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6 Cards in this Set

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PCN Susceptible (MIC <.12)
Native Valve
1)Pen G 12-18 mu x4wks (DOC)
2)Ceftriaxone 2g qd x4wks
3)Pen G or Ceftriaxone +/- Gentamicin 1 mg/kg q8h for 2 wks
4)Vanco 30mg/kg/day for 4 wks (last line-PCN allergy)
PCN Susceptible (MIC <.12)
Prosthetic Valve
1)Pen G 24 mu x6wks (DOC)+/- Gentamicin 1mg/kg q8h for 2wks
2)Ceftriaxone 2g qd x4wks +/- Gentamicin 1 mg/kg q8h for 2
3)Pen G or Ceftriaxone +/- Gentamicin 1 mg/kg q8h for 2 wks
4)Vanco 30mg/kg/day for 6 wks (last line-PCN allergy)
PCN Resistant (MIC >.12)
Native Valve
Time
1)Pen G 24 mu x4wks + Gentamicin 1 mg/kg q8h for 2 (DOC)
2)Ceftriaxone 2g qd x4wks + Gentamicin 1 mg/kg q8h for 2 wks
3)Vanco 30mg/kg/day for 4 wks (last line-PCN allergy)
PCN Resistant (MIC >.12)
Prosthetic Valve
1)Pen G 24 mu x4wks + Gentamicin 1 mg/kg q8h for 6 (DOC)
2)Ceftriaxone 2g qd x6wks + Gentamicin 1 mg/kg q8h for 6 wks
3)Vanco 30mg/kg/day for 6 wks (last line-PCN allergy)
HACEK organisms
(Haemophilus, Actinobacillus, Cardiobacterium, Eikenlla, Kingella)
Therapy:
1) Ceftriaxone 2g qd 4wks (DOC)
2)AMP/Sulbactam 3gq6h for 4 wks
3) Cipro 400mg q12h for 4 wks
IV Drug Users
Right sided ECI:
1)nafcillin or oxacillin + gent for 2 weeks
2)Daptomycin