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16 Cards in this Set
- Front
- Back
Streptococcus viridians
|
-MV
-associated with native valve |
|
Staph aureus
|
-TV
-IV drug abuse -Acute onset presentation |
|
Staph epidermidis (CNS)
|
-associated with prosthetic valves (early within 1st year)
|
|
Enterococcus resistance and treatment
|
cephalospoorin resistant
combo therapy PCN or vanc + aminoglycoside |
|
Endocarditis gram - pathogens
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coliforms (ecoli, klebsiella)
psudeomonas |
|
Endocarditis fungal pathogens
|
candida, aspergillus
|
|
Blood culture negative endocarditis is caused by this group
|
HACEK
-haemophilis -actinobacillus -cardiobacterium -eikenella -kingella |
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Murmurs with endocarditis
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MV-diastolic
AV/TV-systolic |
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Strep viridans treatment
|
Penicillin 12-18 million units/day divided q4h x4 weeks
|
|
Strep viridans treatment allergic to penicillin
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Mild allergy: ceftriaxone 2g IVPB q24h + gentamicin 1mg/kg IVPB q8h for first 2 weeks
Severe allergy: Vancomycin 30-40mg/kg/day q12h x4 weeks |
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Staph aureus treatment MSSA
|
Nafcillin 2g IVPB q4h x6 weeks + gentamicin 1mg/kg q8 x3-5days
|
|
MSSA mild allergy and severe allergy
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mild: Cefazolin 2g IVPB q8h x6 wks + gentamicin 1mg/kg q8h x3-5days
severe: vanco 30-40mg/kg/day q12h x4-6 weeks |
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CNS treatment
|
Nafcillin 2g IVPM q4h + rifampin 300mg tid for >6wks + gentamicin 1mg/kg q8h x2weeks
|
|
CNS treatment (penicillin allergic or MRSE)
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Vanco 30-40mg/kg/day q12h + rifampin 300mg tid for >6 weeks + gentamicin 1mg/kg q8h x2weeks
|
|
Denatal prophylactic regimens
|
Amoxicillin 2g PO 1hr b4 procedure
NO PO: ampicllin 2g IVPB x1 (30 min b4) Clarithromycin or azithromycin 500mg PO 1hr b4 procedure Clindamycin 600mg PO 1hr before procedure or IVPB 30 min b4 procedure if can't tolerate PO |
|
GI/GU procedure prophylactic regimens
|
ampicillin 2g IVPB + gentamicin 1.5mg/kg IVPB preop(within 30mins); 6hr later, ampicillin 1g IVPB, or amoxicillin 1g PO
PCN allergic: Vancomycin 1g IVPB + gentamicin 1.5mg/kg IVPB preop (within 30mins) |