Evidence mapPaperPMID 42579153Full record

ReviewArchives of microbiology2026

Clade-specific evolution and genome plasticity underlying antimicrobial resistance in Enterococcus faecium.

Krishna Patel, Monica Chavan, Jigna Shah, Shruti Chatterjee

Abstract readReview
PubMed Publisher
In one paragraph

Review in Archives of microbiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Krishna PatelInstitute of Science, Nirma University, SG Highway, Ahmedabad, Gujarat, 382478, India.ORCID http://orcid.org/0009-0009-2145-7206
Monica ChavanInstitute of Science, Nirma University, SG Highway, Ahmedabad, Gujarat, 382478, India.ORCID http://orcid.org/0000-0001-9799-4037
Jigna ShahInstitute of Pharmacy, Nirma University, SG Highway, Ahmedabad, Gujarat, 382478, India.
Shruti ChatterjeeInstitute of Science, Nirma University, SG Highway, Ahmedabad, Gujarat, 382478, India. shruti.chatterjee@nirmauni.ac.in.ORCID http://orcid.org/0000-0002-6952-5636

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A commensal organism has transformed into the leading multidrug resistant (MDR) hospital acquired pathogen, with serious implication on global public health. The ability of Enterococcus faecium to rapidly adapt through its great genomic plasticity, horizontal gene transfer and under selective pressures created by heavy antibiotic application both clinically and non-clinically is responsible for the phenomenon. Comparative genome studies have reported the presence of different community acquired and hospital acquired clades; hospital acquired clones being particularly the clonal complex 17 have enriched antibiotic resistant genes, mobile genetic elements, virulence factors. Therapeutic choices are now restricted, while mortality and morbidity increase due to lack of adequate drug targets, resistant to penicillin, vancomycin, linezolid and daptomycin. This review critically discuss the finding about the evolutionary history, diversity of genome, resistant mechanisms and global resistant trends of E. faecium's evolution into the hospital associated strain. The clinical and public health importance of MDR E. faecium is reviewed within the context of one health including the integrated roles of human, animal, and environment as reservoirs. Lastly, the review highlights the importance of integrated genomic surveillance, novel therapy approaches and an enhanced antimicrobial stewardship program according to World Health Organization priorities in the global fight against MDR E. faecium.

Indexed as

Drug Resistance, Multiple, BacterialEnterococcus faeciumEvolution, MolecularGenome, BacterialGram-Positive Bacterial InfectionsAnimalsAnti-Bacterial AgentsCross InfectionGene Transfer, HorizontalHumansInterspersed Repetitive SequencesAnti-Bacterial AgentsAntimicrobial resistanceHorizontal gene transferMobile genetic elementSequence typeVancomycin resistant Enterococcus

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.