144 - Enterococcal Infections

Question 1

Enterococcal bacteria are G(_). The strains affecting humans are:

Answer 1

+
E faecalis
E faecium

Question 2

___ is the more frequent enterococcal but __ is more resistant and difficult to treat

Answer 2

Faecalis

faecium

Question 3

VRE=__

Answer 3

Vancomycin-resistant Enterococcus

Question 4

What are the clinical syndromes caused by enterococcal infections? 5

Answer 4

UTI/prostatitis
bacteremia/endocarditis
intraabdominal/soft tissue
neonatal
bone/joints

Question 5

__ is the most common infection caused by enterococcal bacteria, usually in association with __

Answer 5

UTI

urinary catheter

Question 6

The typical clinical presentation of community acquired enterococcal endocarditis includes: 5

Answer 6

acute sub febrile fever
weight loss
malaise
cardiac murmur
HF

Question 7

Community acquired enterococcal endocarditis treatment incudes:

Answer 7

valve replacement

Abx for 4-6 weeks or more

Question 8

Enterococcal bacteria can cause SBP in patients with chronic __ or chronic __

Answer 8

cirrhosis

dialysis

Question 9

Enterococcal bacteria form __ which makes it harder to __. In infections involving a foreign body (prosthesis), __ is necessary in many cases.

Answer 9

biofilm
eradicate
removing

Question 10

Treating E faecalis is usually done with __ /__ + __/__

Answer 10

ampicillin/penicillin
+
aminoglycosides/ceftriaxone

Question 11

Treating E faecium is usually done with __ + __ or __ +__. Another option is __ for __ and other CNS infections.

Answer 11

ampicillin +daptomycin
or
ampicillin +aminoglycosides
linezolid 
meningitis