Vancomycin Resistant Enterococcus (VRE) PCR

From Taranaki Lab Manual
Tests:Vancomycin Resistance (VRE) PCR
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Overview

Department Microbiology - Molecular
Test Code AMRS
Synonyms Vancomycin resistant Enterococci

VRE

vanA

vanB

Availability Monday - Thursday 8 am - 4 pm

Friday 8 am -12 pm

Turnaround Time Monday – Thursday: 24 hours

Friday – Sunday: End of day Monday

Stability - Add test

Specimen Requirements

Specimen Swab
Preferred Rectal swab in liquid Amies (E-Swab™)
Acceptable
Unacceptable Leaking samples

Unlabelled Samples

Specimen Transportation ASAP to Laboratory, If there is a delay in getting sample to the laboratory (≥24 hours), please store sample chilled (2 - 8 degrees Celsius)
Paediatric Requirements  Rectal swab in liquid Amies (E-Swab™)

Aliquot Requirements

Sample Type
Preferred Volume
Minimum Volume
Aliquot Requirements

Clinical Information

Reference Intervals Results reported as 

-              “vanA and vanB genes NOT detected.”

OR

-              “Culture report to follow”

Test Method Real Time PCR for the specific detection and differentiation of vanA and vanB genes that can be associated with vancomycin-resistant enterococci (VRE).
Advanced Notice Not required
Patient Preparation

Comments

Vancomycin-resistant enterococci (VRE) are recognized as significant nosocomial pathogens. VRE are hospital adapted and highly transmissible pathogens,

with nearly all VRE infections occurring in patients with health-care exposure.

As the major reservoir of VRE are colonized hospital patients and transmission between patients can occur on the hands and clothing of healthcare workers,

rapid and accurate VRE screening is crucial in preventing the spread of this organism within a health care facility.

Bacteria other than Enterococci are known to harbour these genes,

in the instance of vanA or vanB detection traditional microbiological culture investigations must be conducted to confirm or rule out the presence of VRE if either gene is detected.

Multi-drug resistant organisms, ESBL and CPO testing may be carried out on the same swab.

Owner Melanie Williams (Williams1)
Last reviewed 12.09.2025
Next review 12.09.2026 (Overdue)