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Cardiovascular system

Authoring team

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.

 

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