Combination Antibiotic Therapy of Bacterial Endocarditis

  1. MERLE A. SANDE, M.D.; and
  2. W. MICHAEL SCHELD, M.D.
  1. Charlottesville, Virginia

    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.

    Article and Author Information

    • ▸From the Department of Medicine, University of Virginia School of Medicine; Charlottesville, Virginia.

    • ▸Requests for reprints should be addressed to Merle A. Sande, M.D.; Department of Medicine, University of Virginia; Charlottesville, VA 22908.

      • Received June 21, 1979.
      • Accepted November 20, 1979.
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