What is the recommended treatment for a urinary tract infection with Enterococcus faecalis greater than 100,000 Colony-Forming Units (CFU)/mL?

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Treatment of Enterococcus faecalis UTI (>100,000 CFU/mL)

For urinary tract infections with Enterococcus faecalis greater than 100,000 CFU/mL, amoxicillin 500 mg orally every 8 hours for 7 days is the first-line treatment, achieving 88.1% clinical and 86% microbiological eradication rates. 1, 2

First-Line Oral Treatment Options

  • Amoxicillin 500 mg orally every 8 hours for 7 days is the preferred first-line therapy recommended by the American College of Physicians for uncomplicated E. faecalis UTIs 1, 2

  • Ampicillin 500 mg orally every 8 hours for 7 days is an equivalent alternative with similar efficacy 1, 2

  • For hospitalized patients requiring IV therapy, ampicillin 2 g IV every 4 hours (or high-dose ampicillin 18-30 g IV daily in divided doses) is recommended by the Infectious Diseases Society of America to achieve sufficient urinary concentrations 1, 2

Alternative Oral Agents

  • Fosfomycin 3 g as a single oral dose is FDA-approved specifically for E. faecalis UTIs and offers convenient single-dose therapy for uncomplicated infections 1, 2

  • Nitrofurantoin 100 mg orally every 6 hours for 7 days has good in vitro activity against E. faecalis with resistance rates below 6% 1, 2

Critical Clinical Considerations Before Treatment

  • Always obtain susceptibility testing before initiating therapy, even for strains described as "pansensitive," as resistance patterns vary significantly by institution 1, 2

  • Differentiate true infection from asymptomatic bacteriuria - colonization with E. faecalis does not routinely require treatment 1

  • Avoid fluoroquinolones due to high resistance rates (46-47% for ciprofloxacin/levofloxacin) and unfavorable risk-benefit profile 2

Treatment Duration

  • 7 days is the standard duration for uncomplicated E. faecalis UTI 1, 2

  • Longer durations may be necessary for complicated UTIs or pyelonephritis, though specific evidence for E. faecalis is limited 2

Special Populations and Resistant Strains

  • For beta-lactamase producing strains, replace amoxicillin with amoxicillin-clavulanate for 7 days 1

  • For penicillin allergy, nitrofurantoin 100 mg orally every 6 hours for 7 days is appropriate 1

  • For vancomycin-resistant E. faecalis (VRE), fosfomycin 3 g single dose or nitrofurantoin 100 mg every 6 hours are recommended by the Infectious Diseases Society of America 2

Important Clinical Context

  • E. faecalis accounts for approximately 25% of recurrent UTIs (after E. coli) and is particularly common in patients with risk factors for complicated UTIs 3

  • High urinary concentrations of ampicillin can overcome high ampicillin MICs in ampicillin-resistant VRE strains, making it effective even when in vitro susceptibility testing suggests resistance 1

  • E. faecalis demonstrates tropism for the kidneys over the bladder in urinary tract infections, which may influence clinical presentation 4

  • Recent studies show E. faecalis UTIs are associated with hospitalization, urinary catheter use, and recent antibiotic use within 3 months 5

References

Guideline

Treatment for Enterococcus faecalis in Urine

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Treatment of Urinary Tract Infections Caused by Enterococcus faecalis

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Characteristics and outcomes of urinary tract infections caused by Enterococci: A multicenter retrospective study from two tertiary hospitals in Saudi Arabia.

Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy, 2024

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Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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