Infective Endocarditis homemade practice questions

Patient age 60

has Strep.

MIC is 0.02

Creatinine clearance 30 mL/min

• aqueous crystalline “penicillin” G sodium

  4weeks

• penicillin + gentamicin

  2 weeks

• 4 weeks penicillin + 2 weeks gentamicin

• vancomycin 2 weeks

Patient age 75

has S. bovis

MIC is 0.30

Creatinine clearance 15 mL/min

• aqueous crystalline “penicillin” G sodium

  4weeks

• penicillin + gentamicin

  2 weeks

• 4 weeks penicillin + 2 weeks gentamicin

• vancomycin 2 weeks

Patient age 75

has S. bovis

surgical history is significant for mitral valve replacement (bovine)

MIC is 0.30

Creatinine clearance 15 mL/min

• 6 weeks ceftriaxone + 2 weeks gentamicin

• penicillin + gentamicin

  2 weeks

• 4 weeks penicillin + 2 weeks gentamicin

• 6 weeks penicillin + 6 weeks gentamicin

Patient age 60

has Strep.

surgical history is significant for mitral valve replacement (bovine)

MIC is 0.02

Creatinine clearance 30 mL/min

• 6 weeks penicillin + 2 weeks gentamicin

• 6 weeks penicillin + 6 weeks gentamicin

• 4 weeks penicillin + 2 weeks gentamicin

• vancomycin 6 weeks

Patient age 60

has S. bovis

surgical history is significant for mitral valve replacement (bovine)

MIC is 0.02

Creatinine clearance 10 mL/min

• 6 weeks penicillin + 2 weeks gentamicin

• 6 weeks penicillin + 6 weeks gentamicin

• 4 weeks penicillin + 2 weeks gentamicin

• vancomycin 6 weeks

Patient

has viridians group strep (VGS)

documented allergy to penicillin (anaphylaxis)

MIC is 0.10

has CKD

• 6 weeks penicillin + 2 weeks gentamicin

• penicillin + gentamicin

  2 weeks

• 4 weeks penicillin + 2 weeks gentamicin

• vancomycin 4 weeks

Patient

has Enterococcous

documented allergy to penicillin (anaphylaxis)

Creatinine clearance 60 mL/min

• ampicillin + gentamicin

  4 weeks

• ampicillin + gentamicin

  6 weeks

• ampicillin + ceftriaxone

  6 weeks

• vancomycin + gentamicin

  6 weeks

Patient

has Enterococcous

Creatinine clearance 45 mL/min

• ampicillin + gentamicin

  4 weeks

• ampicillin + gentamicin

  6 weeks

• ampicillin + ceftriaxone

  6 weeks

• vancomycin + gentamicin

  6 weeks

Patient

has Enterococcous

has been feeling sick for 2 months

Creatinine clearance 60 mL/min

• ampicillin + gentamicin

  4 weeks

• ampicillin + gentamicin

  6 weeks

• ampicillin + ceftriaxone

  6 weeks

• vancomycin + gentamicin

  6 weeks

Patient

has Enterococcous

has been feeling sick for 4 months

Creatinine clearance 60 mL/min

• ampicillin + gentamicin

  4 weeks

• ampicillin + gentamicin

  6 weeks

• ampicillin + ceftriaxone

  6 weeks

• vancomycin + gentamicin

  6 weeks