Enterococcus Faecium and Faecalis
| Morphology | Facultatively anaerobic gram-positive bacteria. | 
|---|---|
| Disease | Nosocomial infections, including urinary tract infections, wound infections, and bacteremia. | 
| Zoonosis | High likelihood that it can be transmitted from animals to humans. | 
| Host Range | Humans and animals. | 
|---|---|
| Modes of Transmission  | Nosocomial and person-to-person; can also be transmitted on food products | 
| Signs and Symptoms | Can cause urinary tract, wound, and soft tissue infections | 
| Infectious Dose | Unknown. | 
| Incubation Period | Unknown. | 
| Prophylaxis | None available. | 
|---|---|
| Vaccines | None available. | 
| Treatment | Penicillin, ampicillin, and vancomycin. | 
| Surveillance | Monitor for symptoms. | 
| MSU Requirements | Report any exposures. | 
| Laboratory Acquired Infections (LAIs) | 
 No cases have been reported. | 
|---|---|
| Sources | Blood, urine, wound samples, and feces. Cultures, frozen stocks, other samples described in IBC protocol. | 
| Canadian MSDS: | https://www.canada.ca/en/public-health/services/laboratory-biosafety-biosecurity/pathogen-safety-data-sheets-risk-assessment/enterococcus-faecalis.html | 
|---|---|
| BMBL: | https://www.cdc.gov/labs/BMBL.html | 
| NIH Guidelines | https://osp.od.nih.gov/wp-content/uploads/NIH_Guidelines.pdf | 
| Risk Group 2 | Agents that are associated with human disease which is rarely serious and for which preventive or therapeutic interventions are often available. | 
|---|---|
| BSL2 | For all procedures involving suspected or known infectious specimen or cultures. | 
| ABSL2 | For all procedures utilizing infected animals. | 
| Small | Notify others working in the lab. Remove PPE and don new PPE. Cover area of the spill
                                                with absorbent material and add fresh 1:10 bleach:water. Allow 20 munutes (or as directed)
                                                of contact time. After 20 minutes, cleanup and dispose of materials. | 
|---|---|
| Large | 
 | 
| Mucous membrane  | Flush eyes, mouth, or nose for 5 minutes at eyewash station. | 
|---|---|
| Other Exposures  | Wash area with soap and water for 5 minutes.  | 
| Reporting | Immediately report incident to supervisor, complete a First Report of Injury form, and submit to Safety and Risk Management. | 
| Medical Follow-up  | During business hours: Bridger Occupational Health 3406 Laramie Drive. Weekdays 8am -6pm.  Weekends 9am-5pm After business hours: Bozeman Deaconess Hospital Emergency Room 915 Highland Blvd Bozeman, MT | 
| Disinfection | Susceptible to 1:10 bleach:water, 70 % ethanol, accelerated hydrogen peroxide | 
|---|---|
| Inactivation | Inactivated by moist heat (121°C for 30 min) | 
| Survival Outside Host | Can survive 5 days to 4 months on dry inanimate surfaces. Can grow and survive in harsh environments, and persist almost anywhere including soil, plants, water, and food. | 
| Minimum PPE Requirements | Lab coat, disposable gloves, safety glasses, closed toed shoes, long pants | 
|---|---|
| Additional Precautions | Additioanl PPE may be required depending on lab specific SOPs and IBC Protocol. | 
