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GUIDELINES ON THE
PREVENTION, DIAGNOSIS, AN
D TREATMENT OF INFECTIVE
ENDOCARDITIS

European Society of Cardiology
(version 2009)
Prophylaxsis


Indications: IIa
1.
2.
3.

4.

Prosthetic valves
Previous IE
Cyanotic Congenital heart disease, without
surgical repair, or with residual defects
Congenital heart disease with complete repair
with prosthetic material up to 6 months after
procedure
Prophylaxsis


Recommendations:
1.

2.
3.



Dental procedures requiring manipulation of the
gingiva or perforation of oral mucosa
Respiratory tract procedures? Not indicated
Gastrointestinal or urogenital procedures? Not
indicated

ANTIBIOTIC CHOICE:



Amoxicillin or ampicillin: 2g po/iv 30-60 min before
procedure
Allergy to penicillin: clindamycin 600mg po/iv 30-60
min before procedure
Diagnosis
Modified Duke’s Criteria


Major criteria
1.

Blood Cultures:
1.

2.

3.

2.

Typical microorganisms consistent with IE from two
separate bottles
Persistent positive blood cultures
Single positive blood culture for Coxiella burnetii

Echocardiography :
1.

2.

Vegetation/abscess/ new partial dehiscence of
prosthetic valve
New valvular regurge


Minor Criteria:
1.
2.
3.
4.
5.

Predisposition: heart disease/ IVDU
Fever
Vascular phenomena
Immunologic phenomena
Positive blood culture but does not meet major
criteria
Definite diagnosis of IE






2 MAJOR
1 MAJOR+ 3 MINOR
5 MINOR

POSSIBLE DIAGNOSIS: 1 MAJOR+ 1
MINOR or 3 MINOR
PREDICTORS OF POOR
OUTCOME















Old age
Prosthetic valve
IDDM
Heart failure
Renal failure
Stroke
Septic shock
S. Aureus
Fungi
Gram –ve bacilli
Large vegetation
Low ejection fraction
Severe valve regurge
Antimicrobial Treatment
Oral Streptococci


Standard treatment:
1.

2.

3.


Two week treatment:
1.
2.



Penicillin G 12-18 million U/day in 6 divided doses
(4 weeks)
Amoxicillin 100-200mg/kg/day in 4-6 doses (4
weeks)
Ceftriaxone 2g/d 1 dose (4 weeks)
Penicillin G or Amoxicillin or Ceftriaxone (2 weeks)
With Gentamicin 3mg/kg/day(2 weeks)

Penicillin allergy:


vancomycin 30mg/kg/day in 2 doses
Staphylococcus


Native valve:
1.
2.
3.



Flucloxacillin or Oxacillin 12g/d in 6 doses (4-6
weeks)
PLUS Gentamicin (3-5 days)
Penicillin allergy: vancomycin+gentamicin

Prosthetic valve:
1.
2.
3.
4.

Flucloxacillin or Oxacillin (6 weeks)
PLUS Rifampicin 1200mg/d 2 doses (6 weeks)
PLUS Gentamicin 3mg/kg/d (2 weeks)
Vancomycin for penicillin allergy
Enterococcus




Amoxicillin/ ampicillin 200mg/kg/d 4 doses (46 weeks)
PLUS Gentamicin (4-6 weeks)
Empirical treatment


NATIVE VALVE:
 Ampicillin/sulbactam
 OR

Amoxicillin/clavulanate
 WITH Gentamicin

OR
 Vancomycin

with gentamicin with ciprofloxacin


PROSTHETIC VALVE: (within 12 months
post surgery)
 VANCOMYCIN

(6 weeks)
 WITH RIFAMPICIN
 WITH GENTAMICIN (2 weeks)


Prothetic valve >12 months post surgery:
follow same protocol for native valve
Surgical Indications
1.
2.
3.

Refractory heart failure
Uncontrolled infection
Prevention of embolism

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