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Topic:Enterococcus

Enterococcus is a genus of bacteria that can be found in the gastrointestinal tract of horses, among other animals. These bacteria are part of the normal intestinal flora but can become opportunistic pathogens under certain conditions. Enterococcus species are known for their ability to survive in various environments and can contribute to infections in horses, particularly in cases of compromised immune systems or disruptions in the normal gut microbiota. Research on Enterococcus in horses focuses on understanding its role in health and disease, mechanisms of pathogenicity, and the implications for antibiotic resistance. This page compiles peer-reviewed research studies and scholarly articles that explore the prevalence, pathogenic potential, and impact of Enterococcus species on equine health.
Methicillin resistant staphylococci and broad-spectrum β-lactamase producing Enterobacteriaceae in horses.
Veterinary microbiology    May 14, 2013   Volume 167, Issue 1-2 67-77 doi: 10.1016/j.vetmic.2013.05.001
Boyen F, Smet A, Hermans K, Butaye P, Martens A, Martel A, Haesebrouck F.The use of β-lactam antibiotics results in the selection of bacteria showing resistance toward this class of antibiotics. The review focuses on the increasing importance of methicillin resistant staphylococci and broad-spectrum β-lactamase-producing Enterobacteriaceae in horses. Diagnostic protocols that optimize accurate identification of these bacteria from both clinical samples and samples obtained from putative carrier animals are described. In addition, the opportunities and pitfalls for preventive and curative measures are discussed.
Multi-drug-resistant Enterococcus spp. as a cause of non-responsive septic synovitis in three horses.
New Zealand veterinary journal    April 16, 2012   Volume 60, Issue 5 297-304 doi: 10.1080/00480169.2011.651702
Herdan CL, Acke E, Dicken M, Archer RM, Forsyth SF, Gee EK, Pauwels FE.Three Thoroughbred horses, a 6-week-old filly (Case 1), a 15-year-old broodmare (Case 2) and a yearling filly (Case 3), sustained synovial sepsis secondary to trauma. Results: Case 1 presented with a heel bulb laceration communicating with the distal interphalangeal joint. Arthroscopic lavage was performed and treatment commenced using systemic and local broad spectrum antimicrobial drugs. A pure growth of multi-drug-resistant (MDR) Enterococcus gallinarum was cultured from samples of synovium and joint fluid. Antimicrobial treatment was changed according to the susceptibility results. Respons...
Treatment with Ca(OH)2 for inactivation of Salmonella Typhimurium and Enterococcus faecalis in soil contaminated with infected horse manure.
Journal of applied microbiology    April 20, 2011   Volume 110, Issue 6 1515-1523 doi: 10.1111/j.1365-2672.2011.05006.x
Nyberg KA, Vinnerås B, Lewerin SS, Kjellberg E, Albihn A.To investigate the inactivation of Salmonella enterica serovar Typhimurium and the faecal indicator Enterococcus faecalis in horse manure:soil mixtures by application of hydrated lime (Ca(OH)(2)). Results: In laboratory incubations, the inhibitory effect of different concentrations of Ca(OH)(2), as well as different application techniques, was tested. Other variables were horse manure:soil ratio, incubation temperature (6 and 14°C) and soil type (sand/clay). Bacterial enumeration by the plate count method in samples taken at increasing intervals revealed that Ca(OH)(2) effectively reduced Sal...
Changes in faecal bacteria and metabolic parameters in foals during the first six weeks of life.
Veterinary microbiology    March 26, 2011   Volume 151, Issue 3-4 321-328 doi: 10.1016/j.vetmic.2011.03.017
Kuhl J, Winterhoff N, Wulf M, Schweigert FJ, Schwendenwein I, Bruckmaier RM, Aurich JE, Kutzer P, Aurich C.Many foals develop diarrhoea within the first two weeks of life which has been suggested to coincide with postpartum oestrus in their dams. To analyse the pathogenesis of this diarrhoea we have determined faecal bacteria in foals and their dams (n=30 each), and serum IGF-1 and γ-globulins for 6 weeks after birth. In addition, effects of β-carotene supplementation to mares (group 1: 1000 mg/day, n=15, group 2: control, n=15) on diarrhoea in foals were studied. Diarrhoea occurred in 92 and 79% of foals in groups 1 and 2, respectively, but was not correlated with oestrus in mares. Beta-carotene...
