Categories: Infectious Diseases

Susceptibility to Vancomycin: E. faecium & E. faecalis

Vancomycin-resistant enterococci (VRE) first appeared in Europe during the 1980s. It rapidly spread to North America by the 1990s. 

Susceptibility:

More than 50% of E. faecium in the United States are VRE.

E. faecalis tends to be susceptible to vancomycin.

Most frequent form of VRE infection: UTI, followed by catheter line associated bacteremia (i.e hemodialysis, central lines).

Treatment for VRE: daptomycin, linezolid, and tigecycline. Susceptible strains may be treated with ampicillin.

REFERENCES:

  1. Principles and Practice of Hospital Medicine, 2e. Chapter 185: Antibiotic Resistance. L. Silvia Munoz-Price.
Get Medical Pearls directly to your inbox every week!
Weekly posts with high yield medical knowledge, directly to your mailbox!
Dr. C Humphreys

Internal Medicine

Share
Published by
Dr. C Humphreys

Recent Posts

Nocturia and OSA: Mechanism

Nocturia is a common symptom associated with obstructive sleep apnea. [1] Img Cred: Am J…

6 months ago

ASD vs. VSD Murmur Difference

ASD (Atrial Septal Defect) Wide, Fixed split S2 (in contrast to the normal variation in…

6 months ago

Mechanism of a Mixed Apnea

Mixed apneas are characterized by absent respiratory effort and airflow in the first section of…

1 year ago

How Does Hypothyroidism Cause Hypoventilation?

Although rare, the differential diagnosis of hypoventilation and hypercapnia respiratory failure includes hypothyroidism. It is…

1 year ago

Why is Pro-BNP/ BNP lower in Obesity?

B-type natriuretic peptide (BNP) is a hormone created in response to cardiac wall stretch due…

2 years ago

What is Peribronchovascular Distribution on CT imaging?

A common finding described on computed tomography (CT) imaging. A disease with a peribronchovascular distribution…

3 years ago

This website uses cookies.