Enterococci are Gram-positive cocci saprophyte of the human
gastrointestinal tract, diners who act as opportunistic pathogens. They can cause
infections in patients hospitalized for a long time or who have received multiple
antibiotic therapy. Enterococcus faecalis and Enterococcus
faecium are the most common species in human infections. To evaluate the
possibility of rapid detection of these species and their occurrence in the blood of
newborns with suspected nosocomial infection, blood samples were collected from 50
newborns with late infections, admitted to the Neonatal Care Unit of the University
Hospital Federal de Mato Grosso do Sul (UFMS-HU), from September 2010 to January
2011. The samples were subjected to conventional PCR and real time PCR (qPCR) to
search for Enterococcus faecium and Enterococcus
faecalis, respectively. The PCR results were compared with respective
blood cultures from 40 patients. No blood cultures were positive for Enterococci,
however, eight blood samples were identified as genomic DNA of Enterococcus
faecium by qPCR and 22 blood samples were detected as genomic DNA of
Enterococcus faecalis by conventional PCR. These findings are
important because of the clinical severity of the evaluated patients who were found
positive by conventional PCR and not through routine microbiological methods.
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