Microbiology of equine wounds and evidence of bacterial biofilms.
Veterinary microbiology    January 11, 2011   Volume 150, Issue 1-2 152-159 doi: 10.1016/j.vetmic.2011.01.003
Westgate SJ, Percival SL, Knottenbelt DC, Clegg PD, Cochrane CA.Horse wounds have a high risk of becoming infected due to their environment. Infected wounds harbour diverse populations of microorganisms, however in some cases these microorganisms can be difficult to identify and fail to respond to antibiotic treatment, resulting in chronic non-healing wounds. In human wounds this has been attributed to the ability of bacteria to survive in a biofilm phenotypic state. Biofilms are known to delay wound healing, principally due to their recalcitrance towards antimicrobial therapies and components of the innate immune response. This study describes the presenc...
Characterization of vancomycin-resistant Enterococcus faecium isolated from swine in three Michigan counties.
Journal of clinical microbiology    August 25, 2010   Volume 48, Issue 11 4156-4160 doi: 10.1128/JCM.02346-09
Donabedian SM, Perri MB, Abdujamilova N, Gordoncillo MJ, Naqvi A, Reyes KC, Zervos MJ, Bartlett P.Vancomycin-resistant enterococci are a major cause of nosocomial infections but are rarely found in humans in the community and have not been identified in food animals in the United States. We evaluated a total of 360 fecal specimens from humans and their animals being raised for exhibit at three county fairs in Michigan. Fecal samples from 158 humans, 55 swine, 50 cattle, 25 horses, 57 sheep, 14 goats, and 1 llama were obtained and plated onto Enterococcosel agar containing 16 μg/ml of vancomycin. Vancomycin-resistant Enterococcus faecium (VREF) was isolated from six pigs but not from human...
Examination of equine glandular stomach lesions for bacteria, including Helicobacter spp by fluorescence in situ hybridisation.
BMC microbiology    March 19, 2010   Volume 10 84 doi: 10.1186/1471-2180-10-84
Husted L, Jensen TK, Olsen SN, Mølbak L.The equine glandular stomach is commonly affected by erosion and ulceration. The aim of this study was to assess whether bacteria, including Helicobacter, could be involved in the aetiology of gastric glandular lesions seen in horses. Results: Stomach lesions, as well as normal appearing mucosa were obtained from horses slaughtered for human consumption. All samples were tested for urease activity using the Pyloritek assay, while mucosal bacterial content was evaluated using Fluorescence In Situ Hybridisation. In selected sub samples, bacteria characterisation was pursued further by cloning an...
Detection and genetic characterisation of vanA-containing Enterococcus strains in healthy Lusitano horses.
Equine veterinary journal    February 17, 2010   Volume 42, Issue 2 181-183 doi: 10.2746/042516409X480386
Moura I, Radhouani H, Torres C, Poeta P, Igrejas G.Lusitano horses were investigated in order to detect the presence of vancomycin-resistant enterococci. vanA isolates showed high level vancomycin (Minimum inhibitory concentration; MIC > or = 128 mg/l) and teicoplanin resistance (MIC 64 mg/l), as well as resistance to ciprofloxacin, erythromycin and tetracycline. The tet(L) and erm(B) genes, associated with tetracycline and erythromycin resistance, respectively, were found in all vanA isolates. The intestinal tract of Lusitano horses can be a potential reservoir for vanA-containing enterococci.
Microbiological sampling of carcasses by excision or swabbing with three types of sponge or gauze.
Journal of food protection    January 7, 2010   Volume 73, Issue 1 81-87 doi: 10.4315/0362-028x-73.1.81
Martínez B, Celda MF, Anastasio B, García I, López-Mendoza MC.Fifty-five bovine, 50 equine, 60 ovine, and 50 porcine carcasses were sampled in a slaughterhouse in eastern Spain. Two samples were taken from each carcass, one using the excision method and the other using the swabbing method. Four different materials were used for swabbing: cellulose, polyurethane, or viscose sponges, and medical gauze. Samples were collected at the end of the process by four different people before the carcasses were taken to the cooler. The samples were examined for total viable bacteria counts (TVCs) and Enterobacteriaceae counts (ECs). The mean TVC for all species sampl...
Enterococcus casseliflavus endophthalmitis associated with a horse tail injury.
