Infective Endocarditis Flashcards
1
Q
Major Criteria
A
Positive blood culture with typical micro
-Staph a, strep viridans, strep bovis/gallolyticus, HACEK
TTE: endocardial involvement
2
Q
Minor Criteria
BE
FROM JANE
A
FROM JANE
Fever
Roth’s spots
Osler noders (ouchie)
murmur
Janeway lesion
anaemia
nail bed haemorrhage
emboli
3
Q
Describe Janeway Lesions and Osler Nodes
A
4
Q
Most common - native valve
A
5
Q
Most common - prosthetic valve
A
Strep viridans
Coag negative staph
6
Q
Indications for valve replacement
*strongest, others, relative
A
- Heart failure (highest indication)
- Complicated IE - heart block, anular or aortic abscess, penetrating lesions
- Highly resistant organism/fungal
- Persistent bacteremia or fever >7/7 after appropriate therapy
- Relapsing IE
- Recurrent emboli or persistent vegetation
- Vegetation >10mm
- Right sided IE with fevers/bacteremia >7/7 post appropriate treatment
7
Q
Treatment - enterococcus faecalis
A
Benpen + Cef (or gent) - given for synergistic effect
8
Q
Treatment
- Staph
- MRSA
A
- Fluclox
- Vanc
9
Q
Treatment - Strep
A
Benpen + 2/52 gen
