Streptococci spp
Including:
S. pyogenes
S. agalactiae
Streptococcus Group C&G
Streptococcus anginosus group
Streptococcus bovis group
Streptococcus viridans group
S. pneumoniae
Therapy | Dose | Duration |
---|---|---|
Penicillin | 4MU IV q4h |
One- or two-stage exchange: 4-6 weeks Debridement and implant retention (DAIR): 12 weeks |
or | ||
Ceftriaxone | 1-2g IV daily |
One- or two-stage exchange: 4-6 weeks Debridement and implant retention (DAIR): 12 weeks |
Penicillin and ceftriaxone allergy
Therapy | Dose | Duration |
---|---|---|
Vancomycin | 15mg/kg IV q12h |
One- or two-stage exchange: 4-6 weeks Debridement and implant retention (DAIR): 12 weeks |
or | ||
Clindamycin | 450mg PO qid |
One- or two-stage exchange: 4-6 weeks Debridement and implant retention (DAIR): 12 weeks |