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. 2011 Oct;6(4):290–297.

Table 5.

ESC suggested recommendation for empirical antibiotic therapy in endocarditis

Dose, route, duration
NVE & Late PVE Ampicillin Sulbactam (Amoxicillin Clavulanate)
plus
Gentamicine
Or
Vancomycin
Plus
Gentamicin
Plus
Ciprofloxacin
12 g/ day iv in 4 doses 4 - 6 W


3 mg/kg/day in 2- 3 doses iv/im 4 -6 W

30 mg/ kg/day in 2 doses IV 4 - 6 W

3 mg/kg/day in 2-3 doses iv/im 4 - 6 W
1000 mg/day in 2 doses orally 4 - 6 W
Or 800 mg/day in 2 doses iv
Early PVE Vancomycin
Plus
Gentamicin
Plus
Rifampin
30 mg/ kg/day in 2 doses IV 6 W

3 mg/kg/day in 2-3 doses iv/im 2 W

1200 mg/day in 2 doses orally

NVE - native valve endocarditis; PVE - prosthetic valve endocarditis, W- weeks

Adapted from reference (3)