Archives of ophthalmology (Chicago, Ill. : 1960)    November 11, 2009   Volume 127, Issue 11 1551-1552 doi: 10.1001/archophthalmol.2009.282
Khurana RN, Leder HA, Nguyen QD, Do DV.No abstract available
Prevalence of vancomycin resistance and multiple drug resistance in enterococci in equids in North India.
Journal of infection in developing countries    August 30, 2009   Volume 3, Issue 7 498-503 doi: 10.3855/jidc.467
Singh BR.Vancomycin resistant and multi-drug-resistant enterococci are the major emerging pathogens in surgical, neonatal, and tertiary care units. Methods: In this study, 267 enterococci from different clinical and non-clinical samples of equine origin were tested for their antimicrobial drug sensitivity against 19 antimicrobials using disc diffusion method. Results: A total of 80.2% enterococci tested were resistant to vancomycin and 99.6% to multiple-drugs. There was a significant association between haemolytic potential and vancomycin resistance (chi(2), 0.00). Enterococci isolates from healthy equ...
Biofilm evidence and the microbial diversity of horse wounds.
Canadian journal of microbiology    March 20, 2009   Volume 55, Issue 2 197-202 doi: 10.1139/w08-115
Freeman K, Woods E, Welsby S, Percival SL, Cochrane CA.Evidence of biofilms in human chronic wounds are thought to be responsible for preventing healing in a timely manner. However, biofilm evidence in horse wounds has not yet been documented. Consequently, this study aimed to determine whether biofilms could be detected in wounds, and to investigate the microbiology of chronic wounds in horses. Prior to analysis, wound surfaces were irrigated with 5 mL of sterile saline to remove debris. All wounds were swabbed twice (1 cm2 area) using sterile cotton-tipped swabs. In addition to this, 2 tissue biopsies were taken to investigate evidence of biofil...
Evaluation of intraoperative culture results as a predictor for short-term incisional complications in 49 horses undergoing abdominal surgery.
Veterinary therapeutics : research in applied veterinary medicine    January 1, 2009   Volume 10, Issue 4 E1-E13 
Rodriguez F, Kramer J, Fales W, Wilson D, Keegan K.This study evaluated bacterial isolates obtained during abdominal surgery and their relationship to short-term incisional complications. Samples of peritoneal fluid and from resection and/or enterotomy sites from 49 horses were cultured, with 96% having at least one positive culture result. The most common isolates were Escherichia coli, Streptococcus spp, and Enterococcus spp. Horses with small intestinal resections were more likely to grow obligate anaerobes and enteric organisms. Horses with small intestinal lesions (+/- resection) were more likely to grow enteric organisms and less likely ...
Bronchopneumonia associated with extraintestinal pathogenic Escherichia coli in a horse. DebRoy C, Roberts E, Jayarao BM, Brooks JW.Extraintestinal pathogenic Escherichia coli (ExPEC) strains carrying distinct virulence attributes are known to cause diseases in humans and animals and infect organs other than the gastrointestinal tract. A fatal case of bronchopneumonia in a 12-year-old female Quarterhorse was investigated. Following postmortem examination, E. coli, Enterococcus sp., and Klebsiella pneumonia were isolated from the lungs, which contained multifocal intra-alveolar accumulations of neutrophils and macrophages with edema, hemorrhage, and fibrin. The strain of E. coli belonged to O2H21 and carried virulence genes...
Bacteremia in equine neonatal diarrhea: a retrospective study (1990-2007).
Journal of veterinary internal medicine    July 11, 2008   Volume 22, Issue 5 1203-1209 doi: 10.1111/j.1939-1676.2008.0152.x
Hollis AR, Wilkins PA, Palmer JE, Boston RC.Bacteremia in sick foals is associated with survival, but the association of bacteremia and diarrhea is not reported. Objective: Neonatal foals with diarrhea will commonly be bacteremic. Methods: One hundred and thirty-three neonatal foals. Methods: Records of all foals <30 days of age presenting with diarrhea between January 1990 and September 2007 were reviewed. Results: Sixty-six of 133 foals (50%) were bacteremic at admission, with 75 isolates from the 66 samples. The blood culture from a further 18 foals (13.5%) grew coryneform bacteria. Nine foals (6.8%) had 2 or more organisms grown on ...
