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Pathogens
Antimicrobials
Most E. faecium will be VRE
If sensitive
Ampicillin
Vancomycin
Gram positive cocci in short chains
Nosocomial (esp. VRE), associated with prior antibiotics
Colonization
Bacteremia
Endocarditis (usually subacute)
Intra-abdominal or hepatobiliary infection
UTI
More likely to cause true infection in immunocompromised individuals or after selection pressure from antimicrobial administration has eliminated other organisms.
Most E. faecium will be VRE.