Understanding Vancomycin-Resistant Enterococci (VRE): Causes, Symptoms, and Prevention

Vancomycin-resistant enterococci, or VRE, are a type of bacteria that have developed resistance to the powerful antibiotic vancomycin. While enterococci bacteria normally live in the intestines and genital tract without causing problems, VRE can lead to serious infections that are difficult to treat.

Who Is at Risk for VRE Infections?

Approximately 20,000 people in the United States are infected with VRE each year, with a mortality rate of just under 10%. People who are at a higher risk of developing VRE infections include:

  • Those who have been treated with vancomycin or other antibiotics for extended periods

  • Individuals who have recently undergone surgery, especially of the abdomen or chest

  • Patients using long-term medical devices, such as urinary or IV catheters

  • People with weakened immune systems

  • Patients in intensive care units, cancer wards, or transplant wards

  • Individuals already colonized with VRE in their intestines or genital tracts

Symptoms and Diagnosis of VRE Infections

VRE infections can cause a variety of symptoms, which may be attributed to other infections triggered by the bacteria, such as urinary tract infections, bloodstream infections, or wound infections. The time between infection and symptom onset can vary. To diagnose VRE, your doctor will take a sample from the affected area and send it to a lab for testing. If the sample is positive for VRE, further tests will be conducted to determine the most effective antibiotic for treatment.

Preventing the Spread of VRE

To prevent the spread of VRE, it is essential to maintain good hygiene practices, such as:

  1. Regularly cleaning and disinfecting hard surfaces in your home, especially in bathrooms and kitchens

  2. Washing your hands thoroughly with soap and water for at least 20 seconds, particularly after using the bathroom and before preparing food

  3. Wearing gloves when handling bodily fluids that may contain VRE, such as stool or infected wound bandages, and always washing your hands after removing the gloves

  4. Informing healthcare providers if someone in your care has VRE, so they can take appropriate precautions

By understanding the causes, symptoms, and prevention methods for VRE, you can help protect yourself and others from these antibiotic-resistant infections. If you suspect you may have a VRE infection, consult your healthcare provider for proper diagnosis and treatment.

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