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Streptococcus (Enterococcus) faecium
Epidemiology:
- vancomycin-resistant Enterococcus faecium spreads within & between hospital wards & between hospitals [3]
- hospital Enterococcus faecium becoming increasingly tolerant of alcohol-based hand sanitizers [4]
Laboratory:
- Enterococcus faecium DNA
- Enterococcus faecium hsp60 gene
- Enterococcus faecium sodA gene
Management:
- bacteremia (IV)
1) ampicillin 2 g IV every 4 hours
2) ampicillin plus aminoglycoside for synergy if sepsis or cardiac valve abnormality
3) ampicillin-resistance is common
4) Vancomycin 1 g IV every 14 hours
5) vancomycin resistance frequently accompanies ampicillin- resistance
6) doxycycline has in vitro activity against some forms of vancomycin-resistant Enterococcus (VRE)
7) Synercid (VRE)
8) linezolid (Zyvox)
9) duration of therapy 7-10 days unless otherwise indicated (i.e. endocarditis)
Related
Enterococcus faecium DNA
Enterococcus faecium sodA gene
group D gamma (non)-hemolytic streptococcus/enterococcus
vancomycin resistant enterococcus (VRS)
General
Streptococcus
Properties
KINGDOM: monera
DIVISION: SCHIZOMYCETES
References
- Medical Knowledge Self Assessment Program (MKSAP) 11, American
College of Physicians, Philadelphia 1998
- UpToDate version 15.2
http://www.utdol.com
- Raven KE, Gouliouris T, Brodrick H et al.
Complex routes of nosocomial vancomycin-resistant Enterococcus
faecium transmission revealed by genome sequencing.
Clin Infect Dis 2017 Apr 1; 64:886
PMID: 28362945
https://academic.oup.com/cid/article/3051757/Complex
- Pidot SJ, Gao W, Buultjens AH et al
Increasing tolerance of hospital Enterococcus faecium to
handwash alcohols.
Science Translational Medicine. Aug 1, 2018: 10(452):eaar6115
PMID: 30068573
http://stm.sciencemag.org/content/10/452/eaar6115