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Screening of stool samples for identification of vancomycin-resistant Enterococcus isolates should include the methyl-alpha-D-glucopyranoside test to differentiate nonmotile Enterococcus gallinarum from E. faecium.对粪便样本进行筛查以鉴定耐万古霉素肠球菌分离株时，应包括甲基-α-D-吡喃葡萄糖苷试验，以区分不运动的鹑鸡肠球菌和粪肠球菌。
J Clin Microbiol. 1998 Aug;36(8):2333-5. doi: 10.1128/JCM.36.8.2333-2335.1998.
2
Evaluation of D-xylose and 1% methyl-alpha-D-glucopyranoside fermentation tests for distinguishing Enterococcus gallinarum from Enterococcus faecium.评价D-木糖和1%α-D-甲基吡喃葡萄糖苷发酵试验用于区分鹑鸡肠球菌和粪肠球菌的效果。
J Clin Microbiol. 2000 Oct;38(10):3652-5. doi: 10.1128/JCM.38.10.3652-3655.2000.
3
Enterococci with reduced susceptibility to vancomycin in New Zealand.新西兰对万古霉素敏感性降低的肠球菌。
J Antimicrob Chemother. 2000 Sep;46(3):405-10. doi: 10.1093/jac/46.3.405.
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Determination of 16S rRNA sequences of enterococci and application to species identification of nonmotile Enterococcus gallinarum isolates.肠球菌16S rRNA序列的测定及其在鸡肠球菌非运动型分离株菌种鉴定中的应用。
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Comparison of phenotypic methods to identify enterococci intrinsically resistant to vancomycin (VanC VRE).用于鉴定对万古霉素具有固有抗性的肠球菌（VanC型万古霉素耐药肠球菌）的表型方法比较。
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J Clin Microbiol. 1998 Aug;36(8):2187-90. doi: 10.1128/JCM.36.8.2187-2190.1998.

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Low prevalence of VRE gastrointestinal colonization of hospitalized patients in Manitoba tertiary care and community hospitals.曼尼托巴省三级护理医院和社区医院住院患者中耐万古霉素肠球菌胃肠道定植的低患病率。
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Evaluation of D-xylose and 1% methyl-alpha-D-glucopyranoside fermentation tests for distinguishing Enterococcus gallinarum from Enterococcus faecium.评价D-木糖和1%α-D-甲基吡喃葡萄糖苷发酵试验用于区分鹑鸡肠球菌和粪肠球菌的效果。
J Clin Microbiol. 2000 Oct;38(10):3652-5. doi: 10.1128/JCM.38.10.3652-3655.2000.
7
Evaluation of the revised MicroScan dried overnight gram-positive identification panel to identify Enterococcus species.评估修订后的MicroScan隔夜干燥革兰氏阳性鉴定板对肠球菌属的鉴定能力。
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Proficiency of clinical laboratories in and near Monterrey, Mexico, to detect vancomycin-resistant enterococci.墨西哥蒙特雷及其附近临床实验室检测耐万古霉素肠球菌的能力。
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本文引用的文献

