ENTEROCOCCUS FAECALIS-ENTEROCOCCUS FAECIUM 12-4-2019
Enterococcus faecalis, gram-stained1) Enterococcus faecalis cell division2) HAZARD IDENTIFICATION PATHOGENICITY/TOXICITY: Enterococci can cause urinary tract, wound, and soft tissue infections They are also associated with bacteremia which can lead to endocarditis in previously damaged cardiac valves E faecalis is the most frequent species
From Commensal to Pathogen: Translocation of Enterococcus
From Commensal to Pathogen: Translocation of Enterococcus faecalis from the Midgut to the Hemocoel of Manduca sexta Katie L Mason, aTaylor A Stepien, Jessamina E Blum,a Jonathan F Holt,a,b Normand H Labbe,b Jason S Rush, Kenneth F Raffa,c
Urinary Tract Infections - UCLA Health
Almost all E faecalis isolates are susceptible to Amoxicillin 500 mg PO TID OR Ampicillin 1 g IV q6H and should be treated with these agents For patients with PCN allergy: Nitrofurantoin 100 mg PO BID (do NOT use in patients with CrCl < 40 mL/min) E faecium (commonly vancomycin resistant)
Bloodstream Infections - University of California, Los Angeles
Enterococcus faecalis NOTE: Can be contaminants Draw repeat cultures to confirm before starting treatment 99 of E faecalis isolates at UCLA are susceptble to Ampicillin, which should be used unless the patient has a PCN allergy Ampicillin 2 g IV q4h ± Gentamicin 1 mg/kg IV q8h (see treatment notes below) OR
Is a single positive blood culture for Enterococcus species
Enterococcus species in positive blood cultures represents true BSI, studies have found that Enterococcus species may be a contaminant in blood cultures in 10 –15 of cases [ 3, 5] It has beensuggestedthatasingleposit ivebloodcultureinthepresence of other negative blood cultures or co-isolation with skin organ-
Identification of Enterococcus spp with a Biochemical Key
TABLE 2 Consensus matrix of tests for identification of Enterococcus spp a Test or characteristic E asini E avium E casseliflavus E durans E faecalis E faecium E gallinarum E hirae E malodoratus E mundtii E pseudoavium E solitarius E raffinosus E cecorum E dispar E saccharolyticus E sulfureus E columbae E flavescens
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