Enterococcus faecalis | |
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Scientific classification ![]() | |
Domain: | Bacteria |
Kingdom: | Bacillati |
Phylum: | Bacillota |
Class: | Bacilli |
Order: | Lactobacillales |
Family: | Enterococcaceae |
Genus: | Enterococcus |
Species: | E. faecalis
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Binomial name | |
Enterococcus faecalis (Andrewes and Horder, 1906) Schleifer and Kilpper-Bälz, 1984
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Enterococcus faecalis – formerly classified as part of the group D Streptococcus, is a Gram-positive, commensal bacterium naturally inhabiting the gastrointestinal tracts of humans.[1][2] Like other species in the genus Enterococcus, E. faecalis is found in healthy humans and can be used as a probiotic. The probiotic strains such as Symbioflor1 and EF-2001 are characterized by the lack of specific genes related to drug resistance and pathogenesis.[3]
Despite its commensal role, E. faecalis is an opportunistic pathogen capable of causing severe infections, especially in the nosocomial (hospital) settings.[4] Enterococcus spp. is among the leading causes of healthcare-associated infections ranging from endocarditis to urinary tract infections (UTIs). Hospital-acquired UTIs are associated with catheterization because catheters provide an ideal surface for biofilm formation, allowing E. faecalis to adhere, persist, and evade both the immune response and antibiotic treatment.[4]
E. faecalis is able to grow in extreme environments due to its highly adaptive genome and lack of strong defense mechanisms.[4] Its ability to easily acquire and transfer genes across species contributes to rising antibiotic resistance. E. faecalis exhibits intrinsic resistance to multiple antibiotics, including oxazolidinones, quinolones, and most β -lactams, such as cephalosporins.[4][5]
E. faecalis has been frequently found in reinfected, root canal-treated teeth in prevalence values ranging from 30% to 90% of the cases.[6] Re-infected root canal-treated teeth are about nine times more likely to harbor E. faecalis than cases of primary infections.[7]