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Streptococcus (Enterococcus) faecalis
Laboratory:
- Enterococcus faecalis DNA
- Enterococcus faecalis cpn60 gene
- Enterococcus faecalis hsp60 gene
Management:
1) bacteremia (IV)
a) ampicillin 2 g IV every 4 hours
b) ampicillin plus aminoglycoside for synergy if sepsis or cardiac valve abnormality
c) ampicillin-resistance is common
d) Vancomycin 1 g IV every 14 hours
e) vancomycin resistance frequently accompanies ampicillin-resistance
f) doxycycline has in vitro activity against some forms of vancomycin-resistant Enterococcus (VRE)
g) Synercid (VRE)
h) linezolid (Zyvox)
i) duration of therapy 7-10 days unless otherwise indicated (i.e. endocarditis)
2) skin infections (E faecalis)
- daptomycin
- tigecycline
3) urogenital infections (prostatitis)
- see bacteremia
Related
Enterococcus faecalis DNA
group D gamma (non)-hemolytic streptococcus/enterococcus
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
Component-of
escherichia coli/streptococcus faecalis