What is Enterococcus faecium?
In the depths of the human and animal gastrointestinal tract lay colonies of a bacterium called Enterococcus faecium. Part of the Streptococcus genus since their discovery in 1899, they were ultimately found to have more commonalities with the nucleic acid of enterococci. Thus, in 1984, they were reassignedopen_in_new to that family of bacteria. They are typically acquired in medical facilities via direct contact with infected medical apparatuses and staff, resulting in a myriad of nosocomial infections. Animals can also contract diseaseopen_in_new, from the environment or other animals, via food or by contact with animal feces.
E. faecium is an opportunistic pathogen which can cause serious illnessopen_in_new in the elderly and others with weakened immune systems. On a positive note, E. faecium has been known to act as a probioticopen_in_new, particularly in animals, fighting off other more deadly microbes such as E. coli and sparing the host from gastrointestinal diseasesopen_in_new.
The 1970s saw enterococci become the leading cause of healthcare-associated infectionsopen_in_new. Of the over 50 strains in the Enterrococcus genus, E. faecium and E. faecalis are the two which result in the most infectionsopen_in_new in humans, and are considered the most difficult to treatopen_in_new.
Where Does it Colonize?


What can it Infect?


How does it Spread?


Preventing the Spread of Enterococcus faecium
E. faecium has a tenacity to resist antibiotics, thriving in hospital environments where these drugs are usually the first line of defense. This stubborn little bug can survive in difficult conditionsopen_in_new and on inanimate objects. A common means of transmission of the microbe is via healthcare worker’s hands.
The spread of E. faecium in humans can be minimized by:
- Removing IVs and catheters as soon as they are no longer needed
- Getting plenty of rest
- Washing hands frequently
- Covering your mouth and nose when coughing or sneezing
- Avoiding contact with medical equipment in hospitals and other facilities
- Reducing unnecessary antibiotic use
- Seeking medical advice if you suspect you are infected
The spread of E. faecium in animals can be minimized by:
- Regularly cleaning and disinfecting animal housing
- Disposing animal waste properly
- Practicing good hygiene when handling animals
- Following veterinary advice
- Regularly monitoring animal populations for the presence of bacteria
Get More Protection with UV Disinfection
In addition to the above preventative measures, germicidal ultraviolet (UV-C) surface disinfection can inactivate Enterococcus faecium in high-risk locations such as hospitals, medical facilities, nursing homes, veterinary clinics, and farms. Shop our products at AtlanticUltraviolet.comopen_in_new.
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Our germicidal lamps produce ultraviolet wavelengths at 254 nanometers, the region of maximum germicidal effectiveness. Read our FAQ blog post to learn more. See UV-C doses below.

Enterococcus faecium: Classification & UV-C Dose for Inactivation
Organism: | Alternate Name: | Type: | Disease: | UV Dose*: |
---|---|---|---|---|
Enterococcus faecium | VRE, Streptococcus faecium | Bacteria | UTIs, endocarditis, bacteremia | 9.0 mJ/cm2 |
* Nominal Ultraviolet dosage necessary to inactivate better than 99% of microorganisms. See sources below.
Looking to inactivate another pathogen? View our complete list of UV-C doses for neutralizing many more bacteria, viruses, protozoa, mold, and yeast.
People at High Risk of Infection
The following individuals are at high risk of Enterococcus faecium infection:
- Patients experiencing prolonged hospitalization
- Those residing in long-term care facilities
- The elderly or those with weakened immune systems
- Antibiotic-exposed patients
- People with chronic illnesses such as diabetes or kidney disease
- Dialysis and cancer patients
- Those using an IV or catheter
Enterococcus faecium Symptoms
Depending on the location of the infection, symptoms from exposure to E. faecium can include urinary tract issues, bloodstream infections, or wound complications.
Enterococcus faecium symptoms include the following:
- Fever
- Chills
- Body ache
- Nausea and vomiting
- Urge to urinate
- Burning during urination
- Lower back pain
- Soreness and swelling
- Fluid leakage (from wounds)
Possible Complications from Enterococcus faecium
Besides urinary tract and wound infections, some more serious ailments resulting from E. faecium may include:
- Endocarditis (infection of the heart’s inner lining or valves)
- Bacteremia (bacteria in the bloodstream)
- Sepsis (immune system disorder)
- Meningitis (brain membrane infection)
These all may lead to life-threatening conditions — and in the most serious cases, death.
Sources on Enterococcus faecium
The above information can be found on the following pages:
- Nature.com: E. faecium: evolution, adaptation, pathogenesis and emerging therapeuticsopen_in_new
- UC San Diego School of Medicine: Enterococcus (VRE)open_in_new
- Aric Journal: Enterococcus faecium: from microbiological insights to practical recommendations for infection control and diagnosticsopen_in_new
- ScienceDirect.com: Enterococcus faeciumopen_in_new
- Wikipedia: Enterococcus faeciumopen_in_new
- NIH: Enterococcus Infectionsopen_in_new
- NIH: Common Features of Opportunistic Premise Plumbing Pathogensopen_in_new
- NIH: Progress in the application of Enterococcus faecium in animal husbandryopen_in_new
- MDPI: Multidrug-Resistant Enterococcus faecium and Enterococcus faecalis Isolated from Dogs and Cats in Southern Brazilopen_in_new
- ASM Journals: Antimicrobial Resistance in Enterococcus spp. of animal originopen_in_new
- Aphis.usda.com: Enterococcus on U.S. Sheep and Lamb Operationsopen_in_new
Dosage Source
Sensitivity of Bacteria, Protozoa, Viruses, and Other Microorganisms to Ultraviolet Radiationopen_in_new. Journal of Research of the National Institute of Standards and Technology, Volume 126, Article No. 126021. August 20, 2021.
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