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Urinary sepsis: vancomycin-resistant enterococci 

Urinary sepsis: vancomycin-resistant enterococci
Chapter:
Urinary sepsis: vancomycin-resistant enterococci
Author(s):

Julia Howard

DOI:
10.1093/med/9780199665754.003.0024
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date: 14 December 2019

Enterococci spp including vancomycin-resistant enterococci (VRE) are low virulence organisms; however, treatment options are limited and so treatment of invasive infection can cause management issues. Enterococci are resident in the gastrointestinal (GI) tract and most commonly cause infection originating in the GI or urinary tracts. Bacteraemia may lead to the spread of infection to other sites including, rarely, the heart valves, leading to infective endocarditis. This chapter highlights a case of VRE bacteraemia associated with pyonephrosis in which removal of the source (drainage of pus) was the most important intervention. Classification by microbiology, epidemiology, and antibiotic choices for VRE infections are also discussed.

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