management infective endocarditis Flashcards
1
Q
initial blind therapy - native valve
A
amoxicillin
2
Q
initial blind therapy - penicillin allergic, MRSA, severe sepsis
A
vancomycin + gentamicin
3
Q
initial blind therapy - prosthetic valve
A
vancomycin + rifampicin + gentamicin
4
Q
Native valve endocarditis caused by staphylococci
A
flucloxacillin
if pen allergic or MRSA - vancomycin + rifampicin
5
Q
Prosthetic valve endocarditis caused by staphylococci
A
flucloxacillin + rifampicin + gentamicin
6
Q
Endocarditis caused by fully-sensitive streptococci (e.g. viridans)
A
benzylpenicillin
if pen allergic - vancomycin + gentamicin
7
Q
Endocarditis caused by less sensitive streptococci
A
benzylpenicillin + gentamicin
8
Q
indications for surgery
A
severe valvular incompetence aortic abscess - long PR interval resistant infection fungal infection cardiac failure recurrent emboli
