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VANCOMYCIN-RESISTANT ENTEROCOCCI (VRE) URINARY …

VANCOMYCIN-RESISTANT ENTEROCOCCI (VRE) URINARY TRACT INFECTIONS (UTI) TREATMENT RECOMMENDATIONS AND ALGORITHM VRE UTIs are complicated UTIs Complicated UTIs represent a heterogeneous group of patients and clinical conditions but generally refer to infection of the URINARY tract with functional or structural abnormalities, including long-term indwelling catheters, recent URINARY instrumentation, neurogenic bladder, and renal calculi. Other complicating factors may include nosocomial acquisition and immunodeficiency ( renal insufficiency and/or transplant, neutropenia, human immunodeficiency virus HIV, and extremes in age).

described as anaphylaxis, angioedema and/or swelling). Fosfomycin 3 grams given orally every other day for three doses has been used for VRE cystitis. In select cases, a single 3 gram dose of fosfomycin therapy may be considered. Remove or replace indwelling urinary catheters, ureteric stents, or nephrostomy tubes whenever possible.

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