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data analysis, and drafted the manuscript, AK helped with the experiments, CC contributed the ltuf siglac construct, P.D.V and M.D.G performed mass 4��8C spectrometry identification and analysis and provided suggestions about the manuscript. G.F.B and P.F.M contributed to the study design, analysis, drafting and review of the manuscript. All authors have read and approved the manuscript.”
“Background Enterococci are normal constituents of the gastro-intestinal flora of humans and other animals [1–3]. Although they only occasionally cause infections in healthy individuals,
they are the third most commonly isolated gram positive organisms from hospital-associated (HA) infections in the United States and are increasingly reported in other countries [4, 5]. Enterococcal infections are often difficult to treat due to the number of antibiotics to which these organisms are resistant. Some antibiotic resistances are intrinsic, such as resistances to cephalosporins, while other antibiotic resistances are acquired through mutations or horizontal gene transfer, most notably the van systems that encode vancomycin resistance [6–12]. Several recent studies also confirmed that enterococci can transfer their resistance to even more virulent organisms, such as Staphylococcus aureus[13]. Enterococcus faecalis is the most common enterococcal species recovered from infections. However, in the last decade, infections with Enterococcus faecium have been on the rise in the United States, Europe, and South America [2–5, 14]. In the US, isolates of E. faecium now account for ca.