Streptococcus (Enterococcus) faecalis

Laboratory

• Enterococcus faecalis DNA
  • Enterococcus faecalis cpn60 gene
  • Enterococcus faecalis hsp60 gene

Management

• bacteremia (IV)
  • ampicillin 2 g IV every 4 hours
  • ampicillin plus aminoglycoside for synergy if sepsis or cardiac valve abnormality
  • ampicillin-resistance is common
  • Vancomycin 1 g IV every 14 hours
  • vancomycin resistance frequently accompanies ampicillin-resistance
  • doxycycline has in vitro activity against some forms of vancomycin-resistant Enterococcus (VRE)
  • Synercid (VRE)
  • linezolid (Zyvox)
  • duration of therapy 7-10 days unless otherwise indicated (i.e. endocarditis)
• skin infections (E faecalis)
  • daptomycin
  • tigecycline
• urogenital infections (prostatitis)
  • see bacteremia

More general terms

• Streptococcus

Additional terms

• group D gamma (non)-hemolytic streptococcus/enterococcus

Component of

• escherichia coli/streptococcus faecalis