Phenotypic Diversity of Multiple Antibiotic Resistant Enterococci with Emphasis on Enterococcus gallinarum Carrying vanA and vanB Genes

The prevalence and diversity of antibiotic resistant enterococci populations in samples collected four times from urban sewage treatment plant in Tehran, Iran between June 2005 and July 2006 were studied. Filtered samples were grown on mEnterococci medium containing 4 μg/ml vancomycin after which the enterococci isolates were identified to the species level. All strains were then tested for their resistance against nine antibiotics. Of the 131 isolates, 98 (75%) isolates were identified as Enterococcus gallinarum, followed by 24 (18%) and 9 (7%) for E. faecium and E. casseliflavus, respectively. All E. gallinarum isolates carried vanC1 gene with 64 (65%) and 14 (14%) isolates concomitantly harboured either vanA or vanB gene, respectively. Some E. casseliflavus concomitantly harboured vanA and vanC2 or vanB and vanC2. Typing the total enterococci isolates with a high resolution biochemical fingerprinting method showed a high diversity (Di = 0.91). We have shown by biochemical fingerprinting the presence of highly diverse glycopeptide resistant E. gallinarum and E. casseliflavus that have captured vanA and vanB genetic determinants under natural conditions. To our knowledge this is the first report in this geographical region showing high frequency antibiotic resistant enterococcal populations in particular E. gallinarum carrying assorted vancomycin resistance genes.