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Updated: Aug 19, 2026

A 1.5 Hour Procedure for Identification of Enterococcus Species Directly from Blood Cultures
Published on: February 10, 2011
[Use of the Streptotest kit for identification of enterococci isolated from human clinical material]
P Svec1, I Sedlácek, E Pakrová
1Ceská sbírka mikroorganismů, Prírodovĕdecká fakulta Masarykovy univerzity, Brno.
Abstract:
Enterococci are part of the common microflora of man and are isolated in large numbers also from the environment. Recently their presence in clinical material is increasing and they have become an important causal agent of nosocomial infections. From human clinical material (urine, vaginal smears, wounds) a total of 164 strains of enterococci was isolated. Identification of these isolates by means of the commercial STREPTOtest kit was not very successful (71.3%). The use of several supplementary tests and evaluation by the TNW programme improved successful identification (98.8%). The dominating species in clinical material was E. faecalis (94.5%), the second most frequent isolated species was E. faecium (3%). To achieve better identification of enterococci the authors recommend to supplement the kit by further tests (acidification of arabinose, ribose and pyruvate assimilation).
Insights
Enterococci are common bacteria, but their rising presence in clinical samples causes hospital-acquired infections. Supplementary tests significantly improve identification accuracy beyond standard kits, aiding in better patient care.
Area of Science:
- Microbiology
- Clinical Diagnostics
Context:
- Enterococci are part of normal human microflora and environmental microbiota.
- Increasing isolation from clinical specimens highlights their role in nosocomial infections.
Purpose:
- To evaluate the efficacy of a commercial identification kit for enterococci.
- To determine the most prevalent enterococcal species in human clinical samples.
- To recommend methods for improving enterococcal identification rates.
Summary:
- A study isolated 164 enterococcal strains from human clinical materials (urine, vaginal smears, wounds).
- The commercial STREPTOtest kit achieved only 71.3% identification success.
- Incorporating supplementary tests and the TNW program improved identification to 98.8%.
- Enterococcus faecalis (94.5%) was the dominant species, followed by Enterococcus faecium (3%).
Impact:
- Enhanced diagnostic protocols can improve the accurate identification of enterococci.
- Better identification aids in understanding the epidemiology of nosocomial infections.
- Recommended supplementary tests (arabinose, ribose, pyruvate assimilation) enhance diagnostic accuracy.
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