Gemella spp
- Surgical intervention often required.
Penicillin MIC < 0.5µg/mL
Therapy | Dose | Duration | |
---|---|---|---|
Native | Prosthetic | ||
Penicillin | 4MU IV q4h | 4 weeks | 6 weeks |
+ | |||
Gentamicin | 3mg/kg IV daily or | 4 weeks | 6 weeks |
1mg/kg IV q8h |
Penicillin MIC ≥ 0.5µg/mL
Therapy | Dose | Duration | |
---|---|---|---|
Native | Prosthetic | ||
Ceftriaxone | 2g IV daily | 4 weeks | 6 weeks |
+ | |||
Gentamicin | 3mg/kg IV daily or | 4 weeks | 6 weeks |
1mg/kg IV q8h |
Penicillin and ceftriaxone MIC ≥ 4µg/mL or Severe penicillin/cephalosporin allergy
Therapy | Dose | Duration | |
---|---|---|---|
Native | Prosthetic | ||
Vancomycin | 15mg/kg IV q8-12h | 4 weeks | 6 weeks |
+ | |||
Gentamicin | 3mg/kg IV daily or | 4 weeks | 6 weeks |
1mg/kg IV q8h |