Table 2.
Depicting the suggested treatment regime for infective endocarditis in the general population as per guidelines published in American Family Physician.
| Treatment regimen for Infectious endocarditis in general population | |
|---|---|
| Empiric therapy | (i) Vancomycin or ampicillin/sulbactam with an aminoglycoside (ii) Add rifampin in patients with prosthetic valves |
|
| |
| Penicillin susceptible viridans Streptococcus or Streptococcus bovis (S. bovis) | (i) Penicillin G or ceftriaxone for 4 weeks Or (ii) Penicillin G plus gentamycin for 2 weeks Or (iii) Ceftriaxone plus gentamycin for 2 weeks Or (iv) Vancomycin for 4 weeks |
|
| |
| Relatively penicillin resistant viridans Streptococcus or S. bovis | (i) Penicillin G or ceftriaxone for 4 weeks, plus gentamycin for 2 weeks Or (ii) Vancomycin for 4 weeks |
|
| |
| Penicillin-resistant viridans Streptococcus or S. bovis | (i) Ampicillin plus gentamycin for 4–6 weeks Or (ii) Penicillin G plus gentamycin for 4–6 weeks Or (iii) Vancomycin for 6 weeks |
|
| |
| Oxacillin- susceptible staphylococci | (i) Nafcillin or oxacillin for 6 weeks, plus gentamycin for 3–5 days (optional) Or (ii) Cefazolin for 6 weeks plus gentamycin for 3–5 days (optional) |
|
| |
| Oxacillin-resistant staphylococci | (i) Vancomycin for 6 weeks |