Vancomycin-resistant enterococci - hospital
Enterococcus is a germ (bacteria). It normally lives in the intestines and in the female genital tract.
Most of the time, it does not cause problems. But enterococcus can cause an infection if it gets into the urinary tract, bloodstream, or skin wounds.
Vancomycin is an antibiotic that is often used to treat these infections. Antibiotics are medicines that are used to kill bacteria.
Enterococcus germs can become resistant to vancomycin and therefore are not killed. These resistant bacteria are called vancomycin-resistant enterococci (VRE). VRE can be hard to treat because there are fewer antibiotics that can fight the bacteria. Most VRE infections occur in hospitals.
Super-bugs; VRE; Gastroenteritis - VRE; Colitis - VRE; Hospital acquired infection - VRE
Who is Most at Risk for VRE?
VRE infections are more common in people who:
Preventing the Spread of VRE in the Hospital
VRE can get onto the hands by touching a person who has VRE or by touching a surface that is contaminated with VRE. The bacteria then spread from one person to another by touch.
The best way to prevent the spread of VRE is for everyone to keep their hands clean.
Urinary catheters or IV tubing are changed on a regular basis to minimize the risk of VRE infections.
Patients infected with VRE may be placed in a single room or be in a semi-private room with another patient with VRE. This prevents the spread of germs among hospital staff, other patients, and visitors. Staff and providers may need to:
Treating VRE Infections
Often, other antibiotics besides vancomycin can be used to treat most VRE infections. Lab tests will tell which antibiotics will kill the germ.
Patients with the enterococcus germ who do not have symptoms of an infection DO NOT need treatment.
Arias CA, Murray BE. Enterococcus species, Streptococcus gallolyticus group, and Leuconostoc species. In: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases, Updated Edition. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015:chap 202.
Perl TM. Enterococcal infections. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 291.
Review Date: 2/24/2018
Reviewed By: Jatin M. Vyas, MD, PhD, Assistant Professor in Medicine, Harvard Medical School; Assistant in Medicine, Division of Infectious Disease, Department of Medicine, Massachusetts General Hospital, Boston, MA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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