Search
Enterococcus
Enteric streptococci.
Laboratory:
- Enterococcus serology
- Enterococcus DNA
- Enterococcus rRNA
Management:
1) enterococcal bacteremia
- ampicillin 2 g IV every 4 hours
- ampicillin plus aminoglycoside for synergy if sepsis or cardiac valve abnormality
- ampicillin-resistance is common
- Vancomycin 1 g IV every 14 hours
- vancomycin resistance frequently accompanies ampicillin-resistance
- duration of therapy 7-10 days unless otherwise indicated (i.e. endocarditis)
2) urinary tract infection
- per culture and sensitivity
- nitrofurantoin probably agent of choice
- fluoroquinolones may not be effective
- fosfomycin may be useful
3) meningitis
- ampicillin plus aminoglycoside for synergy
- vancomycin plus aminoglycoside
- adjunctive rifampin IV has been used
4) skin infections (E faecalis)
- daptomycin
- tigecycline
5) other agents
- quinupristin/dalfopristin
- linezolid
Related
Enterococcus endomyometritis
Specific
Streptococcus (Enterococcus) faecalis
Streptococcus (Enterococcus) faecium
vancomycin resistant enterococcus (VRS)
General
Streptococcus
References
- Medical Knowledge Self Assessment Program (MKSAP) 11, American
College of Physicians, Philadelphia 1998
- UpToDate version 15.2
http://www.utdol.com