics ended, we examined whether acquisition of VRE reoccurred. Furthermore, we examined whether probiotics altered prevalence of vancomycin-susceptible (VSE) and Gram-negative bacteria, which produce extended spectrum beta-lactamase (ESBL).

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Tigecycline-resistant enterococci are only rarely detected worldwide. In 2017, the National Reference Centre for Staphylococci and Enterococci noticed a nosocomial cluster of tigecycline- and vancomycin-resistant (TVRE) in a hospital of tertiary care in Northern Germany. Nineteen isolates were analyzed by means of antimicrobial susceptibility testing and pulsed-field gel electrophoresis.

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Background: Linezolid is an alternative treatment option for infections with multidrug-resistant Gram-positive bacteria including vancomycin-resistant enterococci. Some countries report an increasing number of isolates with resistance to linezolid. The recent publication of the Commission for Hospital Hygiene in Germany on enterococci/VRE recommends screening for linezolid-resistant enterococci (LRE).

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Article Synopsis
  • EUCAST warned in 2018 about the unreliability of gradient strip tests for vancomycin resistance in enterococci; this study compared various diagnostic tests for identifying vanB-type resistance.
  • The analysis involved 68 vanB-positive Enterococcus faecium isolates, and results showed that VITEK® 2 had an 81% sensitivity, while standard gradient strip tests had only 61%-63%. Using a modified 'macromethod' improved sensitivity to 89%-96%.
  • The study recommends updating EUCAST's warning on MIC strips, suggesting that if they are used, the macromethod should be applied; however, when rapid decisions are needed, molecular tests like PCR are
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