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Enterococcus is a large genus of lactic acid bacteria of the phylum Bacillota. Enterococci are Gram-positive cocci that often occur in pairs ( diplococci ) or short chains, and are difficult to distinguish from streptococci on physical characteristics alone. [ 2 ]
Enterococcus faecalis – formerly classified as part of the group D Streptococcus system – is a Gram-positive, commensal bacterium inhabiting the gastrointestinal tracts of humans. [ 1 ] [ 2 ] Like other species in the genus Enterococcus , E. faecalis is found in healthy humans and can be used as a probiotic.
Enterococcus faecium is a Gram-positive, gamma-hemolytic or non-hemolytic bacterium in the genus Enterococcus. [1] It can be commensal (innocuous, coexisting organism) in the gastrointestinal tract of humans and animals, [ 2 ] but it may also be pathogenic , causing diseases such as neonatal meningitis or endocarditis .
Enterococcus casseliflavus is a species of commensal Gram-positive bacteria. Its name derived from the "flavus" the Latin word for yellow due to the bright yellow pigment that it produces. [2] This organism can be found in the gastrointestinal tract of humans [3] The most common form of E. casseliflavus infection is bacteremia. [4]
Bacteremia is the presence of bacteria in the bloodstream that are alive and capable of reproducing. It is a type of bloodstream infection. [36] Bacteremia is defined as either a primary or secondary process. In primary bacteremia, bacteria have been directly introduced into the bloodstream. [37] Injection drug use may lead to primary bacteremia.
Representative genera include Enterococcus, Melissococcus, Pilibacter, Tetragenococcus, and Vagococcus. In this family are some important lactic acid bacteria which produce lactic acid as the major metabolic end product.
Vancomycin. Six different types of vancomycin resistance are shown by enterococcus: Van-A, Van-B, Van-C, Van-D, Van-E and Van-G. [4] The significance is that Van-A VRE is resistant to both vancomycin and teicoplanin, [5] Van-B VRE is resistant to vancomycin but susceptible to teicoplanin, [6] [7] and Van-C is only partly resistant to vancomycin.
The crude mortality rate for those with the resistant bacteremia was 71.9%, and the attributable mortality rate was determined to be 50% with a 95% confidence interval. The crude mortality rate for control subjects was 21.9%.