Antibiotic prophylaxis of endocarditis: new recommendations

1990 ◽  
Vol 28 (23) ◽  
pp. 90-91

The Endocarditis Working Party of the British Society for Antimicrobial Chemotherapy has recently updated its recommendations for the antibiotic prophylaxis of infective endocarditis (Endocarditis Working Party, BSAC, Lancet 1990; 335: 88–89). This follows reports of nausea after large oral doses of erythromycin stearate, previously recommended for patients allergic to penicillin who are having dental work without a general anaesthetic. An alternative, clindamycin is now introduced. This antibiotic is very active against Gram-positive cocci, the most important organisms. These are the new recommendations.

1987 ◽  
Vol 25 (13) ◽  
pp. 49-51

Infective endocarditis is at least as common today as it was 50 years ago but now affects rather older patients. Despite modern antibiotic therapy 15 to 30% of patients still die. A working party of the British Society of Antimicrobial Chemotherapy (BSAC) has recently made recommendations1 for the antibiotic treatment of streptococcal and staphylococcal endocarditis on which this article is based; advice from other specialists is also included.


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