“Over 85% of cases of infectious endocarditis are caused by gram-positive cocci. In patients suspected of having acute infectious endocarditis, empiric antibiotic treatment should be started immediately after obtaining initial blood cultures and should include coverage against gram-positive cocci with vancomycin. For patients with prosthetic heart valves, initial coverage should include vancomycin plus rifampin. Clindamycin, levofloxacin, and trimethoprim/sulfamethoxazole have no role in the initial treatment of infectious endocarditis.” ABFM

 

Important Links

  • https://www.timeofcare.com/indication-for-surgery-in-bacterial-endocarditis/

 

Further Reading

Am Fam Physician. 2012 May 15;85(10):981-986. Infectious Endocarditis: Diagnosis and Treatment.https://www.aafp.org/afp/2012/0515/p981.html

 

Reference

http://www.aafp.org/afp/2012/0515/p981.html

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