Lectures

IE Management: Antibiotic Treatment

by John Fisher, MD
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    About the Lecture

    The lecture IE Management: Antibiotic Treatment by John Fisher, MD is from the course Cardiovascular Infections.


    Included Quiz Questions

    1. Vancomycin/gentamicin
    2. Penicillin G
    3. Piperacillin/tazobactam
    4. Ampicillin
    5. Ceftriaxone/gentamicin
    1. Six weeks of intravenous therapy
    2. 6 weeks of oral therapy
    3. 2 weeks of intravenous therapy
    4. 4 weeks of combined oral and intravenous therapy
    5. 6 months or intravenous therapy
    1. Stop antibiotic therapy after 6 weeks and recheck blood cultures after antibiotics have cleared the system
    2. Repeat echocardiogram imaging at 2, 4, and 6 weeks to check for clearance of valvular vegetations
    3. Repeat blood cultures at 2, 4 and 6 weeks to check for the clearance of bacteremia
    4. Do not stop antibiotics until blood cultures are negative
    5. Repeat echocardiogram 2 months after treatment regimen is complete to check for the clearance of valvular vegetations
    1. New or worsening cardiac murmur
    2. Congestive heart failure
    3. Uncontrolled infection
    4. Embolic stroke
    5. Septic pulmonary emboli
    1. A 70-year-old with baseline congestive heart failure who develops Staphylococcus aureus prosthetic valve infective endocarditis
    2. A 28-year-old intravenous drug user with right sided infective endocarditis
    3. A 35-year-old with Enterococcus infective endocarditis
    4. A 70-year-old with native valve Streptococcus viridans infective endocarditis
    5. A 50-year-old with splenomegaly from prolonged endocarditis by a fastidious organism

    Author of lecture IE Management: Antibiotic Treatment

     John Fisher, MD

    John Fisher, MD


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