Enterococcus

Please note: This is for information only.

Refer to local guidelines for treatment recommendations


 

 

 

  • Gram-positive coccus (similar to streptococci)
  • Part of the normal flora of the gut
  • Intrinsically resistant to many antibiotics
  • Usually a low grade pathogen causing opportunistic infections

Main clinical infections:

  • UTI
  • Intra-abdominal sepsis (usually as part of a polymicrobial infection)
  • Line-related bacteraemia
  • Endocarditis

Usually sensitive to:

  • Amoxicillin (Enterococcus faecalis)
  • Piptazobactam/Imipenem (Enterococcus faecalis)
  • Vancomycin*
  • Teicoplanin*
  • Linezolid
  • Synercid (Enterococcus faecium)

Usually resistant to:

  • Amoxicillin (Enterococcus faecium)
  • Piptazobactam/Imipenem (Enterococcus faecium)
  • Cephalosporins
  • Aminoglycosides (amikacin, gentamicin, tobramycin)
  • Macrolides (erythromycin, clarithromycin)
  • Quinolones (ciprofloxacin, levofloxacin)
  • Clindamycin
  • Metronidazole
  • Synercid (Enterococcus faecalis)
  • *Vancomycin-resistant enterococci (VRE) may be found in some high risk units (haematology, renal, ITU)