In Portugal, the country where the study was carried out, VRE has been increasingly detected in hospitals compared to a decreasing trend observed in E. faecalis resistant to aminoglycosides since 2018, which heightened concern among hospitals about these resistant E. faecium infections and the need for monitoring reservoirs and the development of effective infection control guidelines ( ECDC, 2023 ).
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Genomic analysis of <i>Enterococcus faecium</i> from non-clinical settings: antimicrobial resistance, virulence, and clonal population in livestock and the urban environment.
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