cardiovascular system
Last reviewed 01/2018
Endocarditis due to:-
| Penicillin sensitive streptococci (eg Strep viridans) | Benzylpenicillin (or vancomycin if allergic) + low-dose gentamicin . Treat for 4/52. Stop gent after 2/52 if fully penicillin sensitive. |
| Streptococci with reduced sensitivity to Penicillin (eg Strep. faecalis) | Benzylpenicillin (or vancomycin if allergic) + low-dose gentamicin . Treat for at least 4/52. |
| Staphylococcus aureus & + Staph epidermidis. | Flocloxacillin/cloxacillin + either gentamicin or fusidic acid (or vancomycin alone if allergic). Treat for at least 4/52. Stop gent after 2/52. |
These are only guidelines. Seek expert help from bacteriologist for definitive treatment.