Enterococcus faecium: evolution, adaptation, pathogenesis and emerging therapeutics

The opportunistic pathogen Enterococcus faecium colonizes humans and a wide range of animals, endures numerous stresses, resists antibiotic treatment and stubbornly persists in clinical environments. The widespread application of antibiotics in hospitals and agriculture has contributed to the emerge...

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Bibliographic Details
Published in:Nature reviews. Microbiology Vol. 22; no. 11; pp. 705 - 721
Main Authors: Wei, Yahan, Palacios Araya, Dennise, Palmer, Kelli L
Format: Journal Article
Language:English
Published: England Nature Publishing Group 01.11.2024
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ISSN:1740-1526, 1740-1534, 1740-1534
Online Access:Get full text
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Summary:The opportunistic pathogen Enterococcus faecium colonizes humans and a wide range of animals, endures numerous stresses, resists antibiotic treatment and stubbornly persists in clinical environments. The widespread application of antibiotics in hospitals and agriculture has contributed to the emergence of vancomycin-resistant E. faecium, which causes many hospital-acquired infections. In this Review, we explore recent discoveries about the evolutionary history, the environmental adaptation and the colonization and dissemination mechanisms of E. faecium and vancomycin-resistant E. faecium. These studies provide critical insights necessary for developing novel preventive and therapeutic approaches against vancomycin-resistant E. faecium and also reveal the intricate interrelationships between the environment, the microorganism and the host, providing knowledge that is broadly relevant to how antibiotic-resistant pathogens emerge and endure.
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ISSN:1740-1526
1740-1534
1740-1534
DOI:10.1038/s41579-024-01058-6