A Vancomycin Resistant Enterococcalneonatal Septicaemia

The increasing incidence of Vancomycin resistant Enterococcci (VRE) infection is of concern because of limited treatment options and increased mortality. Here we report a rare case of Vancomycin resistant Enterococccal neonatal sepsis. A Very low birth weight male neonate with respiratory distress and suspected hyaline membrane disease was admitted to NICU had pulmonary haemorrhagia and suspected sepsis. On day 3, baby succumbed to death with naso-gastric and endotracheal bleeding. Blood culture showed growth signal within 24 hours. The culture was identified as Enterococcus species. It was confirmed as Enterococcus feacium by Automated Viteksystem. It showed resistance to all the antibiotics used; Penicillin, Oxacillin, Erythromycin Cefotaxime, Cefuroxime, Amikacin, Gentamycin, Co-trimoxazole, Amoxicillin and Vancomycin. Vancomycin resistance was confirmed by Minimum inhibitory concentration test. In Conclusion, once a culture positive for Vancomycin resistant Enterococci is isolated, the source of reservoir colonisation needs to be detected.