Coagulase negative Staph, S. epidermidis

Native Valve

Therapy Dose

Duration

Cloxacillin susceptible    
Cloxacillin 2g IV q4h 6 weeks
or    
Cefazolin 2g IV q8h 6 weeks
Cloxacillin resistant    
Vancomycin 15mg/kg IV q8-12h 6 weeks

Prosthetic Valve

Therapy

Dose

Duration
Cloxacillin susceptible    
[Cloxacillin 2g IV q4h ≥ 6 weeks
or    
Cefazolin] 2g IV q8h  
+    
Gentamicin 3mg/kg IV daily 2 weeks
+    
Rifampin 300mg PO tid or ≥ 6 weeks
  600mg PO bid  
Cloxacillin resistant    

Vancomycin

15mg/kg IV q8-12h ≥ 6 weeks
+    

Gentamicin

3mg/kg IV daily 2 weeks
+    

Rifampin

300mg PO tid or ≥ 6 weeks
  600mg PO bid