Digestive Decolonization of Colorectal Carriage of Vancomycin-resistant Enterococcus faecium in a Japanese Adult

Patients with vancomycin-resistant Enterococcus (VRE) colonization should be managed in an isolation room with contact precautions. We herein report a patient whose colorectal carriage of VRE was successfully decolonized using concomitant bowel irrigation with polyethylene glycol, probiotics, and or...

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Bibliographic Details
Published in:Internal Medicine 2022/01/15, Vol.61(2), pp.249-252
Main Authors: Uno, Shunsuke, Takano, Yaoko, Iketani, Osamu, Abiko, Tomohiro, Miwa, Tomoru, Nanki, Kosaku, Kurihara, Tomohiro, Tamura, Yuko, Ara, Miyuki, Uwamino, Yoshifumi, Shinjoh, Masayoshi, Mori, Takehiko, Hasegawa, Naoki
Format: Article
Language:English
Subjects:
Adult
Anti-Bacterial Agents - therapeutic use
Antimicrobial agents
Case Report
Colonization
Colorectal Neoplasms - drug therapy
Daptomycin
decolonization
Enterococcus faecium
Gram-Positive Bacterial Infections - drug therapy
Humans
Internal medicine
isolation precautions
Japan
Linezolid
Polyethylene glycol
Probiotics
Vancomycin
Vancomycin - therapeutic use
vancomycin-resistant Enterococcus
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Summary:Patients with vancomycin-resistant Enterococcus (VRE) colonization should be managed in an isolation room with contact precautions. We herein report a patient whose colorectal carriage of VRE was successfully decolonized using concomitant bowel irrigation with polyethylene glycol, probiotics, and oral antimicrobials, linezolid and orally-administered daptomycin, for release from isolation and contact precautions. We therefore would like to suggest a potential strategy for managing patients with VRE colonization.
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.6088-20