Enterococci, a complex group of facultative pathogens have become increasingly isolated in various hospital settings. They are considerable frequently cultured from traumatic and surgical wounds. We investigated 57 strains of the species E. faecalis, E. faecium and E. casseliflavus isolated from infected wounds. Their ability to produce virulence factors and their sensitivity to antibiotics were evaluated using phenotypic and genotyping methods. In the phenotype studies, significant portion of the isolates produced biofilm (66.7%) and gelatinase (36.8%). Nearly 30% of the strains expressed hemolytic properties. Only a few produced DNAse (15.8%) and lipase (7.0%). The genes esp, gelE, cylA, cylB, cylM and agg were detected in most of the isolates (38.6–87.7%). All the isolated enterococci were susceptible to vancomycin and were characterized by their low resistance to antibiotics, except aminoglycosides (HLR).
Koch, S., Hufnagel, M., Theilacker, Ch., Huebner, J.: Enterococcal infections: Host response, therapeutic, and prophylactic possibilities. Vaccine 22, 822–830 (2004).
Huebner J. , 'Enterococcal infections: Host response, therapeutic, and prophylactic possibilities ' (2004 ) 22 Vaccine : 822 -830.
Garth, A. J., Swogger, E., Wolcott, R., deLancey Pulcini, E., Secor, P., Sestrich, J., Costerton, J. W., Stewart, P. S.: Biofilms in chronic wounds. Wound Rep. Reg. 16, 37–44 (2008).
Stewart P. S. , 'Biofilms in chronic wounds ' (2008 ) 16 Wound Rep. Reg. : 37 -44.
Owens, C. D., Stoessel, K.: Surgical site infections: Epidemiology, microbiology and prevention. J. Hosp. Infect. 70, 3–10 (2008).
Stoessel K. , 'Surgical site infections: Epidemiology, microbiology and prevention ' (2008 ) 70 J. Hosp. Infect. : 3 -10.
Mongram, A. J., Horan, T. C., Pearson, M. L., Silver, L. C., Jarvis, W. R.: Guideline for prevention of surgical site infection, 1999. Centers for Disease Control and Prevention (CDC). Hospital Infection Control Practices Advisory Committee. Am. J. Infect. Control. 27, 97–132 (1999).
Jarvis W. R. , 'Guideline for prevention of surgical site infection, 1999. Centers for Disease Control and Prevention (CDC). Hospital Infection Control Practices Advisory Committee ' (1999 ) 27 Am. J. Infect. Control. : 97 -132.
Roumbelaki, M., Evangelos, R. N., Kritsotakis, I., Tsioutis, C., Tzilepi, P., Gikas, A.: Surveillance of surgical site infections at a tertiary care hospital in Greece: Incidence, risk factors, microbiology and impact. AJIC 36, 732–738 (2008).
Gikas A. , 'Surveillance of surgical site infections at a tertiary care hospital in Greece: Incidence, risk factors, microbiology and impact ' (2008 ) 36 AJIC : 732 -738.
Jodra, V. M., Diaz-Agero Perez, C., Sainz de Los Terreros Soler, L., Saa Requejo, C. M., Dacosta Ballesteros D and Quality Control Indicator Working Group: Results of the Spanish national nosocomial infections surveillance network (VICONOS) for surgery patients from January 1997 through December 2003. Am. J. Infect. Control 34, 134–141 (2006).
Saa Requejo C. M. , 'Dacosta Ballesteros D and Quality Control Indicator Working Group: Results of the Spanish national nosocomial infections surveillance network (VICONOS) for surgery patients from January 1997 through December 2003 ' (2006 ) 34 Am. J. Infect. Control : 134 -141.
Yerushalmy, A., Reches, A., Lessing, J. B., Schechner, V., Carmeli, Y., Grisaru, D.: Characteristics of microorganisms cultured from infected wounds post hysterectomy. Eur. J. Obstet. Gynecol. Rep. Biol. 141, 169–172 (2008).
Grisaru D. , 'Characteristics of microorganisms cultured from infected wounds post hysterectomy ' (2008 ) 141 Eur. J. Obstet. Gynecol. Rep. Biol. : 169 -172.
Fabretti, F., Huebner, J.: Implant infections due to enterococci: Role of capsular polysaccharides and biofilm. Int. J. Artificial Organs 28, 1079–1090 (2005).
Huebner J. , 'Implant infections due to enterococci: Role of capsular polysaccharides and biofilm ' (2005 ) 28 Int. J. Artificial Organs : 1079 -1090.
