(ent′ĕ-rō-sēl″) [entero- + -cele] 1. A hernia of the intestine through the vagina. 2. A posterior vaginal hernia.
(ĕn″tĕr-ō-sĕn-tē′sĭs) [″ + kentesis, puncture] Puncture of the intestine to withdraw gas or fluids.
(ĕn″tĕr-ō-kō″lē-sĭs-tŏs′tō-mĕ) [″ + chole, bile, + kystis, bladder, + stoma, mouth] A surgically created opening between the gallbladder and small intestine. SYN: cholecystenterostomy.
(ĕn″tĕr-ō-kō″lĕ-sĭs-tŏt′ō-mē) [″ + ″ + ″ + tome, incision] Incision of both the gallbladder and the intestine.
(ĕn″tĕr-ŏk′lĭ-sĭs) [″ + klysis, a washing out] 1. Injection of a nutrient or medicinal liquid into the bowel. 2. Irrigation of the colon with a large amount of fluid intended to fill the colon completely and flush it. SEE: enema. 3. Radiography of the small bowel. A tube is advanced into the duodenum under fluoroscopic guidance and barium is given, followed by insufflation of the bowel with air.
(ent″ĕ-rō-kok′ŭs) [entero- + coccus] A genus of gram-positive cocci of the family Enterococcaceae, formerly classified as part of the genus Streptococcus, but now classified as a separate genus. Of the 12 or more species, E. faecalis and E. faecium are found normally in the human gastrointestinal tract. They may cause urinary tract infections or other serious infections that are resistant to many antibiotics.
(ent″ĕ-rō-kok′ŭs, ent″ĕ-rō-kok′sī″) pl. enterococci [entero- + coccus] Any bacterium of the genus Enterococcus. enterococcal (ent″e-rō-kok′ăl), adj.
vancomycin-resistant e. ABBR: VRE. A strain of Enterococcus faecium resistant to antibiotics, including penicillins, aminoglycosides, and vancomycin. Infection with VRE presents a major threat to infected patients. Although it can be treated with linezolid, its antibiotic resistance can be transferred to other gram-positive organisms, such as Staphylococcus aureus, making these bacteria more difficult to eradicate, as well.
To prevent the spread of VRE, the organism must be identified by culture and sensitivity testing as soon as the infection is recognized. Contact precautions and cohorting of infected patients are used to control nosocomial spread. Everyone entering the patient’s room must wash their hands before putting gloves on. Everyone must remove their gloves just before leaving the patient’s room and wash their hands again. Charts and flow sheets should not be taken into the room. Hospitals should heed the guidelines that have been developed for the use of vancomycin, to minimize the spread of vancomycin resistance to other organisms.
PATIENT CARE: Enterococcal infections are common and dangerous nosocomial (health care associated) diseases. SEE: antibiotic resistance; multidrug resistance.
(ĕn″tĕr-ō-kō-lĕk′tō-mē) [″ + kolon, ...