Infective Endocarditis

Sourse: http://www.uptodate.com/contents/image?imageKey=ID%2F73023&topicKey=ID%2F2143&rank=1%7E150&source=see_link&search=infective+endocarditis&utdPopup=true

Sourse: http://www.uptodate.com/contents/image?imageKey=ID%2F73023&topicKey=ID%2F2143&rank=1%7E150&source=see_link&search=infective+endocarditis&utdPopup=true

—Risk factors for IE:

Age >60 years, male sex, injection drug use, and poor dentition or dental infection.

—Comorbid conditions that confer increased risk for IE:

Structural heart disease, presence of prosthetic heart valve(s), history of infective endocarditis, presence of an intravascular device, chronic hemodialysis, and HIV infection.

Treat: —4-6 weeks of IV antibiotics starting from the time of the first NEGATVE blood culture.

  • MSSA: Amoxicillin 500mg PO qd.
  • MRSA: (6 weeks) Vancomycin or Daptomycin
  • Prosthetic valve: Add Amp/Gent

If the patient’s repeat blood cultures are positive, then he will need a TEE, and if the TEE is positive, then the patient will require 6 weeks of IV Vancomycin.

If the patient’s repeat blood cultures are negative, then plan to discontinue Vancomycin.

 

 

 

 

Source: http://www.uptodate.com/contents/image?imageKey=ID%2F53004&topicKey=ID%2F2143&rank=1%7E150&source=see_link&search=infective+endocarditis&utdPopup=true

Source: http://www.uptodate.com/contents/image?imageKey=ID%2F53004&topicKey=ID%2F2143&rank=1%7E150&source=see_link&search=infective+endocarditis&utdPopup=true

 

 

 

Source: http://2.bp.blogspot.com/-a1pgqeTklv0/UDdzuWj3kHI/AAAAAAAAABE/Ouat9i8V1Qo/s1600/osler+jenway.gif

Source: http://2.bp.blogspot.com/-a1pgqeTklv0/UDdzuWj3kHI/AAAAAAAAABE/Ouat9i8V1Qo/s1600/osler+jenway.gif

Leave a Reply

Your email address will not be published.