Toledo-Arana, A., Valle, J., Solano, C., Arrizubieta, M. J., Cucarella, C., Lamata, M. et al.: The enterococcal surface protein, Esp, is involved in Enterococcus faecalis biofilm formation. Appl. Environm. Microbiol. 67, 4538–4545 (2001).
Lamata M. , 'The enterococcal surface protein, Esp, is involved in Enterococcus faecalis biofilm formation ' (2001 ) 67 Appl. Environm. Microbiol. : 4538 -4545.
Dworniczek, E., Kuzko, K., Mróz, E., Wojciech, L., Adamski, R., Sobieszczamska, B., Seniuk, A.: Virulence factors and in vitro adherence of Enterococcus strains to urinary catheters. Folia Microbiol. 48, 671–678 (2003).
Seniuk A. , 'Virulence factors and in vitro adherence of Enterococcus strains to urinary catheters ' (2003 ) 48 Folia Microbiol. : 671 -678.
Dworniczek, E., Wojciech L, Sobieszczamska, B., Seniuk, A.: Virulence of Enterococcus isolates collected in Lower Silesia (Poland). Scand. J. Infect. Dis. 37, 630–636 (2005).
Seniuk A. , 'Virulence of Enterococcus isolates collected in Lower Silesia (Poland) ' (2005 ) 37 Scand. J. Infect. Dis. : 630 -636.
Eaton, T. J., Gason, M. J.: Molecular screening of Enterococcus virulence determinants and potential for genetic exchange between food and medical isolates. Appl. Environ. Microbiol. 67, 1628–1635 (2001).
Gason M. J. , 'Molecular screening of Enterococcus virulence determinants and potential for genetic exchange between food and medical isolates ' (2001 ) 67 Appl. Environ. Microbiol. : 1628 -1635.
CLSI: Performance standards for antimicrobial susceptibility testing; sixteen informational supplement, M100-S16. CLSI, Wayne, PA, 2006.
'', in Performance standards for antimicrobial susceptibility testing; sixteen informational supplement, M100-S16 , (2006 ) -.
Kristich, Ch. J., Li, Y. H., Cvitkovitch, D. G., Dunny, G. M.: Esp-independent biofilm formation by Enterococcus faecalis. J. Bacteriol. 186, 154–163 (2004).
Dunny G. M. , 'Esp-independent biofilm formation by Enterococcus faecalis ' (2004 ) 186 J. Bacteriol. : 154 -163.
Mohamed, J. A., Huang, D. B.: Biofilm formation by enterococci. J. Med. Microbial. 56, 1581–1588 (2007).
Huang D. B. , 'Biofilm formation by enterococci ' (2007 ) 56 J. Med. Microbial. : 1581 -1588.
Mohamed, J. A., Murray, B. E.: Lack of correlation of gelatinase production and biofilm formation in a large collection of Enterococcus faecalis isolates. J. Clin. Microbiol. 43, 5405–5407 (2005).
Murray B. E. , 'Lack of correlation of gelatinase production and biofilm formation in a large collection of Enterococcus faecalis isolates ' (2005 ) 43 J. Clin. Microbiol. : 5405 -5407.
Coque, T. M., Patterson, J. M., Steckelberg, J. M., Murray, B. E.: Incidence of hemolysin, gelatinase, and aggregatin substance among enterococci isolated from feces of hospitalized and community-based persons. J. Infect. Dis. 171, 1223–1229 (1995).
Murray B. E. , 'Incidence of hemolysin, gelatinase, and aggregatin substance among enterococci isolated from feces of hospitalized and community-based persons ' (1995 ) 171 J. Infect. Dis. : 1223 -1229.
Coburn, P. S., Gilmore, M. S.: The Enterococcus faecalis cytolysin: A novel toxin active against eukaryotic and prokaryotic cells. Cell Microbiol. 5, 661–669 (2003).
Gilmore M. S. , 'The Enterococcus faecalis cytolysin: A novel toxin active against eukaryotic and prokaryotic cells ' (2003 ) 5 Cell Microbiol. : 661 -669.
Dunny, G. M., Leonard, B. A., Hedberg, P. J.: Pheromone-inducible conjugation in Enterococcus faecalis: Interbacterial and host-parasite chemical communication. J. Bacteriol. 177, 871–876 (1995).
Hedberg P. J. , 'Pheromone-inducible conjugation in Enterococcus faecalis: Interbacterial and host-parasite chemical communication ' (1995 ) 177 J. Bacteriol. : 871 -876.