Nelson Textbook of Pediatrics 22nd Edition | Enterococcus faecalis, E. faecium, VRE (vancomycin-resistant enterococcus), bacteremia, endocarditis, UTI, neonatal sepsis, intra-abdominal infections, intrinsic/acquired resistance, treatment (ampicillin, vancomycin, linezolid, daptomycin).
๐ paeds.online โ Pakistan's Pediatric Platform| Species | Common Infections | Intrinsic Resistance | Treatment |
|---|---|---|---|
| E. faecalis | UTI, bacteremia, endocarditis, intra-abdominal, neonatal sepsis | Cephalosporins, clindamycin, TMP-SMX (in vivo) | Ampicillin (preferred), vancomycin, linezolid, daptomycin |
| E. faecium | Same (often more resistant) | Ampicillin (high-level), vancomycin (VRE common) | Linezolid, daptomycin (high dose), tigecycline |
| VRE (E. faecium > E. faecalis) | Healthcare-associated bacteremia | Vancomycin (VanA operon) | Linezolid, daptomycin (10-12 mg/kg/day), oritavancin (adults) |