| Table 10: | |||
|
Therapy
of Prosthetic Valve Staphylococcal Endocarditis
|
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|
Isolate
|
Antibiotic
|
Regimen
|
Duration
(wk)
|
| MSSA or MSSE | Oxacillin + gentamicin + rifampin |
2
g IV every 4 h 1 mg/kg IV/IM every 8 h 300 mg PO every 8 h |
>6 First 2 >6 |
| MRSA or MRSE | Vancomycin + gentamicin + rifampin |
1
g IV every 12 h 1 mg/kg IV/IM every 8 h 300 mg PO every 8 h |
>6 First 2 >6 |
| MRSA=methicillin-resistant
Staphylococcus aureus; MRSE=methicillin-resistant Staphylococcus
epidermidis; MSSA=methicillin-sensitive Staphylococcus aureus;
MSSE=methicillin-sensitive Staphylococcus epidermidis; IV=intravenous;
IM=intramuscular; PO=orally. Doses assume normal renal function. Adapted from reference 12 |
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Copyright
2003 The Cleveland Clinic Foundation
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