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  1. Apr 19, 2023 · Of the known enterococcus species, the majority of urinary tract infections are due to E. faecalis and E. faecium, which have multiple mechanisms that increase their pathogenicity [4,5]. These mechanisms include biofilm formation and virulence factors.

  2. Aug 25, 2022 · Enterococcal species can cause a variety of infections, including urinary tract infections, bacteremia, endocarditis, and meningitis. The antimicrobial agents available for treatment of enterococcal infection are reviewed here, followed by treatment approaches for clinical syndromes caused by enterococci. Other issues related to enterococci are ...

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    • Overview
    • What causes these infections?
    • Symptoms of E. faecalis infections
    • Treatments for E. faecalis infections
    • Preventing infections
    • Outlook

    Enterococcus faecalis is a species of bacteria that is naturally found in the intestines. While it tends to be harmless in that environment, it has the potential to cause a serious infection if it spreads to other areas of the body.

    Enterococci are a type of bacteria that live in your gastrointestinal (GI) tract. There are at least 18 different species of these bacteria. Enterococcus faecalis (E. faecalis) is one of the most common species.

    These bacteria also live in the mouth and vagina. They’re very resilient, so they can survive in hot, salty, or acidic environments.

    E. faecalis normally lives harmlessly in your intestines. However, if it spreads to other parts of your body, it can cause a more serious infection.

    The bacteria can get into your blood, urine, or a wound during surgery. From there, it can spread to different sites, causing more serious infections, including sepsis, endocarditis, and meningitis.

    E. faecalis bacteria don’t usually cause problems in healthy people. But people with underlying health conditions or a weakened immune system are more likely to get sick. These infections often spread in hospitals.

    E. faecalis infections pass from person to person due to poor hygiene. Because these bacteria are found in feces, people can transmit the infection if they don’t wash their hands after using the bathroom.

    The bacteria can get into food or onto surfaces such as doorknobs, telephones, and computer keyboards. From there, they can spread to other people.

    E. faecalis often spreads through hospitals if healthcare workers don’t wash their hands. Improperly cleaned catheters, dialysis ports, and other medical devices can also carry E. faecalis.

    Thus, people who have an organ transplant, kidney dialysis, or cancer treatment are at increased risk for developing infections due to immune suppression or contamination through their catheters.

    Symptoms depend on which type of infection you have. They can include:

    •fever

    •chills

    •fatigue

    •headache

    •abdominal pain

    E. faecalis infections are treated with antibiotics. One challenge is that these bacteria have become resistant to many types of antibiotics. This means that some antibiotics no longer work against these bacteria.

    To make sure you get the right antibiotic, your doctor might take a sample of the bacteria. That sample will be tested in a lab to see which antibiotic works best against it.

    Ampicillin is the preferred antibiotic used to treat E. faecalis infections.

    Other antibiotic options include:

    •daptomycin

    •gentamicin

    To prevent E. faecalis infections:

    •Wash your hands with warm water and soap throughout the day. Always wash after you use the bathroom and before you prepare or eat food. If you don’t have access to soap and water, use an alcohol-based hand sanitizer.

    •Don’t share personal items with anyone — especially people you know are sick. This includes forks and spoons, toothbrushes, or towels.

    •Wipe down shared items like TV remotes, doorknobs, and telephones with an antibacterial disinfectant.

    •When you’re in the hospital, make sure healthcare workers wash their hands or wear clean gloves when they care for you.

    •Ask that all thermometers, blood pressure cuffs, catheters, IVs, and other devices that are used in your treatment be disinfected.

    E. faecalis has become resistant to many types of antibiotics. Antibiotic-resistant infections are harder to treat. People who get infected when they are already sick have a poorer outlook.

    Practicing good hygiene can help prevent E. faecalis infections.

  4. Jul 3, 2023 · Enterococcus faecalis is a common cause of urinary tract infections (UTIs) and other infections. It can form biofilms that resist antibiotics and cause serious symptoms. Learn how to prevent, diagnose, and treat E. faecalis infections with this article.

  5. May 28, 2023 · Enterococcus faecalis is the most common type of Enterococcal bacteria. Learn more about the infections it can cause and how they’re treated. ... Enterococci are the culprit for 110,000 urinary ...

  6. Jan 24, 2024 · The following factors help E. faecalis resist treatment with antibiotics: Biofilm formation: The bacteria can bind together to form a thin, sturdy layer, known as a biofilm. This can adhere ...

  7. Enterococci are gram-positive, facultative anaerobic organisms. Enterococcus faecalis and E. faecium cause a variety of infections, including endocarditis, urinary tract infections, prostatitis, intra-abdominal infection, cellulitis, and wound infection as well as concurrent bacteremia. Enterococci are part of the normal intestinal flora.

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