Antibiotic Therapy for Infective Endocarditis Flashcards
Blind therapy for native valve
amoxicillin +/- gentamicin
Blind therapy for native valve + penicillin allergy
vancomycin + gentamicin
Blind therapy for prosthetic valve
vanocomycin + gentamicin + rifampicin
Blind therapy for prosthetic valve + penicillin allergy
vancomycin + gentamicin + rifampicin
Staphs on native valve
flucoxacillin
Staphs on native valve + allergic or MRSA
vancomycin + rifampicin
Staphs on prosthetic valve
flucoxacillin + rifampicin + gentamicin
Staphs on prosthetic valve if penicillin allergic or MRSA
vancomycin + rifampicin + gentamicin
Streps fully sensitive to penicillin
benzypenicillin
Streps less sensitive to penicillin
benzypenicillin + gentamicin
Streps if penicillin allergic or highly penicillin resistant
vancomycin + gentamisin
Enterococci
amoxicillin + gentamicin
or
benzylpenicillin + gentamicin
Enterococci if penicillin allergic
vancomycin + gentamicin
HACEK
haemophilia actinobacillus cardiobaterium eikenella kinella
HACET
amoxicillin - 4wks (6wks prosthetic)
gentamicin - 2wks