Evidence map›Paper›PMID 42035174›Full record

ArticleAntimicrobial resistance and infection control2026

Genomic investigation of the vancomycin-resistant Enterococcus faecium in a tertiary hospital in China.

Huimei Zhang, Ying Deng, You-Xiang Chan, Qing Wei, Yi Xie, Dongxian Jiang, Chuangchuang Cai, Zhiwei Huang, Yuzhen Li, Shuo Jiang

Abstract read
In one paragraph

Article in Antimicrobial resistance and infection control, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

10 authors.

Huimei Zhang *Department of Clinical Laboratory, Shenzhen Traditional Chinese Medicine Hospital, The Fourth Clinical Medical College of Guangzhou University of Chinese Medicine, Shenzhen, 518033, China.
Ying Deng *Department of Clinical Laboratory, Shenzhen Traditional Chinese Medicine Hospital, The Fourth Clinical Medical College of Guangzhou University of Chinese Medicine, Shenzhen, 518033, China.
You-Xiang ChanDepartment of Microbiology, University of Hong Kong, Hong Kong, China.
Qing WeiDepartment of Clinical Laboratory, Shenzhen Traditional Chinese Medicine Hospital, The Fourth Clinical Medical College of Guangzhou University of Chinese Medicine, Shenzhen, 518033, China.
Yi XieDepartment of Infection Prevention and Control, Shenzhen Traditional Chinese Medicine Hospital, The Fourth Clinical Medical College of Guangzhou University of Chinese Medicine, Shenzhen, 518033, China.
Dongxian JiangDepartment of Infection Prevention and Control, Shenzhen Traditional Chinese Medicine Hospital, The Fourth Clinical Medical College of Guangzhou University of Chinese Medicine, Shenzhen, 518033, China.
Chuangchuang CaiDepartment of Clinical Laboratory, Shenzhen Traditional Chinese Medicine Hospital, The Fourth Clinical Medical College of Guangzhou University of Chinese Medicine, Shenzhen, 518033, China.
Zhiwei HuangDepartment of Clinical Laboratory, Shenzhen Traditional Chinese Medicine Hospital, The Fourth Clinical Medical College of Guangzhou University of Chinese Medicine, Shenzhen, 518033, China.
Yuzhen LiDepartment of Clinical Laboratory, Shenzhen Traditional Chinese Medicine Hospital, The Fourth Clinical Medical College of Guangzhou University of Chinese Medicine, Shenzhen, 518033, China. liyuzhen0803@163.com.
Shuo JiangDepartment of Microbiology, University of Hong Kong, Hong Kong, China. jason17@connect.hku.hk.

Funding

Basic and Applied Basic Research Foundation of Guangdong Province 2024A1515010319
6 · The paper itself

Abstract

objectivesIn light of a VREfm spread in a large tertiary hospital in China, this study aimed to explore the transmission dynamics and genetic characteristics of these isolates within a global context.

methodsA total of 27 VREfm were collected from a hospital in Guangdong province, China. Antimicrobial susceptibility testing, whole-genome sequencing, and transmission dynamics analysis were performed. Additionally, global sequence type 80 (ST80) data were gathered for genetic comparison, and complete plasmid sequences were reconstructed to characterize the genetic environment surrounding the vanA genes.

resultsThe study identified VREfm ST80 as the main agent of the patient infection, with the exception of four ST789 isolates identified on environmental surfaces within one bed. The genomes displayed high clustering, with similar profiles of virulence factors and antimicrobial resistance genes. The study observed that genetically similar VREfm strains were distributed across different beds. Moreover, VREfm ST80 from the hospital clustered with other Chinese isolates and exhibited a higher number of VFs compared to other lineages. Although vanA genes were present in different STs, the vanA-carrying plasmids shared highly similar backbone structure, with Tn1546-associated elements detected in each.

conclusionThis study sheds light on the genetic epidemiology of a VREfm spread in a Chinese hospital through comparison with global isolates. To control the spread of VREfm within hospitals, the implementation of active screening programs and rigorous infection control measures is essential.

Indexed as

Cross InfectionEnterococcus faeciumGram-Positive Bacterial InfectionsVancomycin-Resistant EnterococciAnti-Bacterial AgentsBacterial ProteinsCarbon-Oxygen LigasesChinaGenome, BacterialGenomicsHumansMicrobial Sensitivity TestsPlasmidsTertiary Care CentersVirulence FactorsWhole Genome SequencingAnti-Bacterial AgentsBacterial ProteinsCarbon-Oxygen LigasesVanA ligase, BacteriaVirulence Factors

Identifiers

PMID42035174
PMCPMC13255485

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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.