This episode covers non-Staphyloccal, non-Streptococcal (and non-Enterococcal) gram-positive cocci. These are variably pathogenic, but sometimes turn up in blood cultures as a contaminant.

Most are sensitive to vancomycin. However, there are some gram positive bugs that are Van-R:

• Haemolyticus (Staph)
• Enterococcus (gallinarum + casseliflavus)
• Erysipelothrix
• Lactobacillus (this is a bacilli)
• Leuconostoc
• Pediococcus

Pnemonic is HEELLP, as in ‘HEELLP, my vancomycin isn’t working!’

• Stuff that looks a bit Staphy (Cat pos)
• Stuff that looks a bit Streppy (Cat neg)
• Anaerobic stuff

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