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Vancomycin-resistant enterococci (VRE) in Canada - Results of the Canadian Nosocomial Infection Surveillance Program 1996 VRE point prevalence surveillance project.加拿大的耐万古霉素肠球菌（VRE）——1996年加拿大医院感染监测计划VRE现患率监测项目的结果
Can J Infect Dis. 1997 Mar;8(2):73-8. doi: 10.1155/1997/297038.
2
Vancomycin-resistant enterococcal bacteremia: natural history and attributable mortality.耐万古霉素肠球菌血症：自然病史及归因死亡率
Clin Infect Dis. 1996 Dec;23(6):1234-9. doi: 10.1093/clinids/23.6.1234.
3
Acidification of methyl-alpha-D-glucopyranoside: a useful test to differentiate Enterococcus casseliflavus and Enterococcus gallinarum from Enterococcus faecium species group and from Enterococcus faecalis.α-D-甲基吡喃葡萄糖苷酸化试验：一种区分格氏肠球菌和鹑鸡肠球菌与粪肠球菌种组及粪肠球菌的有用试验。
J Clin Microbiol. 1996 Oct;34(10):2607-8. doi: 10.1128/jcm.34.10.2607-2608.1996.
4
Vancomycin-resistant enterococci.耐万古霉素肠球菌
Ann Pharmacother. 1996 Jun;30(6):615-24. doi: 10.1177/106002809603000610.
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Compilation of small ribosomal subunit RNA structures.小核糖体亚基RNA结构汇编
Nucleic Acids Res. 1993 Jul 1;21(13):3025-49. doi: 10.1093/nar/21.13.3025.
6
Genetics and mechanisms of glycopeptide resistance in enterococci.肠球菌中糖肽类耐药的遗传学及机制
Antimicrob Agents Chemother. 1993 Aug;37(8):1563-71. doi: 10.1128/AAC.37.8.1563.
7
Detection of glycopeptide resistance genotypes and identification to the species level of clinically relevant enterococci by PCR.通过聚合酶链反应（PCR）检测糖肽类耐药基因型并鉴定临床相关肠球菌的种属水平。
J Clin Microbiol. 1995 Jan;33(1):24-7. doi: 10.1128/jcm.33.1.24-27.1995.
8
DNA hybridization and contour-clamped homogeneous electric field electrophoresis for identification of enterococci to the species level.用于将肠球菌鉴定到种水平的DNA杂交和轮廓夹钳均匀电场电泳
J Clin Microbiol. 1995 Jan;33(1):141-5. doi: 10.1128/jcm.33.1.141-145.1995.
9
Comparison of pigment production and motility tests with PCR for reliable identification of intrinsically vancomycin-resistant enterococci.色素产生和运动性试验与聚合酶链反应用于可靠鉴定固有耐万古霉素肠球菌的比较
J Clin Microbiol. 1995 Jul;33(7):1931-3. doi: 10.1128/jcm.33.7.1931-1933.1995.
10
Identification of Enterococcus species isolated from human infections by a conventional test scheme.通过传统检测方案鉴定从人类感染中分离出的肠球菌种类。
J Clin Microbiol. 1989 Apr;27(4):731-4. doi: 10.1128/jcm.27.4.731-734.1989.

对粪便样本进行筛查以鉴定耐万古霉素肠球菌分离株时，应包括甲基-α-D-吡喃葡萄糖苷试验，以区分不运动的鹑鸡肠球菌和粪肠球菌。

Screening of stool samples for identification of vancomycin-resistant Enterococcus isolates should include the methyl-alpha-D-glucopyranoside test to differentiate nonmotile Enterococcus gallinarum from E. faecium.

作者信息

Turenne C Y, Hoban D J, Karlowsky J A, Zhanel G G, Kabani A M

机构信息

Department of Medical Microbiology, Faculty of Medicine, University of Manitoba, Winnipeg, Canada.

出版信息

J Clin Microbiol. 1998 Aug;36(8):2333-5. doi: 10.1128/JCM.36.8.2333-2335.1998.

DOI:10.1128/JCM.36.8.2333-2335.1998
PMID:9666016
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC105042/
Abstract

The methyl-alpha-D-glucopyranoside (MDG) test has been shown to be superior to motility testing in differentiating Enterococcus faecium from E. gallinarum. In the present study, 33 vancomycin-resistant enterococcus (VRE) isolates collected as part of a stool surveillance study were compared by using motility and MDG. Motility testing identified all 33 isolates as E. faecium, whereas MDG identified 11 of the 33 isolates as nonmotile E. gallinarum. The MDG results were confirmed by sequencing the 16S rDNA V6-to-V8 region. We conclude that the MDG test is a necessary component of routine VRE screening.

摘要

已证明甲基-α-D-吡喃葡萄糖苷（MDG）试验在区分粪肠球菌和鹑鸡肠球菌方面优于动力试验。在本研究中，对作为粪便监测研究一部分收集的33株耐万古霉素肠球菌（VRE）分离株进行了动力试验和MDG试验比较。动力试验将所有33株分离株鉴定为粪肠球菌，而MDG试验将33株分离株中的11株鉴定为无动力的鹑鸡肠球菌。通过对16S rDNA V6至V8区域进行测序，证实了MDG试验结果。我们得出结论，MDG试验是常规VRE筛查的必要组成部分。