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Enterococci are the member of normal flora in the gut of humans and animals[1]. Though they are not considered to be highly virulent, their intrinsic resistance and ability to acquire resistance to several broad spectrum antibiotics allow them to cause superinfections in patients already receiving antimicrobial therapy. Enterococcus species are most commonly implicated with infections of urinary tract, gastrointestinal tract, post surgical wounds, septicemia, endocarditis and meningitis[1]. Enterococcus faecalis (E. faecalis) is the most commonly isolated pathogen, followed by Enterococcus faecium (E. faecium) which are responsible for most of the human infections. Species identification is useful for epidemiological investigation of an outbreak and also for clinical decisions, particularly with regard to therapy, as antimicrobial susceptibility differs by species[2]. Biochemical tests for species identification are not performed routinely as they are laborious and time consuming; so to overcome the problem, the use of molecular methods has been suggested[3]. Enterococci have a tremendous capacity to acquire high level of resistance to penicillins, aminoglycosides and vancomycin making the treatment options limited for clinicians[2]. Vancomycin resistant enterococci have been reported worldwide and have caused hospital outbreaks[4-6]. The incidence of enterococcal infections and species prevalence in Bangladesh are not thoroughly investigated. The present study was undertaken with the objective of isolation, species identification of enterococci from clinical specimens, to ARTICLE INFO ABSTRACT

journal of coastal life medicine

Isolation and species identification of enterococci from clinical specimen with their antimicrobial susceptibility pattern in a tertiary care hospital, Bangladesh