J. Hanrahan et al., Geographic distribution of a large mobile element that transfers ampicillin and vancomycin resistance between Enterococcus faecium strains, ANTIM AG CH, 44(5), 2000, pp. 1349-1351
In several clonally unrelated VanB-type vancomycin-resistant Enterococcus f
aecium strains, we demonstrated a common physical relationship between pbp5
and Tn5382 as well as common mutations within pbp5. The majority of these
strains transferred vancomycin and ampicillin resistance to E. faecium in v
itro, suggesting the dissemination of similar transferable pbp5-vanB-contai
ning mobile elements throughout the United States.