Evidence map›Paper›PMID 41606402›Full record

ArticleFolia microbiologica2026

Vancomycin-resistant enterococci in healthcare settings: clonal analysis, resistance profiles, and biofilm formation of strains isolated from hospitalized patients.

Karolina Klesiewicz, Paulina Mrowiec, Katarzyna Kania, Sandra Hojda, Karolina Witek, Tomasz Kasperski, Agnieszka Chmielarczyk, Elżbieta Karczewska

Abstract read
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In one paragraph

Article in Folia microbiologica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Karolina KlesiewiczDepartment of Pharmaceutical Microbiology, Faculty of Pharmacy, Jagiellonian University Medical College, Medyczna 9 St, Kraków, 30-688, Poland.ORCID https://orcid.org/0000-0003-2756-3340
Paulina MrowiecDepartment of Pharmaceutical Microbiology, Faculty of Pharmacy, Jagiellonian University Medical College, Medyczna 9 St, Kraków, 30-688, Poland. paulina.mrowiec@uj.edu.pl.ORCID https://orcid.org/0000-0002-5404-0388
Katarzyna KaniaDepartment of Pharmaceutical Microbiology, Faculty of Pharmacy, Jagiellonian University Medical College, Medyczna 9 St, Kraków, 30-688, Poland.ORCID https://orcid.org/0000-0001-5033-5368
Sandra HojdaDepartment of Pharmaceutical Microbiology, Faculty of Pharmacy, Jagiellonian University Medical College, Medyczna 9 St, Kraków, 30-688, Poland.ORCID https://orcid.org/0009-0005-9160-0670
Karolina WitekDepartment of Pharmaceutical Microbiology, Faculty of Pharmacy, Jagiellonian University Medical College, Medyczna 9 St, Kraków, 30-688, Poland.ORCID https://orcid.org/0000-0003-3923-1853
Tomasz KasperskiDepartment of Microbiology, Faculty of Medicine, Jagiellonian University Medical College, Czysta 18 St, Kraków, 31-121, Poland.ORCID https://orcid.org/0000-0003-4254-2804
Agnieszka ChmielarczykDepartment of Microbiology, Faculty of Medicine, Jagiellonian University Medical College, Czysta 18 St, Kraków, 31-121, Poland.ORCID https://orcid.org/0000-0002-0814-8638
Elżbieta KarczewskaDepartment of Pharmaceutical Microbiology, Faculty of Pharmacy, Jagiellonian University Medical College, Medyczna 9 St, Kraków, 30-688, Poland.ORCID https://orcid.org/0000-0001-7188-1077

Funding

National Science Centre (NCN), Poland 2023/07/X/NZ6/01095Statutory founds of Jagiellonian University Medical College N42/DBS/000501
6 · The paper itself

Abstract

Multidrug-resistant bacteria, including vancomycin-resistant Enterococci (VRE), are a significant public health threat. This study aimed to perform molecular characterization of E. faecium and E. faecalis isolates with respect to glycopeptide and phenotypic resistance, and clonal relatedness. A total of 45 isolates (41 E. faecium, 4 E. faecalis) were obtained from clinical specimens collected at the University Hospital in Kraków, Poland. Isolates were screened on chromogenic media, identified by Matrix-Assisted Desorption/Ionization-Time of Flight Mass Spectrometry (MALDI-TOF MS) and tested for antimicrobial susceptibility and the presence of vanA/vanB genes. Biofilm formation was assessed on culture media, and clonal relationships were determined using PFGE. Among the isolates, 86.7% harbored vanA and 13.3% vanB genes. E. faecium remained resistant mainly to ampicillin and teicoplanin, but susceptible to tigecycline and linezolid. E. faecalis showed partial susceptibility to ampicillin, tigecycline and linezolid, but frequent resistance to teicoplanin and reduced susceptibility to imipenem. Biofilm assessment revealed that 88.9% of isolates produced high biofilm levels. PFGE analysis identified several clonal groups among Enterococcus faecium, with clone A being the most prevalent (9 strains). The predominance of clonal strains and their robust biofilm production underscore the dissemination potential of VRE in hospital settings. High levels of antibiotic resistance highlight the limited therapeutic options available. Comprehensive preventive and control measures are essential to mitigate transmission of multidrug-resistant pathogens in healthcare environments. These findings provide recent epidemiological data on VRE circulation and highlight the clinical relevance of a dominant, biofilm-forming clonal lineage in a tertiary-care setting.

Indexed as

EnterococciHospital-acquired infectionsMultidrug resistanceVRE

Identifiers

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Registered trials

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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.