Enterococcus Species

Enterococcus Species

Empiric Treatment

  • Order set link found in vancomycin monograph
  • Notify pharmacist for levels and further dosing

Once Susceptibilities Known

1st line, if susceptible and no allergy


2nd line, if allergy or resistance

Vancomycin Resistant Enterococci (VRE)

Duration and De-escalation


  • Uncomplicated (removable source): minimum 2 weeks from first negative blood culture
  • Complicated (e.g. endocarditis, osteomyelitis, unremovable source or bacteremia that persists more than 72 hours on appropriate therapy): requires 6 weeks of therapy