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Gram positive cocci in short chains
Nosocomial (esp. VRE), associated with prior antibiotics
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. If identified as VRE, then initiate contact precautions.
Consider Infectious Disease consultation to assist in evaluation, management of patients and infection control measures.