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What is the treatment for Enterococcus faecalis infection?

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Patient's Query

Hi doctor,

I had a scratch on my penis and went for an STD test and a UTI test. The result shows Enterococcus faecalis. I need guidance to treat it.

Please help.

Thank you.

Hi,

Welcome to icliniq.com.

I understand your concern.

Enterococcus faecalis is a type of bacteria that is commonly found in the intestines of humans and other animals. While it is generally considered a normal part of the gut flora, it can also cause infections in other body parts, including the urinary tract and genital area. In your case, the presence of Enterococcus faecalis in your urine or semen does not necessarily indicate the presence of a sexually transmitted infection (STI). However, it could be a sign of bacterial contamination during the collection or testing. Enterococcus faecalis is known to resist some disinfectants commonly used in medical settings.

If you are experiencing any symptoms such as pain or discomfort during urination, unusual discharge from the penis, or fever, kindly start antibiotics. The treatment for an Enterococcus faecalis infection will depend on the location and severity of the infection. Here are some possible remedies:

1. Urinary tract infection (UTI): Antibiotics such as Trimethoprim-Sulfamethoxazole, Nitrofurantoin, or Fosfomycin are commonly used to treat UTIs caused by Enterococcus faecalis. The duration of treatment may vary from a few days to several weeks, depending on the severity of the infection.

2. Genital infection: If Enterococcus faecalis is causing a genital infection, such as balanitis (inflammation of the foreskin) or prostatitis (inflammation of the prostate gland), antibiotics such as Ciprofloxacin, Levofloxacin, or Gentamicin may be prescribed. The duration of treatment will depend on the specific infection and its severity.

3. Catheter-associated urinary tract infection (CAUTI): In patients with a catheter in place, Enterococcus faecalis can cause a CAUTI. Antibiotics such as Vancomycin or Linezolid may be used to treat CAUTIs caused by Enterococcus faecalis, as these bacteria are often resistant to other antibiotics commonly used to treat UTIs.

It is essential to complete the entire course of antibiotics your healthcare provider prescribes, even if you start feeling better before finishing the medication. This will help ensure that the infection is fully resolved and prevent the development of antibiotic resistance.

I hope this information will help you.

Thanks.

Medically reviewed byiCliniq medical review team
Published At March 22, 2024
Reviewed AtNovember 18, 2025

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