Evidence map›Paper›PMID 40167959›Full record

ArticleEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology2025

Genomic epidemiology of vancomycin-resistant Enterococcus faecium in Eastern Denmark from 2020 to 2022, and identification of vanB Tn1549 insertion sites.

Maja Johanne Søndergaard Knudsen, Jose Alfredo Samaniego Castruita, Ingrid Maria Cecilia Rubin, Sarah Mollerup, Helle Krogh Johansen, Rasmus L Marvig, Karen Leth Nielsen, Barbara Juliane Holzknecht, Morten Hoppe, Michael Kemp and 2 more

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Article in European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Antibiotics (Basel, Switzerland) · 2026
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Maja Johanne Søndergaard Knudsen *Department of Clinical Microbiology, Copenhagen University Hospital - Amager and Hvidovre, Copenhagen, Denmark. mjsk@dadlnet.dk.
Jose Alfredo Samaniego Castruita *Department of Clinical Microbiology, Copenhagen University Hospital - Amager and Hvidovre, Copenhagen, Denmark.
Ingrid Maria Cecilia RubinDepartment of Clinical Microbiology, Copenhagen University Hospital - Amager and Hvidovre, Copenhagen, Denmark.
Sarah MollerupDepartment of Clinical Microbiology, Copenhagen University Hospital - Amager and Hvidovre, Copenhagen, Denmark.
Helle Krogh JohansenDepartment of Genomic Medicine, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.
Rasmus L MarvigDepartment of Genomic Medicine, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.
Karen Leth NielsenDepartment of Clinical Microbiology, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.
Barbara Juliane HolzknechtDepartment of Clinical Microbiology, Copenhagen University Hospital - Herlev and Gentofte, Copenhagen, Denmark.
Morten HoppeDepartment of Clinical Microbiology, Copenhagen University Hospital - Herlev and Gentofte, Copenhagen, Denmark.
Michael KempRegional Department of Clinical Microbiology, Zealand University Hospital - Koege, Copenhagen, Denmark.
Henrik WesthDepartment of Clinical Microbiology, Copenhagen University Hospital - Amager and Hvidovre, Copenhagen, Denmark.
Mette PinholtDepartment of Clinical Microbiology, Copenhagen University Hospital - Amager and Hvidovre, Copenhagen, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe aimed to describe the genomic epidemiology of vancomycin-resistant Enterococcus faecium (VREfm) in Eastern Denmark from 2020 to 2022, identify and characterise the vanB Transposon 1549 (Tn1549) insertion sites among vanB VREfm clones and identify emerging VREfm clones.

methodsWe analysed all VREfm from our routine diagnostic sequencing during the study period. Using the Seqsphere + v.8.2.0 software (Ridom GmbH, Münster, Germany, ( http://www.ridom.de/seqsphere ), minimum spanning trees were created to visualise clusters. Tn1549 insertion sites were determined by in silico PCR. Nanopore sequencing was performed to assemble the regions surrounding Tn1549, which helped determine the insertion site locations.

resultsWe included 2,437 isolates in the study. A total of 463 isolates carried vanA, 1,963 isolates carried vanB, and 11 isolates carried both genes. Of all isolates carrying vanB, 254 isolates had the Tn1549 inserted in the araA2 gene, 1,604 in the sir2 gene, and 116 in neither the araA2 nor sir2 genes. We identified eight chromosomal insertion sites other than in the araA2 and sir2 genes. Three isolates carried the Tn1549 on plasmids. No emerging clones were found.

resultsWe have described the genomic epidemiology during the study period and identified ten chromosomal Tn1549 insertion sites.

Indexed as

Bacterial ProteinsDNA Transposable ElementsEnterococcus faeciumGram-Positive Bacterial InfectionsVancomycin-Resistant EnterococciCarbon-Oxygen LigasesDenmarkGenome, BacterialHumansMolecular EpidemiologyBacterial ProteinsCarbon-Oxygen LigasesDNA Transposable ElementsVanB protein, EnterococcusTn1549Transposon insertion sitesvanBVancomycin-resistant Enterococcivancomycin-resistant Enterococcus faeciumVRE

Identifiers

PMID40167959
PMCPMC12116600

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.