Multidrug-Resistant Enterococcal Infection in Surgical Patients, What Surgeons Need to Know

Enterococci are organisms that can be found in the normal intestinal and skin microbiota and show remarkable ability to acquire antibiotic resistance. This is an enormous challenge for surgeons when faced with surgical site infections caused by multidrug-resistant (MDR) Enterococci. Due to an increa...

Full description

Bibliographic Details
Main Authors: Soroush Farsi, Ibrahim Salama, Edgar Escalante-Alderete, Jorge Cervantes
Format: Article
Language:English
Published: MDPI AG 2023-01-01
Series:Microorganisms
Subjects:
Online Access:https://www.mdpi.com/2076-2607/11/2/238
_version_ 1797619271110492160
author Soroush Farsi
Ibrahim Salama
Edgar Escalante-Alderete
Jorge Cervantes
author_facet Soroush Farsi
Ibrahim Salama
Edgar Escalante-Alderete
Jorge Cervantes
author_sort Soroush Farsi
collection DOAJ
description Enterococci are organisms that can be found in the normal intestinal and skin microbiota and show remarkable ability to acquire antibiotic resistance. This is an enormous challenge for surgeons when faced with surgical site infections caused by multidrug-resistant (MDR) Enterococci. Due to an increase in the prevalence of MDR <i>Enterococcus</i> within the last few decades, there has been a major decrease in therapeutic options, because the majority of <i>E. faecium</i> isolates are now resistant to ampicillin and vancomycin and exhibit high-level resistance to aminoglycosides, traditionally three of the most useful anti-enterococcal antibiotics. There is limited data regarding the magnitude and pattern of multidrug resistance among the enterococcal genus causing surgical site infections in hospitalized patients. The scope of the review is to summarize the most recent findings in the emergence of postoperative MDR Enterococci and discuss recent mechanisms of resistance and the best treatment options available.
first_indexed 2024-03-11T08:24:45Z
format Article
id doaj.art-f18eae4a412e4f21a1f2bf5f324c4c85
institution Directory Open Access Journal
issn 2076-2607
language English
last_indexed 2024-03-11T08:24:45Z
publishDate 2023-01-01
publisher MDPI AG
record_format Article
series Microorganisms
spelling doaj.art-f18eae4a412e4f21a1f2bf5f324c4c852023-11-16T22:13:09ZengMDPI AGMicroorganisms2076-26072023-01-0111223810.3390/microorganisms11020238Multidrug-Resistant Enterococcal Infection in Surgical Patients, What Surgeons Need to KnowSoroush Farsi0Ibrahim Salama1Edgar Escalante-Alderete2Jorge Cervantes3Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center El Paso, El Paso, TX 79905, USAPaul L. Foster School of Medicine, Texas Tech University Health Sciences Center El Paso, El Paso, TX 79905, USAPaul L. Foster School of Medicine, Texas Tech University Health Sciences Center El Paso, El Paso, TX 79905, USAPaul L. Foster School of Medicine, Texas Tech University Health Sciences Center El Paso, El Paso, TX 79905, USAEnterococci are organisms that can be found in the normal intestinal and skin microbiota and show remarkable ability to acquire antibiotic resistance. This is an enormous challenge for surgeons when faced with surgical site infections caused by multidrug-resistant (MDR) Enterococci. Due to an increase in the prevalence of MDR <i>Enterococcus</i> within the last few decades, there has been a major decrease in therapeutic options, because the majority of <i>E. faecium</i> isolates are now resistant to ampicillin and vancomycin and exhibit high-level resistance to aminoglycosides, traditionally three of the most useful anti-enterococcal antibiotics. There is limited data regarding the magnitude and pattern of multidrug resistance among the enterococcal genus causing surgical site infections in hospitalized patients. The scope of the review is to summarize the most recent findings in the emergence of postoperative MDR Enterococci and discuss recent mechanisms of resistance and the best treatment options available.https://www.mdpi.com/2076-2607/11/2/238<i>Enterococcus</i>surgical site infectionmultidrug resistance
spellingShingle Soroush Farsi
Ibrahim Salama
Edgar Escalante-Alderete
Jorge Cervantes
Multidrug-Resistant Enterococcal Infection in Surgical Patients, What Surgeons Need to Know
Microorganisms
<i>Enterococcus</i>
surgical site infection
multidrug resistance
title Multidrug-Resistant Enterococcal Infection in Surgical Patients, What Surgeons Need to Know
title_full Multidrug-Resistant Enterococcal Infection in Surgical Patients, What Surgeons Need to Know
title_fullStr Multidrug-Resistant Enterococcal Infection in Surgical Patients, What Surgeons Need to Know
title_full_unstemmed Multidrug-Resistant Enterococcal Infection in Surgical Patients, What Surgeons Need to Know
title_short Multidrug-Resistant Enterococcal Infection in Surgical Patients, What Surgeons Need to Know
title_sort multidrug resistant enterococcal infection in surgical patients what surgeons need to know
topic <i>Enterococcus</i>
surgical site infection
multidrug resistance
url https://www.mdpi.com/2076-2607/11/2/238
work_keys_str_mv AT soroushfarsi multidrugresistantenterococcalinfectioninsurgicalpatientswhatsurgeonsneedtoknow
AT ibrahimsalama multidrugresistantenterococcalinfectioninsurgicalpatientswhatsurgeonsneedtoknow
AT edgarescalantealderete multidrugresistantenterococcalinfectioninsurgicalpatientswhatsurgeonsneedtoknow
AT jorgecervantes multidrugresistantenterococcalinfectioninsurgicalpatientswhatsurgeonsneedtoknow