Potential of enterococci isolated from horses.
Anaerobe    April 18, 2008   Volume 14, Issue 4 234-236 doi: 10.1016/j.anaerobe.2008.04.002
Lauková A, Simonová M, Strompfová V, Styriak I, Ouwehand AC, Várady M.Faecal samples of 122 horses (from farms in Slovakia) were examined to select enterococci to study their probiotic potential for their further use as additives. Each gram of faeces contained 1.0-5.0 cfu (log 10) of enterococci. Of the 43 isolates, 25 (58.1%) were identified as Enterococcus faecium, 3 strains were (6.9%) Enterococcus mundtii and one strain was identified as E. faecalis. Fourteen isolates were not characterized further. A significant proportion of the isolates were resistant to kanamycin, vancomycin and gentamicin. Low urease activity of enterococci dominated. The values of lact...
VanA-type vancomycin-resistant enterococci in equine and swine rectal swabs and in human clinical samples.
Current microbiology    July 25, 2007   Volume 55, Issue 3 240-246 doi: 10.1007/s00284-007-0115-0
de Niederhäusern S, Sabia C, Messi P, Guerrieri E, Manicardi G, Bondi M.Vancomycin-resistant enterococci (VRE) in healthy people and in food-producing animals seems to be quite common in Europe. The existence of this community reservoir of VRE has been associated with the massive use of avoparcin in animal husbandry. Eight years after the avoparcin ban in Europe, we investigated the incidence of VanA enterococci, their resistance patterns, and the mobility of their glycopeptide-resistance determinants in a sampling of animal rectal swabs and clinical specimens. A total of 259 enterococci isolated from equine, swine, and clinical samples were subcultured on KF-stre...
Vaginal lactic acid bacteria in the mare: evaluation of the probiotic potential of native Lactobacillus spp. and Enterococcus spp. strains.
Antonie van Leeuwenhoek    June 21, 2007   Volume 93, Issue 1-2 71-78 doi: 10.1007/s10482-007-9180-4
Fraga M, Perelmuter K, Delucchi L, Cidade E, Zunino P.Lactic acid bacteria (LAB) are important members of the human vaginal microbiota and their presence is considered beneficial. However, little is known about native vaginal bacteria in other animal species such as the horse. The aim of this work was to quantify the vaginal lactic acid bacteria and lactobacilli of mares and to establish if selected equine vaginal lactic acid bacteria, particularly Lactobacillus and Enterococcus spp. strains, could exhibit potential as probiotics. The vaginal lactic acid bacteria and lactobacilli of 26 mares were quantified by plate counts. Five strains (three La...
Characterization of enterococci populations in livestock manure using BIOLOG.
Microbiological research    April 3, 2007   Volume 164, Issue 3 260-266 doi: 10.1016/j.micres.2006.11.017
Graves A, Weaver RW, Entry J.The BIOLOG system was used to generate knowledge of enterococci populations found in fresh and dry manure of livestock (cattle (Bos taurus), horse (Equus caballus), and sheep (Ovis aires)). Six-hundred and forty Enterococcus isolates from the host sources were observed as a combined fresh manure unit and a combined dry manure unit, E. casseliflavus and E. mundtii were predominant in fresh manure (36% and 35%, respectively) as well as in dry manure (51% and 28%, respectively). The other species were found at a frequency of less than 10%. A chi-square test of the two most predominant Enterococcu...
Pulmonary disposition of tilmicosin in foals and in vitro activity against Rhodococcus equi and other common equine bacterial pathogens.
Journal of veterinary pharmacology and therapeutics    November 7, 2006   Volume 29, Issue 6 561-568 doi: 10.1111/j.1365-2885.2006.00804.x
Womble A, Giguère S, Murthy YV, Cox C, Obare E.The objectives of this study were to determine the serum and pulmonary disposition of tilmicosin in foals and to investigate the in vitro activity of the drug against Rhodococcus equi and other common bacterial pathogens of horses. A single dose of a new fatty acid salt formulation of tilmicosin (10 mg/kg of body weight) was administered to seven healthy 5- to 8-week-old foals by the intramuscular route. Concentrations of tilmicosin were measured in serum, lung tissue, pulmonary epithelial lining fluid (PELF), bronchoalveolar lavage (BAL) cells, and blood neutrophils. Mean peak tilmicosin conc...
