endocarditis, natieve klep - pneumokokken
Adviezen
benzylpenicilline iv 18milj. IU continue per 24 uur 4 weken |
ceftriaxon iv 2000mg 2dd 4 weken |
vancomycine iv oplaaddosis 20mg/kg, eenmalig + vancomycine iv 30ml/kg continue per 24 uur 4 tot 6 weken | Let op: voorkeur voor penicilline desensibilisatie (op de IC) iom allergoloog en consulent infectieziekten. |
Opmerkingen
Oplaaddosering vacomycine afronden naar boven (in stappen van 250 mg)
Opladen vancomycine: inlooptijd 2 uur !
Eerste vancomycine spiegel op dag 2 (streefwaarde: 20-25 mg/L).
Bron
Type:
Andere richtlijn (link naar externe pagina of bestand)
Link - SWAB:
off
URL:
Description:
Link naar: Endocarditis protocol UMCG
Frontpage:
Type:
Andere richtlijn (link naar externe pagina of bestand)
Link - SWAB:
off
URL:
Description:
Link naar European Society of Cardiology (ESC): Infective Endocarditis (Guidelines on Prevention, Diagnosis and Treatment of)
Frontpage:
Type:
SWAB richtlijn (link naar richtlijnen van swab.nl)
Link - SWAB:
off
Frontpage:
Type:
PubMed ID (link naar PubMed publicatie)
Link - SWAB:
off
Pubmed ID:
19713420
Publication:
Guidelines on the prevention, diagnosis, and treatment of infective endocarditis (new version 2009): the Task Force on the Prevention, Diagnosis, and Treatment of Infective Endocarditis of the European Society of Cardiology (ESC). Endorsed by the European Society of Clinical Microbiology and Infectious Diseases (ESCMID) and the International Society of Chemotherapy (ISC) for Infection and Cancer. Eur Heart J. 2009 Oct;30(19):2369-413.
Frontpage:
Type:
PubMed ID (link naar PubMed publicatie)
Link - SWAB:
off
Pubmed ID:
22086858
Publication:
Guidelines for the diagnosis and antibiotic treatment of endocarditis in adults: a report of the Working Party of the British Society for Antimicrobial Chemotherapy. J Antimicrob Chemother. 2012 Feb;67(2):269-89.
Frontpage:
Bron
- https://DocPortal.umcg.nl/Management/LinkLoader.aspx?ID=9F951EC6-5FB6-4C8E-A661-9538E5CF9C05Link naar: Endocarditis protocol UMCG
- http://eurheartj.oxfordjournals.org/content/36/44/3075Link naar European Society of Cardiology (ESC): Infective Endocarditis (Guidelines on Prevention, Diagnosis and Treatment of)
- SWAB Guideline VII - Infectieuze endocarditis
- Pubmed.gov publication #19713420Guidelines on the prevention, diagnosis, and treatment of infective endocarditis (new version 2009): the Task Force on the Prevention, Diagnosis, and Treatment of Infective Endocarditis of the European Society of Cardiology (ESC). Endorsed by the European Society of Clinical Microbiology and Infectious Diseases (ESCMID) and the International Society of Chemotherapy (ISC) for Infection and Cancer. Eur Heart J. 2009 Oct;30(19):2369-413.
- Pubmed.gov publication #22086858Guidelines for the diagnosis and antibiotic treatment of endocarditis in adults: a report of the Working Party of the British Society for Antimicrobial Chemotherapy. J Antimicrob Chemother. 2012 Feb;67(2):269-89.