(VI)Gram Positive Cocci (1) Enterococcus (GDS)

Question 1

Name the 2 species of Enterococcus

Answer 1

(1) E. faecalis
(2) E. faecium

Question 2

What notable growth medium can Enterococcus grow on?

Answer 2

6.5% NaCl

Question 3

Name 2 bile resistant bacteria

Answer 3

(1) Enterococcus
(2) Strep. viridans

Question 4

Name the 3 main infections caused by Enterococcus

Answer 4

(1) UTIs
(2) Endocarditis
(3) Biliary tree

Question 5

Treatment (3) : Enterococcus

Answer 5

(1) Linezolid
(2) Tigecycline
(3) Daptomycin

(Usually resistant to Vancomycin)

Question 6

Are enterococcus spp. normal bowel flora?

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Answer 6

Are enterococcus spp. normal bowel flora?

ye man

Question 7

What are the clinical presentations of enterococcus infections?

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Answer 7

What are the clinical presentations of enterococcus infections?

U - UTI
♥ - Endocarditis
Tree? - Billiary tree infection (soluble and grows well in bile)

Also intra-abdominal infections
Enterocci are the 2nd/3rd most common cause of HAI for patients receiving broad spectrum antibiotics

Question 7

What is the treatment for Enterococci infections?

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Answer 7

What is the treatment for Enterococci infections?

• Endocarditis: Vancomycin + gentamicin
• UTI: Amoxicillin
• VRE: Linezolid/Tigecycline

Enterococcus are resistant to cephalosporins and ampicillins. Vancomycin resistance rising (VRE)