Hematogenous 2° to endocarditis
(usually multiple abscesses)
- Blood cultures must be taken.
- If pathogen known, refer to Culture-directed Endocarditis
Usual Pathogens
Viridans Group Streptococci
S. aureus/MRSA
HACEK
| Empiric Therapy | Dose | Duration |
|---|---|---|
| Ceftriaxone | 2g IV q12h | 6-8 weeks |
| + | ||
| Vancomycin | 15mg/kg IV q8-12h | |
| + | ||
| Metronidazole | 500mg IV/PO q8h |