🦠microbiology review

Enterococcus faecium

Written by the Fiveable Content Team • Last updated August 2025
Written by the Fiveable Content Team • Last updated August 2025

Definition

Enterococcus faecium is a Gram-positive bacterium commonly found in the human gut. It is notable for its role in hospital-acquired infections and its resistance to many antibiotics.

5 Must Know Facts For Your Next Test

  1. Enterococcus faecium is intrinsically resistant to many antibiotics, including cephalosporins and low levels of aminoglycosides.
  2. Vancomycin-resistant Enterococcus (VRE) is a major concern in healthcare settings due to the limited treatment options available.
  3. E. faecium can acquire resistance genes through horizontal gene transfer, complicating treatment strategies.
  4. It is often involved in nosocomial infections such as urinary tract infections, bacteremia, and endocarditis.
  5. High-level resistance to ampicillin in E. faecium is usually due to alterations in penicillin-binding proteins.
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