Antibiotic Treatment For iE

Question 1

Strep Viridans

Answer 1

Penicillin G./ Ceftriazone and Gentamicin

Question 2

Enterococcal

Answer 2

Ampicillin and Gentamicin

Question 3

Acute Infective Endocarditis

Answer 3

IV Cloxacillin/Gentamicin

Question 4

Intravenous Drug Abusers/Staph infection

Answer 4

IV Cloxacillin/Gentamicin

Question 5

Subacute IE

Answer 5

Penicillin 12-18mu for 4 weeks; Gentamicin 1 mg/kg/d for 2 weeks

Question 6

HÁČEK

Answer 6

IV/IM Ceftriazone 2g/d for 4weeks

Question 7

Prosthetic valves

Answer 7

IV 2g q6h (every 6hours) Cloxacillin >/= 6weeks with Rifampicin 300mg per party tds (three times a day) >/= 6weeks and Gentamicin.

*Resistant: Vancomycin/Rifampicin/Gentamicin

Question 8

Indications for Surgery

Answer 8

*Congestive Cardiac failure
*Peri valvular invasive disease
*Uncontrolled infection despite maximal anti microbial therapy - drain the abscess, remove vegetation.
*Presence of prosthetic valves endocarditis unless late infection