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Endocarditis, kunstklep - Staphylococcus aureus of CNS

Advices

≥ 18 years

Indications: Methicilline gevoelig

Priority Medication Remarks
Priority:
1st choice
Medication:

flucloxacilline iv 12g continuous per 24 hours 6 weeks

+

rifampicine po 1200mg/24h 2 doses 6 weeks

+

gentamicine iv 3mg/kg/24h 1dd 2 weeks

Priority:
2nd choice
Medication:

cefazoline iv 6g continuous per 24 hours 6 weeks

+

rifampicine po 1200mg/24h 2 doses 6 weeks

+

gentamicine iv 3mg/kg/24h 1dd 2 weeks

Remarks:

Bij niet-ernstige beta-lactam allergie

Priority:
2nd choice alternative
Medication:

vancomycine iv continuous per 24 hours 6 weeks

+

rifampicine po 1200mg/24h 2 doses 6 weeks

+

gentamicine iv 3mg/kg/24h 1dd 2 weeks

Remarks:

Bij ernstige beta-lactam allergie

Bij vancomycine volg protocol: TDM vancomycine doseringen

Vancomycine streefspiegel: 20-25 mg/L

≥ 18 years

Indications: Methicilline resistent

Priority Medication Remarks
Priority:
1st choice
Medication:

vancomycine iv continuous per 24 hours 6 weeks

+

rifampicine po 1200mg/24h 2 doses 6 weeks

+

gentamicine iv 3mg/kg/24h 1dd 2 weeks

Remarks:

Bij vancomycine volg protocol: TDM vancomycine doseringen

Vancomycine streefspiegel: 20-25 mg/L

Als vancomycine niet gegeven kan worden overleg met MMB

General comments

Bij gebruik van gentamicine moeten spiegelbepalingen worden verricht.

Bij toxiciteit stop gentamicine

Sources

Antimicrobial resources

The following antimicrobial agents have been used in these recommendations:

External antimicrobial resources
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Metadata

Swab vid: G-144419.8
Updated: 09/26/2022 - 10:04
Status: Published