What is the treatment for urinary tract infection caused by Enterococcus faecalis?

What is the treatment for urinary tract infection caused by Enterococcus faecalis?

Enterococcus faecalis infection is a relatively common human disease. Suffering from Enterococcus faecalis urinary tract infection can easily affect the health of the body, and it can also easily lead to pelvic infection in the human body. There are many ways to treat Enterococcus faecalis urinary tract infection. You can first treat it by injecting drugs, injecting anti-inflammatory drugs, or taking anti-inflammatory drugs for treatment.

Causes

The main pathogenic enterococci to humans are Enterococcus faecalis, with a few being Enterococcus faecium and Enterococcus persevering. Enterococci are normal flora in the human intestine and also exist in the external environment. This type of bacteria can cause both nosocomial and out-of-hospital infections. The use of broad-spectrum antibiotics, especially cephalosporins, indwelling catheterization, blood and peritoneal dialysis are all risk factors for nosocomial enterococcal infections.

1. Urinary tract infection (UTI) is the most common infection caused by Enterococcus faecalis. Nosocomial urinary tract infection often occurs in patients with indwelling catheters or other equipment, and is mostly manifested as lower and upper urinary tract infection. A few are prostatitis and perinephric abscesses. Among simple urinary tract infections outside of hospitals, those caused by Enterococci are relatively rare.

2. Sepsis and endocarditis Urinary tract, abdominal, pelvic infections, wound infections after burns, etc. can all become invading lesions of sepsis. Enterococci account for about 5% to 15% of the pathogens of infective endocarditis, mainly Enterococcus faecalis, and a few are Enterococcus faecium, avian Enterococcus (E.avium), and Enterococcus perseverant.

3. Abdominal and pelvic infections caused by Escherichia coli and anaerobic Bacteroides fragilis are rare and are often mixed infections with the above bacteria.

4. In other rare cases, enterococci can cause wound infection, cellulitis, meningitis, and rarely respiratory tract infection. There have been a few case reports of sepsis and meningitis in premature infants caused by Enterococcus faecalis and Enterococcus faecium.

treat

Antibacterial treatment of enterococcal infection Enterococci are resistant to multiple antibiotics or antimicrobial drugs, and are only moderately sensitive to penicillin and ampicillin. Piperacillin and other drugs may also have moderate antibacterial activity against them. Therefore, the above drugs can be used. In case of severe infection with sepsis, endocarditis, and meningitis, they need to be used in combination with aminoglycoside antibiotics. Vancomycin has a good bactericidal effect on enterococci. Therefore, depending on the condition of the disease, the combined use of penicillins and vancomycin can also be selected, and the dose of penicillins should be large. The course of treatment for endocarditis should be long to avoid recurrence.

Patients with urinary tract infection caused by Enterococcus faecalis can first undergo an allergy test. If there is no allergic reaction, cephalosporin injections may be more effective. A course of treatment can be intravenous injection for seven days. It is recommended to test urine protein after seven days.

For patients with urinary tract infection, after their symptoms have improved, they need to pay attention to cleaning their anus with warm water as much as possible after defecation to prevent urinary tract infection. If conditions do not permit, you can also carry wet wipes with you for convenient and timely cleaning.

Patients with urinary tract infections must strengthen daily care to prevent recurrence of urinary tract infections and worsening of the condition. They should eat more mild and nourishing foods, and can eat more fresh vegetables and fruits.

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