Enterococcus faecalis in the Vagina: Clinical Significance and Complications

Normal Vaginal Flora vs. Pathological States

• The normal vaginal environment is dominated by H₂O₂-producing Lactobacillus species that maintain a pH of 3.8-4.2, according to the CDC guidelines 1, 2

Urinary Tract Infections

• E. faecalis is the second most common cause of recurrent UTIs after E. coli, particularly in patients with risk factors for complicated UTIs, as reported by the American College of Radiology 5

Diagnostic Approach

• Microbiological culture of vaginal secretions is required for definitive diagnosis, as noted by the CDC guidelines 1, 2