Vancomycin for the treatment of methicillin-resistant staphylococcal and enterococcal infections in 15 horses.
Canadian journal of veterinary research = Revue canadienne de recherche veterinaire    February 17, 2006   Volume 69, Issue 4 278-286 
Orsini JA, Snooks-Parsons C, Stine L, Haddock M, Ramberg CF, Benson CE, Nunamaker DM.We retrospectively reviewed the cases of 15 foals and adult horses in which vancomycin was used, alone or in combination with an aminoglycoside, to treat methicillin-resistant staphylococcal and enterococcal infections. Signalment, presenting complaint, history (including history of treatment for the current complaint), results of bacterial culture and antimicrobial susceptibility testing, treatment, and outcome were reviewed. The average vancomycin dosage was 7.5 mg/kg q8h, administered by intravenous infusion over 30 min. The infection resolved in all 7 horses with soft tissue infections and...
Transmission of opportunistic pathogens in a veterinary teaching hospital.
Veterinary microbiology    August 17, 2001   Volume 82, Issue 4 347-359 doi: 10.1016/s0378-1135(01)00396-0
Boerlin P, Eugster S, Gaschen F, Straub R, Schawalder P.Acinetobacter baumannii, Enterococcus faecalis, Enterococcus faecium, and Staphylococcus intermedius isolates from infected surgical wounds and other types of infections in a veterinary teaching hospital were typed by pulsed field gel electrophoresis. A first cluster of infections with a multiresistant A. baumannii strain was observed in dogs and cats in 1998-1999. This strain disappeared after cleaning and disinfection of the companion animals intensive care unit. It was followed in 2000 by a second multiresistant strain, which caused another cluster of infections and was also transmitted to ...
A prospective study of the roles of clostridium difficile and enterotoxigenic Clostridium perfringens in equine diarrhoea.
Equine veterinary journal    July 27, 2001   Volume 33, Issue 4 403-409 doi: 10.2746/042516401776249534
Weese JS, Staempfli HR, Prescott JF.Faecal samples from adult horses and from foals with diarrhoea or with normal faeces were evaluated for the presence of Clostridium difficile, C. difficile toxins, C. perfringens enterotoxin (CPE) and C. perfringens spore counts. Clostridium difficile was isolated from 7/55 horses (12.7%) and 11/31 foals (35.5%) with colitis, but from 1/255 normal adults (0.4%) and 0/47 normal foals (P<0.001). Clostridium difficile toxins A and/or B were detected in 12/55 diarrhoeic adults (21.8%) and 5/30 diarrhoeic foals (16.7%) but in only 1/83 adults (1.2%) and 0/21 foals with normal faeces (P<0.001 and P<...
Bacterial isolates from blood and their susceptibility patterns in critically ill foals: 543 cases (1991-1998).
Journal of the American Veterinary Medical Association    June 8, 2001   Volume 218, Issue 10 1608-1610 doi: 10.2460/javma.2001.218.1608
Marsh PS, Palmer JE.To assess microorganisms isolated from blood specimens obtained from critically ill neonatal foals and to evaluate their antimicrobial susceptibility patterns. Methods: Retrospective study. Methods: 543 neonatal foals. Methods: Medical records of foals that were < 1 month old and were admitted to a referral neonatal intensive care unit were reviewed for results of bacteriologic culture of blood and antimicrobial susceptibility patterns. Results: At least 1 microorganism was isolated from 155 of 543 (28.5%) foals. Escherichia coli was the most commonly isolated bacterium. A single gram-posit...
Heterologous expression of lacticin 3147 in Enterococcus faecalis: comparison of biological activity with cytolysin.
Letters in applied microbiology    February 13, 2001   Volume 32, Issue 2 71-77 doi: 10.1046/j.1472-765x.2001.00864.x
Ryan MP, McAuliffe O, Ross RP, Hill C.Lacticin 3147 is a broad-spectrum, two-component, lanthionine-containing bacteriocin produced by Lactococcus lactis DPC3147 which has widespread food and biomedical applications as a natural antimicrobial. Other two-component lantibiotics described to date include cytolysin and staphylococcin C55. Interestingly, cytolysin, produced by Enterococcus faecalis, has an associated haemolytic activity. The objective of this study was to compare the biological activity of lacticin 3147 with cytolysin. The lacticin 3147-encoding determinants were heterologously expressed in Ent. faecalis FA2-2, a plasm...
