The Life and Times of the Enterococcus

The Life and Times of the Enterococcus

Jan. 1990 | BARBARA E. MURRAY
The article "The Life and Times of the Enterococcus" by Barbara E. Murray provides a comprehensive overview of the history, classification, identification, and clinical significance of enterococci. It begins with the origin of the term "enterococcus," tracing its usage back to the late 19th century. Initially, the term was used to describe gram-positive diplococci of intestinal origin, and over time, the classification of these organisms evolved. In the early 20th century, the species *Streptococcus faecalis* was identified, and subsequent studies led to the recognition of other related species, including *S. faecium*, *S. durans*, and *S. avium*. The classification of enterococci was further refined in the 1930s by Sherman, who proposed a system based on biochemical and serological characteristics. This system was later supported by Lancefield's serological classification, which grouped enterococci with group D antisera. The article details the identification and typing of enterococci, emphasizing the importance of distinguishing them from other streptococci based on their ability to grow in 6.5% NaCl, at 10 and 45°C, and their resistance to certain antibiotics. Species identification is crucial in clinical settings, particularly for infections like endocarditis, where differences in susceptibility between *E. faecalis* and *E. faecium* can influence treatment decisions. The article also highlights the role of nucleic acid studies in clarifying the taxonomy of enterococci, leading to the recognition of new species such as *E. avium*, *E. casseliflavus*, and *E. gallinarum*. In terms of clinical infections, enterococci are a significant cause of endocarditis, bacteremia, urinary tract infections (UTIs), and other infections, particularly in hospitalized patients. The article discusses the increasing prevalence of enterococcal infections in hospitals, emphasizing the role of nosocomial transmission and the challenges posed by antimicrobial resistance. The article also addresses the resistance of enterococci to various antimicrobial agents, including beta-lactams, aminoglycosides, and vancomycin, which has led to the development of new treatment strategies and the need for improved diagnostic methods. Overall, the article provides a detailed account of the history, classification, and clinical significance of enterococci, highlighting their importance in both medical and public health contexts.The article "The Life and Times of the Enterococcus" by Barbara E. Murray provides a comprehensive overview of the history, classification, identification, and clinical significance of enterococci. It begins with the origin of the term "enterococcus," tracing its usage back to the late 19th century. Initially, the term was used to describe gram-positive diplococci of intestinal origin, and over time, the classification of these organisms evolved. In the early 20th century, the species *Streptococcus faecalis* was identified, and subsequent studies led to the recognition of other related species, including *S. faecium*, *S. durans*, and *S. avium*. The classification of enterococci was further refined in the 1930s by Sherman, who proposed a system based on biochemical and serological characteristics. This system was later supported by Lancefield's serological classification, which grouped enterococci with group D antisera. The article details the identification and typing of enterococci, emphasizing the importance of distinguishing them from other streptococci based on their ability to grow in 6.5% NaCl, at 10 and 45°C, and their resistance to certain antibiotics. Species identification is crucial in clinical settings, particularly for infections like endocarditis, where differences in susceptibility between *E. faecalis* and *E. faecium* can influence treatment decisions. The article also highlights the role of nucleic acid studies in clarifying the taxonomy of enterococci, leading to the recognition of new species such as *E. avium*, *E. casseliflavus*, and *E. gallinarum*. In terms of clinical infections, enterococci are a significant cause of endocarditis, bacteremia, urinary tract infections (UTIs), and other infections, particularly in hospitalized patients. The article discusses the increasing prevalence of enterococcal infections in hospitals, emphasizing the role of nosocomial transmission and the challenges posed by antimicrobial resistance. The article also addresses the resistance of enterococci to various antimicrobial agents, including beta-lactams, aminoglycosides, and vancomycin, which has led to the development of new treatment strategies and the need for improved diagnostic methods. Overall, the article provides a detailed account of the history, classification, and clinical significance of enterococci, highlighting their importance in both medical and public health contexts.
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