Antibiotic treatment of streptococcal and enterococcal endocarditis: an overview

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Serval ID
serval:BIB_3F63FED97015
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Antibiotic treatment of streptococcal and enterococcal endocarditis: an overview
Journal
European Heart Journal
Author(s)
Francioli  P.
ISSN
0195-668X (Print)
Publication state
Published
Issued date
04/1995
Volume
16 Suppl B
Pages
75-9
Language
english
Notes
Journal Article
Review --- Old month value: Apr
Abstract
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.
Keywords
Anti-Bacterial Agents/*therapeutic use Drug Resistance, Microbial Drug Therapy, Combination/therapeutic use Endocarditis, Bacterial/*drug therapy/microbiology *Enterococcus/drug effects Gram-Positive Bacterial Infections/*drug therapy/microbiology Humans Streptococcal Infections/*drug therapy/microbiology
Pubmed
Web of science
Open Access
Yes
Create date
25/01/2008 18:08
Last modification date
01/10/2019 7:17
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