Prevalence of Clostridium perfringens enterotoxin and Clostridium difficile toxin A in feces of horses with diarrhea and colic.
Journal of the American Veterinary Medical Association    August 6, 1999   Volume 215, Issue 3 358-361 
Donaldson MT, Palmer JE.To determine prevalence of clostridial enterotoxins in feces of horses with diarrhea and colic, and to determine whether an association exists between detection of clostridial enterotoxins in feces and development of diarrhea as a complication of colic. Methods: Prospective case series and case-control study. Methods: 174 horses with diarrhea, colic, or problems not related to the gastrointestinal tract. Methods: Horses were assigned to 1 of 4 groups: colic with diarrhea (group 1; n = 30); colic without diarrhea (group 2; 30); diarrhea without colic (group 3; 57); and control (group 4; 57). Fe...
Results of quantitative cultures of urine by free catch and catheterization from healthy adult horses.
Journal of veterinary internal medicine    April 30, 1998   Volume 12, Issue 2 76-78 doi: 10.1111/j.1939-1676.1998.tb02098.x
MacLeay JM, Kohn CW.Quantitative urine cultures were performed on 11 male and 11 female healthy adult horses. Urine was collected by free catch and catheterization using standard methods. Results showed that all samples collected by free catch contained less than 20,000 colony-forming units (CFU)/mL. All samples collected by catheterization contained 500 CFU/mL or less. A significant difference was found between collection methods (P < .005), with catheterization having less contamination. In samples collected by free catch, females had significantly greater contamination than did males (P < .03). Predominant bac...
Presence of vancomycin-resistant enterococci in farm and pet animals.
Antimicrobial agents and chemotherapy    October 1, 1996   Volume 40, Issue 10 2285-2287 doi: 10.1128/AAC.40.10.2285
Devriese LA, Ieven M, Goossens H, Vandamme P, Pot B, Hommez J, Haesebrouck F.Enterococcus faecium strains with vanA-mediated glycopeptide resistance were isolated by enrichment culture from the intestines and feces of several animal species, mainly horses and dogs (8% positive), chickens (7% positive), and pigs (6% positive). Other vanA-positive enterococcal strains were identified as E. durans in gallinaceous birds, E. faecalis in a horse, and E. gallinarum in a pheasant. Samples from pigeons, cage birds, and ruminants were negative. It was concluded that vancomycin resistance is widespread among isolates from farm and pet animals.
Characterization and identification of Vagococcus fluvialis strains isolated from domestic animals.
The Journal of applied bacteriology    October 1, 1994   Volume 77, Issue 4 362-369 doi: 10.1111/j.1365-2672.1994.tb03436.x
Pot B, Devriese LA, Hommez J, Miry C, Vandemeulebroecke K, Kersters K, Haesebrouck F.Strains of Vagococcus fluvialis, a species of Gram-positive catalase-negative cocci, related to the genera Enterococcus and Carnobacterium, were isolated from various lesions of pigs, from lesions and tonsils of cattle and cats and from tonsils of a horse. Most lesion strains were isolated in mixed culture from animals with disease conditions unrelated to coccal infection. Certain differences with the species description of Vagococcus fluvialis were found: only a proportion of the strains was motile; many strains gave positive reactions to Voges-Proskauer, alkaline phosphatase and leucine aryl...
Vancomycin kinetics in plasma and synovial fluid following intravenous administration in horses.
Journal of veterinary pharmacology and therapeutics    December 11, 1992   Volume 15, Issue 4 351-363 doi: 10.1111/j.1365-2885.1992.tb01027.x
Orsini JA, Ramberg CF, Benson CE, Dreyfuss DJ, Vecchione JA, Kunz CC.Vancomycin hydrochloride was infused intravenously (i.v.) over a 30-min period in five horses at doses of 6.6, 11.0 and 15.4 mg/kg. Vancomycin concentration in plasma and synovial fluid samples was measured using a polarization immunoassay. A pharmacokinetic model was developed to accommodate the special features of the present study. The data were described by a two compartment open model with synovial fluid as an additional compartment in exchange with plasma. Minimum inhibitory concentration (MIC) and minimum bacterial concentration (MBC) were measured for Staphylococcus aureus and Enteroco...