General Susceptibility

Enterococcus faecalis is reliably susceptible:

  •  Amoxicillin/Ampicillin or peniccillin

  • Vancomycin

  • Linezolid.

Most Enterococcus faecium are resistant to penicillin, ampicillin and may be resistant to vancomycin (VRE).
Variably susceptible:

  •  Fluoroquinolones

  • Tetracycline.

Aminoglycosides are used for synergy if no high-level resistance and some invasive infections such as endocarditis.

If urinary isolate, most are nitrofurantoin susceptible but should only be used for cystitis.