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Antimicrobial susceptibility testing. Determine vancomycin resistance as well as high-level resistance to penicillin and. aminoglycosides for enterococci isolated from blood, sterile body sites (with the. possible exception of urine), and other sites as clinically indicated. Evaluate the.
Vancomycin is an inhibitor of cell wall synthesis and is bactericidal for gram positive organisms. Antibiotics exert their effects via five basic mechanisms: (1) Inhibition of cell wall synthesis (cephalosporins, penicillins, vancomycin, imipenem). (2) Increasing cell membrane permeability (Bacitracin).