01-22 L3 P3 Endocarditis (treatment)

Question 1

Treatment of Streptococcus viridans

Answer 1

• Penicillin or Ceftriaxone
• Shorter term (2w) Penicillin or ceftriaxone + gentamicin
• *if beta-lactam allergic vancomycin *

Question 2

Treatment for staphlyococcal endocarditis

s.aureus

Answer 2

• oxacilin or methicillin
• cefazolin
• if b-lactam allergic use vancomycin

Question 3

Treatment for MRSA or ORSA

Answer 3

• Vancomycin
• Daptomycin

Question 4

Treatment for G-

Enteronacteriaciae

Answer 4

• Ceftriaxone + gentamicin
• Ciprofloxacin + gentamicin

Question 5

Treatment for G-

Psuedomonas

Answer 5

• Piperacilin Antipseudomonal penicillin
• Cefipime antipseudomonal cephalosporin

Question 6

Treatment for G-

HACEK

(Hemophilus, aggreigaterbacter, cardiobacterium, eikenella, & kingella)

Answer 6

• susceptible to peniciliin, ampicillin, cefazolin and ceftriaxone
• above + gentamicin
  *

Question 7

Fungal endcarditis

cause?

treatment?

Answer 7

• Candida sp
• Amphotericin B

Question 8

Prevention during dental procedures?

Answer 8

Ampicillin

if allergic to penicillins use clindamycin or anithromycin