title: Vancomycin-resistant Enterococci infected puncture wound to the foot. A case report.
abstract: Vancomycin is often administered empirically to patients with osteomyelitis, septic arthritis, septic throbophlebitis, infected burns, and cellulitis of the lower extremities when methicillin-resistant staphylococci are suspected, or when a staphylococcus organism is suspected in a penicillin-allergic patient. Physicians must be aware of the guidelines established regarding the use of Vancomycin to avoid bacterial resistance. Physicians also must be aware of the procedures that have been developed to help contain nasocomial outbreaks of Vancomycin-resistant Enterococci.
authors.affiliation: Department of Podiatric Surgery/Traumatology, Broadlawns Medical Center, Des Moines, Iowa, USA.
authors.forename: D W
authors.initials: DW
authors.lastname: Hayes
authors.forename: V J
authors.initials: VJ
authors.lastname: Mandracchia
authors.forename: D E
authors.initials: DE
authors.lastname: Buddecke
authors.forename: L J
authors.initials: LJ
authors.lastname: Rissman
mesh_terms: D000328:Adult; D013293:Enterococcus faecalis / Q000187:drug effects*; D018409:Foot Injuries / Q000382:microbiology*; D016908:Gram-Positive Bacterial Infections / Q000188:drug therapy*; D006801:Humans; D008297:Male; D020713:Vancomycin Resistance; D014946:Wound Infection / Q000188:drug therapy* / Q000382:microbiology; D014950:Wounds, Penetrating / Q000382:microbiology*