Treatment FAQ

what is the treatment for vre?

by Torrey Romaguera Published 3 years ago Updated 2 years ago
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For treatment of severe VRE infections, options include penicillin or amoxicillin +/– aminoglycoside, QPD, or newer agents such as LZD, daptomycin, and tigecycline.Aug 20, 2014

Is there a cure for VRE?

VRE infections may be difficult to cure because the bacteria do not respond to many antibiotics. If you have an infection, your doctor will order antibiotics that may be given by mouth or into a vein through an IV ( intravenously ). Sometimes more than one antibiotic is prescribed to help stop the infection.

How is VRE treated?

How is VRE treated? Active VRE infections are treated with an antibiotic that's not vancomycin. Your doctor can take a culture of the bacteria and have it tested in a laboratory to see which antibiotic might work best. Researchers are working to develop new types of antibiotics that treat VRE. See further detail related to it here.

What is the antibiotic treatment for VRE?

  • after using the bathroom
  • before and after handling medical devices or caring for wounds
  • before preparing food

How long is VRE contagious?

VRE infections can be cured in most patients, and the outcome is often more dependent on the underlying disease than on the infecting organism. The duration of treatment depends on the site of infection. For example, heart-valve infections may require six weeks of antibiotic therapy.

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Can VRE be controlled with antibiotics?

When VRE infections do develop, they are generally treated with antibiotics other than vancomycin.

Does VRE ever go away?

Duration of VRE In some people, the VRE infection can go away on its own as their bodies naturally become stronger. This process can take a few months or even longer.

How do you manage VRE?

Principles of Controlling VRE Transmission. Scrupulous handwashing, appropriate use of barrier precautions, and careful attention to environmental sanitation are the three most important elements of a control strategy. Health care workers should always treat stool and urine as if they contain potential pathogens.

Is VRE life threatening?

VRE infections typically affect people who are already sick and in the hospital. These infections can be hard to treat because doctors have fewer options that are effective against the resistant bacteria. Some VRE infections may be life-threatening.

Should patients with VRE be isolated?

Initiate the following isolation precautions to prevent patient-to-patient transmission of VRE: Place VRE-infected or colonized patients in private rooms or in the same room as other patients who have VRE (8).

Can VRE infection be cured?

VRE infections can be cured in most patients, and the outcome is often more dependent on the underlying disease than on the infecting organism. The duration of treatment depends on the site of infection. For example, heart-valve infections may require six weeks of antibiotic therapy.

Is VRE the same as MRSA?

MRSA can be spread by touching articles that have been contaminated by the skin of an infected or colonized person, such as towels, sheets, and wound dressings; VRE can be transmitted by touching articles soiled by an infected person's feces.

Does doxycycline cover VRE?

Several pharmacological treatments for VRE eradication in the gastrointestinal tract have been attempted, as spontaneous decolonization occurs infrequently. Among the treatments, a combined treatment with doxycycline showed 100% gastrointestinal VRE decolonization [7].

Are VRE Infections Serious?

In general, enterococci are not very harmful or virulent. This applies to both antibiotic-resistant as well as nonresistant or sensitive strains. H...

What Type of Prevention Is Needed When Caring For Patients With Vre?

When providing care in a private home, hospital or nursing home, health care workers should use disposable gloves and wash their hands with soap af...

Are Special Precautions Needed For Home Care of Patients With Vre?

Standard precautions including hand washing and gloving should be followed. Otherwise, healthy household members are not at risk of VRE infection....

Can Nursing Homes Or Hospitals Refuse to accept Patients With Vre?

No. Such discrimination is unnecessary and may be illegal. Nursing homes and hospitals are expected to follow state and federal guidelines for VRE...

Where Can I Get Further Information on Vre?

For general information, contact the New York State Department of Health, Bureau of Communicable Disease Control, at (518) 473-4439. Patients in ho...

How long does it take to cure a VRE?

The duration of treatment depends on the site of infection. For example, heart-valve infections may require six weeks of antibiotic therapy.

What is a VRE?

VRE are enterococci that have become resistant to the antibiotic vancomycin. There are only a few antibiotics that are able to treat VRE infections.

What happens if you get a VRE infection?

If the number of VRE bacteria increases, they can invade the bloodstream or spread locally to cause an abdominal abscess or urinary tract infection. Once in the bloodstream, VRE can cause meningitis, pneumonia, or infection of a heart valve (endocarditis).

How does vancomycin resistance occur?

