Table 10:
Therapy of Prosthetic Valve Staphylococcal Endocarditis
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
Copyright 2003 The Cleveland Clinic Foundation

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