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

Recent Posts

What is Peribronchovascular Distribution on CT imaging?

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

2 months ago

Trapped Lung vs. Lung Entrapment

Though often used synonymously; Trapped Lung and Lung Entrapment technically describe separate entities along the…

8 months ago

Cause of Pericardial Effusion in Pulmonary Hypertension: Pathogenesis

It is not clearly understood why patients with pulmonary hypertension (PH) develop pericardial effusions. However,…

9 months ago

Difference between Mycophenolate Mofetil vs. Mycophenolate Sodium

The two drugs are not interchangeable nor dose equivalents. Mycophenolate mofetil (Cellcept) is a semi…

10 months ago

What is an “Anephric” Creatinine Rise?

Serum Creatinine can be a deceptive surrogate during an acute kidney injury. It may lag…

2 years ago

Macrophage activation syndrome vs. Hemophagocytic lymphohistiocytosis

Macrophage activation syndrome (MAS) is a life-threatening complication of rheumatic diseases (i.e SLE, Juvenile idiopathic…

2 years ago

This website uses cookies.