Vancomycin resistance is acquired when a sensitive Enterococcus acquires a special piece of DNA called a plasmid that permits the bacteria to become resistant to vancomycin. The new strains are called vancomycin-resistant enterococci (VRE). One concern is that VRE strains appear able to transfer vancomycin resistance to unrelated bacteria such as ...

What does it mean when a VRE is cultured?

However, if VRE is cultured from sputum, urine, or a wound, it could indicate either colonization or infection. The physician will ask the patient questions and perform a physical exam to help determine if any signs or symptoms of infection of these areas are present.

Can VRE be transferred to MRSA?

One concern is that VRE strains appear able to transfer vancomycin resistance to unrelated bacteria such as MRSA ( methicillin-resistant Staphylococcus aureus) and these strains are renamed VRSA. In addition, VRE organisms, like MRSA, are usually resistant to more than one antibiotic.

Can you use vancomycin for enterococci?

In recent decades, however, some enterococci have become resistant to vancomycin. The two main species that cause problems are vancomycin-resistant Enterococcus faecium and vancomycin-resistant ...

What is a VRE patient?

People with a history of surgical procedures, such as abdominal or chest surgery. People with invasive medical devices, such as urinary catheters and central intravenous (vein) catheters. People who are colonized with VRE.

What is a VRE?

What are vancomycin-resistant enterococci (VRE)? Enterococci are a type of bacteria (germ) normally present in the gut and in the female genital tract. They are also found in the environment. Vancomycin is an antibiotic often used to treat infections caused by enterococci.

How is VRE spread?

VRE can also spread directly from person to person by contact with body fluids containing VRE (e.g., blood, feces, urine). ...

Where do most VRE infections occur?

Most VRE infections occur in hospitals. People with the following conditions are at increased risk for getting infected with VRE: People with previous treatment with vancomycin or other antibiotics for long periods of time. People with a recent hospitalization (s), especially if long courses of antibiotic treatment are involved.

What to do if you have VRE in your hands?

Wear gloves if hands might come into contact with body fluids or blood that might contain VRE. Always wash your hands after removing gloves. Frequently clean areas of the home, such as bathrooms, that might become contaminated with VRE. A household disinfectant can be used.

Can you get sick from a VRE?

A person might be colonized for a long time before getting sick or might never get sick. VRE can cause infections of the urinary tract, the bloodstream, wounds associated with catheters or surgical procedures, or other body sites. Symptoms will depend on the site of infection, but include fever and pain at the site.

Can you treat VRE with antibiotics?

Most VRE infections can be treated with antibiotics other than vancomycin. Laboratory testing can help healthcare providers determine which antibiotics will work. For people who have VRE infection in the bladder and a urinary catheter, removing the catheter when it is no longer needed can help get rid of the infection.

What is a VRE?

What is VRE? Enterococci are bacteria that are naturally present in the intestinal tract of all people. Vancomycin is an antibiotic to which some strains of enterococci have become resistant. These resistant strains are referred to as VRE.

Is discrimination against VRE patients illegal?

Such discrimination is unnecessary and may be illegal. Nursing homes and hospitals are expected to follow state and federal guidelines for VRE patients which include standard precautions and proper room assignment.

Can you wash clothes with VRE?

Standard precautions including hand washing and gloving should be followed. Otherwise, healthy household members are not at risk of VRE infection. Dishes and utensils can be washed in a dishwasher or with warm soapy water and rinsed. Bed linen and clothing can be washed in a washing machine using a standard detergent for clothing.

What is a VRE?

Vancomycin-resistant enterococci (VRE) are strains of enterococci that are resistant to the antibiotic vancomycin. If a person has an infection caused by VRE, such as a urinary tract infection or blood infection, it may be more difficult to treat. How is VRE Spread?

What is VRE in medical terms?

Vancomycin Resistant Enterococcus (VRE) Fact Sheet. Information for Patients and Visitors. What is VRE? Enterococci are germs that live in the gastrointestinal tract (bowels) of most individuals and generally do not cause harm (this is termed “colonization”). Vancomycin-resistant enterococci ...

What are the precautions to prevent VRE?

These precautions include: Single room accommodation (the door can remain open). A long-sleeved gown and gloves must be worn by everyone who cares for you.

How is VRE spread?

VRE is spread from one person to another by contact, usually on the hands of caregivers. VRE can be present on the caregiver’s hands either from touching contaminated material excreted by an infected person or from touching articles soiled by faeces.

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