Infections à entérocoques : du plus simple au plus complexe…

Article Article scientifique Revue de la littérature Infections à entérocoques : du plus simple au plus complexe… fre 2014 author Stucki Katia 553397 author Harbarth Stéphan Juergen 0000-0002-3551-1025 93885 author Nendaz Mathieu 0000-0003-3795-3254 33708 1918,1920-1923 25507892 1660-9379 http://www.revmed.ch/rms/2014/RMS-N-446/Infections-a-enterocoques-du-plus-simple-au-plus-complexe Enterococci are microorganisms with a remar- kable ability to adapt to their environment. Two species have a significant clinical implication, Enterococcus faecalis and Enterococcus faecium. The risk factors for colonization and infection must be recognized, including prior treatment with antibiotics such as cephalosporins or quinolones. Because of their native resistance to several classes of antibiotics and the increase of acquired resistance to penicillins, the initial empiric treatment of a severe infection in a patient at risk of enterococcal infection often includes a glycopeptide. A restriction in the empirical use of cephalosporins or quinolones and a targeted antibiotic therapy following receipt of the antibiogram are essential to prevent the emergence of enterococcal strains and especially vancomycin-resistant enterococci. Dewey 610/370 Dewey 616 Dewey 618.97 48 Unité de développement et de recherche en éducation médicale 204 56 Département de médecine 221 65 Département de réadaptation et gériatrie 22B false 395 Acquisition de l'expertise médicale 662 526 Résistance aux antibiotiques 866 Revue médicale suisse 10 446 ade0e5c1-44fb-4079-84df-ef39c8893289 Article (Published version) Restricted RMS_446_1918.pdf 557551 application/pdf restrictedAccess Faculté de médecine / Unité de développement et de recherche en éducation médicale Faculté de médecine / Section de médecine clinique / Département de médecine Faculté de médecine / Section de médecine clinique / Département de réadaptation et gériatrie

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Stucki, Katia