IE Antibiotic Treatment

Question 1

Blind therapy - native valve

Answer 1

Amoxacillin +/- Gentamicin

Question 2

Blind therapy - native valve - suspected to be gram negative

Answer 2

Meropenem + Vancomycin

Question 3

Blind therapy - native valve - patient is penicillin allergic?

Answer 3

Vancomycin and Gentamicin

Question 4

Blind therapy - prosthetic valve?

Answer 4

Vancomycin + Gentamicin + Rifampicin

Question 5

Staph - native valve?

Answer 5

Flucloxacillin for 4 weeks

Question 6

Staph - native valve - suspected MRSA or penacillin allergic?

Answer 6

Vancomycin and rifampicin

Question 7

Staph - prosthetic valve?

Answer 7

Flucloxacillin

Rifampicin

Gentamicin - review after 2 weeks

Question 8

Infection via strep that is penicillin sensitive?

Answer 8

Benzylpenicillin

Question 9

Strep infection that is less sensitive to penicillin?

Answer 9

Benzylpenacillin and gentamicin

Question 10

Strep infection that is highly penicillin resistant or patient is penicillin allergic?

Answer 10

Vancomycin and Gentamicin

Question 11

Enterococci infection?

Answer 11

Amoxacillin or Benzylpenacillin

AND

Gentamicin

Question 12

Enterococci infection - penicillin allergic - length of treatment for native and prosthetic?

Answer 12

Vancomycin + Gentamicin for 4 weeks if native valve

6 weeks if prosthetic

Review gentamicin after 4 weeks

Question 13

HACEK organism infection? Length of treatment for native/prosthetic?

Answer 13

Amoxacillin for 4 weeks/6 if prosthetic AND Gentamicin