Endocarditits Flashcards
Risk factors for endocarditis
Heart valve abnormality (calcification/sclerosis, congenital heart disease, post rheumatic fever)
Prosthetic heart valve
IVDU
IV lines
Native valve endocarditis likely pathogens
Staph aureus
Strep viridians
Enterococci
Prosthetic valve endocarditis likely pathogens
Staph epidermidis
Treatment of subacute native valve endocarditis
IV Amoxicillin and Gentamicin
Treatment of acute severe native valve endocarditis
IV Flucloxacillin
Treatment of prosthetic valve endocarditis
IV Vancomycin + Gentamicin + Rifampicin
Principles of treating endocarditis
High dose, IV, long duration (4-6 weeks)
Features of endocarditis in IVDU
Right sided (tricuspid)
Usually Staph aureus
Risk of septic PE
IV FLUCLOX