In Germany, where vanA -positive strains have been historically most prevalent, the German National Reference Centre (NRC) for Staphylococci and Enterococci reported a shift in the vanA / vanB ratio for the first time in 2016 [ 18 ] and confirmed an increasing trend of vanB in the following years [ 19 ].
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Molecular Epidemiology of Vancomycin-Resistant Enterococci Bloodstream Infections in Germany: A Population-Based Prospective Longitudinal Study.
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