Enterococci

Comments

May consider deferring antimicrobial therapy if single positive blood culture and absence of clinical evidence of sepsis.

If IV catheter is likely source, removal of catheter alone may be sufficient

Sources include gastrointestinal tract, urinary tract, intravascular catheters and wounds.

Can be associated with endocarditis.

Risk of endocarditis fairly low unless valvular disease and rare causes septic shock

Empiric Regimen

Dose to a target trough level of 15-20mg/L

SWITCH TO

*If susceptible.

Duration of Therapy

Uncomplicated: 5-7 days.

Tailor duration based on source of bacteremia.