Treatment of Bacterial Endocarditis with Oral Penicillins.

Bacterial Endocarditis and Periodontal Disease

Bacterial endocarditis is the infection of inner lining of heart and /or heart valves. This disease is usually related to the presence of some pathogenic bacteria in mouth, digestive system or urinary tract. Most of the times, this infection happens in people with heart problems like the presence of prosthetic valves, history of previous endocarditis, some congenital heart defects and heart tra...

Treatment of bacterial endocarditis; dosage of penicillin, use of other antibiotics and treatment of patients with negative blood cultures.

Prevention of Bacterial Endocarditis in Dentistry: the New Guidline

The American Heart Association (AHA) has provided new guidelines for infective endocarditis prophylaxis in dentistry. In this paper, written for dentists, major changes in the updated recommendations which dentists should be aware have been discussed. These recommendations address the impact of oral hygiene and type of dental procedures on high-risk patients, risk of adverse reactions of antibi...

Subacute bacterial endocarditis due to Actinobacillus actinomycetemcomitans.

A case of infective endocarditis in a 59-year-old female caused by Actinobacillus actinomycetemcomitans is reported. The organism was recovered from 9 blood cultures. Despite treatment with penicillin and gentamicin the illness led to destruction of the aortic valve.

JAC pp519-22 MW3063

Enterococci are isolated from 10–20% of cases of bacterial endocarditis and therapy generally consists of a combination of a penicillin or vancomycin plus an aminoglycoside. For the penicillins, data suggest that serum concentrations should be maintained above the MIC throughout the dosing interval to prevent the loss of efficacy, since no post-antibiotic effect has been observed for these agen...