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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). Lower tract vs. upper tract VRE UTIs It is important to distinguish lower tract ( cystitis) from upper tract ( pyelonephritis) VRE UTIs as part of the initial patient workup. Symptoms of a lower tract UTI or cystitis may include URINARY frequency, urgency and dysuria Symptoms of an upper tract UTI or pyelonephritis may include fever, chills, flank pain, costovertebral angle tenderness, and nausea/vomiting.

Heintz BH. Et al. Evaluation of the Treatment of Vancomycin-Resistant Enterococcal Urinary Tract Infections in a Large Academic Medical Center. Ann Pharmacother. 2013;47:159-69. 27. Gupta K, Bhadelia N. Management of Urinary Tract Infections from Multidrug-Resistant Organisms. IDSA. 2014;28:49-59.

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