Int J Food Microbiol 2009, 133 (1–2) : 186–194.PubMedCrossRef Authors’ contributions LRWP with ACG, CDS, MLG, and TS performed all the laboratory analyses and with SME, JK, GM, KW, HMSG, and LEF performed all the field studies. LRWP, JK,

LEF, TS, and HMSG performed all the statistical analyses. All authors contributed to and edited the manuscript.”
“Background For many years, Enterococcus faecalis was considered as an intestinal commensal, which only sporadically caused opportunistic infections in immunocompromised patients. During the last thirty years, however, E. faecalis has gained notoriety as one of the primary causative agents of nosocomial infections [1, 2], including urinary tract infections, endocarditis, intra-abdominal infections and bacteremia. CP673451 clinical trial The ability

of E. faecalis to cause infection has been see more connected to inherent MGCD0103 purchase enterococcal traits, enabling the bacterium to tolerate diverse and harsh growth conditions. Moreover, several putative enterococcal virulence factors have been characterized (reviewed in [3]), and the role of these virulence factors in pathogenicity have been further established in various animal infection models [4–8] and cultured cell lines [9, 10]. Reportedly, several of the proposed virulence determinants are enriched among infection-derived E. faecalis and/or E. faecium isolates, including esp (enterococcal surface protein) [11], hyl (hyaluronidase) [12], genes encoding collagen binding adhesins [13, 14] and other matrix-binding proteins [15], and pilin loci [16, 17]. On the other hand,

recent studies on enterococcal pathogenicity have shown that a number of the putative virulence traits are present not only in infectious isolates but also in animal and environmental isolates [18–23]. This widespread distribution of putative virulence determinants in enterococcal isolates strongly suggest that enterococcal pathogenicity is not a result of any single virulence factor, but rather a more intricate process. Indeed, the virulence potential of the newly sequenced laboratory strain E. faecalis OG1RF was, despite its lack of several factors, comparable to that of the clinical isolate E. faecalis Dimethyl sulfoxide V583 [24]. Bourgogne et al. [24] proposed a scenario where the virulence of V583 and OG1RF may be linked to genes that are unique to each of the two strains, but where the combined endeavor of the different gene-sets result in the ability to cause infection. Population structure studies of E. faecalis by multilocus sequence typing (MLST) have previously defined distinct clonal complexes (CC) of E. faecalis enriched in hospitalized patients (CC2, CC9, CC28 and CC40), designated high-risk enterococcal clonal complexes (HiRECCs) [25, 26].