Copyright © 1995 by the European Society of Cardiology.
© 1995 The European Society of Cardiology
Antibiotic treatment of streptococcal and enterococcal endocarditis: an overview
Division of Hospital Preventative Medicine and Department of Internal Medicine, Centre Hospitalier Universitaire Vaudois 1011 Lausanne, Switzerland
Correspondence to: Dr P. Francioli, Division of Hospital Preventative Medicine and Department of Internal Medicine, Centre Hospitalier Universitaire Vaudois, 1011 Lausanne, Switzerland.
The management of streptococcal and enterococcal endocarditis has changed in recent years with the development of effective new regimens that are easier to administer, but resistance to commonly used antibiotics has appeared, especially among enterococci. Beta-lactam antibiotics either alone or in combination are suitable for most patients with viridans streptococci. Streptococci bovis, and S. pneumoniae, but alternative regimens are necessary for special situations. Group B, C and G streptococci respond best to the combination of a penicillin and an aminoglycoside.
Enterococci are relatively resistant to penicillins and cephalosporins and strains resistant to beta-lactams, glycopeptides and aminoglycosides have become more common lately. Strategies are proposed dependent on the resistance of the organisms, but it is recognized that medical failure is not uncommon and surgical removal of the infected valve may be the only curative treatment.
Key Words: Management of endocarditis resistance
![]()
CiteULike
Connotea
Del.icio.us What's this?
This article has been cited by other articles:
![]() |
W. Liu, H. Nakamura, K. Shioji, M. Tanito, S.-i. Oka, M. K. Ahsan, A. Son, Y. Ishii, C. Kishimoto, and J. Yodoi Thioredoxin-1 Ameliorates Myosin-Induced Autoimmune Myocarditis by Suppressing Chemokine Expressions and Leukocyte Chemotaxis in Mice Circulation, September 7, 2004; 110(10): 1276 - 1283. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. K. McCormick, H. Hirt, C. M. Waters, T. J. Tripp, G. M. Dunny, and P. M. Schlievert Antibodies to a Surface-Exposed, N-terminal Domain of Aggregation Substance Are Not Protective in the Rabbit Model of Enterococcus faecalis Infective Endocarditis Infect. Immun., May 1, 2001; 69(5): 3305 - 3314. [Abstract] [Full Text] [PDF] |
||||
![]() |
E. H. Froeliger and P. Fives-Taylor Streptococcus parasanguis Fimbria-Associated Adhesin Fap1 Is Required for Biofilm Formation Infect. Immun., April 1, 2001; 69(4): 2512 - 2519. [Abstract] [Full Text] [PDF] |
||||

