Skip to main content

Endocarditis, natieve klep - Enterokok

Advices

≥ 18 years
Priority Medication Remarks
Priority:
1st choice
Medication:

amoxicilline iv 2g 6dd 6 weeks

+

ceftriaxon iv 2g 2dd 6 weeks

Remarks:

Alternatief amoxicilline: 12 gram/24 uur via continue infusie

≥ 18 years
Priority Medication Remarks
Priority:
2nd choice
Medication:

amoxicilline iv 2g 6dd 6 weeks

+

gentamicine iv 3mg/kg 1dd 6 weeks

Remarks:

Alternatief amoxicilline: 12 gram/24 uur via continue infusie

≥ 18 years

Indications: Bij penicilline allergie

Priority Medication Remarks
Medication:

vancomycine iv loading dose 20mg/kg, 40mg/kg continuous per 24 hours 6 weeks

+

gentamicine iv 3mg/kg 1dd 6 weeks

Remarks:

Maximale oplaaddosis vancomycine: 1500 mg

Alternatief vancomycine: 20 mg/kg 2 dd, oplaaddosis 30 mg/kg tot een maximum van 1500 mg

General comments

Pas de dosering van gentamicine en vancomycine aan op geleide van spiegels.

Informeer patient over bijwerkingen van langdurig gentamicine, met name risico op otoxocititeit

Sources

TDM Alert
Antimicrobial resources

The following antimicrobial agents have been used in these recommendations:

External antimicrobial resources
Menu position
Metadata

Swab vid: G-205258.7
Updated: 10/04/2023 - 09:54
Status: Published