Flashcards in infective endocarditis 2 Deck (22)
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1
what are the two most common strep organisms that cause IE
Viridans Strep
S. Bovis
2
what is the treatment for patients over 65 or with native valve IE with no resistance
penicillin G
or
Ceftriaxone
3
what is the duration of therapy for patients over 65 or with native valve IE with no resistance
4 weeks
4
what is the duration of therapy for patients on penicillin G or ceftriaxone plus gentamicin for native valve strep IE
2 weeks
5
who can't use penicillin G or ceftriaxone plus gentamicin for native valve strep IE
pts. with ascess or with a CrCl less than 20
6
what is recommended when patients are unable to tolerate beta lactam antibiotics with a native valve IE
vancomycin
7
what is the duration of vancomycin for treating a native valve strep IE
4 weeks
8
what is the recommended treatment for patients with a native valve strep IE and is penicillin intermediate/ resistant and durations?
still can use penicillin G or ceftriaxone for 4 weeks
plus gentamicin therapy for 2 weeks
OR
4 weeks of Vancomycin
9
what is recommended for PCN susceptible patients strep IE and a prosthetic valve and for what duration?
penicillin G or ceftriaxone for 6 weeks
with or without gentamicin for 2 weeks
10
what is recommended for PCN susceptible patients strep IE and a prosthetic valve unable to tolerate beta lactam antibiotics and for what duration?
vancomycin for 6 weeks
11
what is recommended for PCN intermediate/ resistant patients strep IE and a prosthetic valve unable to tolerate beta lactam antibiotics and for what duration?
vancomycin for 6 weeks
12
what is recommended for PCN intermediate/ resistant patients strep IE and a prosthetic valve and for what duration?
penicillin G or ceftriaxone for 6 weeks
PLUS
Gentamicin for 6 weeks
(vanc monotherapy is preferred)
13
what is the recommended treatment for patients with a native valve, oxacillin susceptible staph IE and duration
nafcillin for 6 weeks
with or without gentamicin for 3-5 days
14
what is the recommended treatment for patients with a native valve, oxacillin susceptible staph IE and duration for penicillin allergic patients
cefazolin for 6 weeks
with or without gentamicin for 3-5 days
(vancomycin is preferred)
15
what is the recommended treatment for patients with a native valve, oxacillin resistant staph IE and duration
vancomycin for 6 weeks
16
what is the alternative treatment for patients with a native valve, oxacillin resistant staph IE and duration
daptomycin
17
what is another name for oxacillin resistant staph strains
MRSA
18
what is another naim for oxacillin susceptible staph
MSSA
19
what is native valve staph IE treatment is avoided if a patient has a anaphylaxis reaction to penicillin
cefazolin
(go with vanc)
20
what is the recommended treatment for patients with a prosthetic valve, oxacillin susceptible staph IE and duration
nafcillin or oxacillin for 6 weeks or longer
PLUS
Rifampin for 6 weeks or longer
PLUS
Gentamicin for 2 weeks
21
what is the recommended treatment for patients with a prosthetic valve, oxacillin resistant staph IE and duration
vancomycin for 6 weeks or longer
PLUS
Rifampin for 6 weeks or longer
PLUS
Gentamicin for 2 weeks
22
