Mohanty, SrujanaDhawan, BenuGadepalli, R SLodha, RakeshKapil, Arti2009-05-272009-05-272006-03-28Mohanty S, Dhawan B, Gadepalli RS, Lodha R, Kapil A. Case report vancomycin -resistant Enterococcus faecium VanA phenotype: first documented isolation in India. The Southeast Asian Journal of Tropical Medicine and Public Health. 2006 Mar; 37(2): 335-7http://imsear.searo.who.int/handle/123456789/31369The Southeast Asian Journal of Tropical Medicine and Public Health.In recent years, vancomycin-resistant enterococci, especially Enterococcus faecium has emerged as an important nososcomial pathogen and represents a serious threat to patients with impaired host defences. We report infection with vancomycin-resistant Enterococcus faecium in a 3-year-old child with patent ductus arteriosus. The organism, isolated from a central venous catheter tip, exhibited a high-level resistance to vancomycin (minimum inhibitory concentration > or = 256 microg/ ml) and was also resistant to teicoplanin. The child probably died due to sepsis from this highly resistant organism. To the best of our knowledge, this is the first reported isolation of VanA phenotype Enterococcus faecium in India.engBacterial ProteinsCarbon-Oxygen LigasesCatheterization --adverse effectsChild, PreschoolCross InfectionDuctus Arteriosus, Patent --complicationsEnterococcus faecium --drug effectsEquipment ContaminationFatal OutcomeFemaleGram-Positive Bacterial Infections --diagnosisHumansIndiaMicrobial Sensitivity TestsPhenotypeSepsis --diagnosisVancomycin Resistance --geneticsCase Reports