Vancomycin-resistant Enterococci (VRE) are enterococci that are resistant to the antibiotic vancomycin making them more difficult treat. Vancomycin resistance occurs in approximately 1% of E. faecalis and 34% of E. Faecium strains. They are sometimes referred to as Glycopeptide-resistant Enterococci (GRE). Most vancomycin-resistant Enterococcal infections are healthcare associated with high risk groups including patients with a history of antibiotic use (particularly vancomycin), presence of an invasive medical device and being immunocompromised.
When your face is not working as it should, it is very tempting to try and force the muscles back to work by doing facial exercises. Never attempt to carry out exercises without professional help as you may do more harm than good. Most people want to do something but trying too hard may lead to problems later on in your recovery. There is evidence to suggest that exercising the facial muscles too forcefully can lead to a miswiring of the nerves as they recover, leading to longer term complications known as synkinesis. Your facial nerve is no different to any other part of the body and will take time to heal. Gentle facial massage is preferable to forceful exercises, using the pads of your fingers gently massage the brow, temples, cheek, chin and neck. If you are concerned about how your recovery is going after two to three months, ask your GP to refer you to a physiotherapist or speech and language therapist for assessment and treatment. They should have specialist experience in the management and treatment of facial palsy. Our self-help videos demonstrate techniques to help with your facial nerve recovery. Read more information about facial nerve recovery here: Facial Nerve Recovery .