Combination antibiotic therapy of bacterial endocarditis

Ann Intern Med. 1980 Mar;92(3):390-5. doi: 10.7326/0003-4819-92-3-390.

Abstract

A penicillin-aminoglycoside regimen is accepted therapy for enterococcal endocarditis, but use of combinations of antibiotics in other forms of bacterial endocarditis is controversial. This review analyzes in-vitro, experimental animal model, and clinical studies of combination "synergistic" antibiotic treatment for enterococcal, viridans streptococcal, staphylococcal, and gram-negative aerobic bacillary endocarditis. Current recommendations for treatment of these entities are discussed.

Publication types

  • Review

MeSH terms

  • Aminoglycosides / administration & dosage
  • Animals
  • Anti-Bacterial Agents / administration & dosage*
  • Disease Models, Animal
  • Drug Therapy, Combination
  • Endocarditis, Bacterial / drug therapy*
  • Endocarditis, Bacterial / etiology
  • Gentamicins / administration & dosage
  • Humans
  • Penicillins / administration & dosage
  • Pseudomonas Infections / drug therapy
  • Staphylococcal Infections / drug therapy
  • Streptococcal Infections / drug therapy
  • Streptomycin / administration & dosage
  • Vancomycin / administration & dosage

Substances

  • Aminoglycosides
  • Anti-Bacterial Agents
  • Gentamicins
  • Penicillins
  • Vancomycin
  • Streptomycin