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. 2021 Sep 7;9(9):1900. doi: 10.3390/microorganisms9091900

Table 1.

Advantages and disadvantages of enterococci.

Advantages of Enterococci Reference
Commensals
Immune homeostasis [9,10]
Immunomodulatory effect [10,44,45,46,63,64,65,78]
Producing bacteriocins against pathogens [53,73,74,158]
Metabolism of carbohydrates and proteins—role in digestion [14,15]
Blocking the spread of putrefactive bacteria [14]
Lowering cholesterol levels [63,66,75]
Protective role against cancer [76]
Probiotics
Biotherapeutic—e.g., chronic sinusitis, bronchitis [13,50]
Bio-preservatives and hygiene indicator in food production [12,14,15]
Dietary supplementation for animals [46,48,67,69,70,77,78]
Starter cultures in dairy products [11,14,15,80]
After treatment with antibiotics and as treatment for vancomycin-resistant enterococci colonization [178]
Disadvantages of Enterococci Reference
Potential pathogens (e.g., urinary tract infections, endocarditis) [83,84,85,92,96,101,102,103,104,133,134]
translocation in the circulatory system (sepsis, bacteremia) [41,44,94,95,96,97]
Nosocomial infection/hospital outbreak [17,84,86,89,90]
Virulence and resistance factors can be transmitted between species or genera by horizontal gene transfer—a problem in hospital settings [116,147,148,150,164,177]
Responsible for allergic reactions [15]
Food spoilage [15,115,119]
Food poisoning (foodborne pathogens) [15]
Polyp formation and colorectal cancer [18,108,110,111]