68 results
Approaching treatment of monomicrobial Enterococcus faecalis bacteremia (MEFsB)

Dr. Uday Gulati @udaygulati

#Enterococcus #faecalis #bacteremia #MEFsB #management #treatment
monomicrobial Enterococcus ... faecalis bacteremia (MEFsB ... udaygulati #Enterococcus ... faecalis #bacteremia #MEFsB
HACEK is the acronym commonly used to describe and help doctors to remember a group of
which can also cause ... infective endocarditis ... is caused by HACEK ... is caused by Alpha-haemolytic ... Streptococcus sp.), Enterococcus
Endocarditis Algorithm - Infective vs Noninfective Causes
Noninfective:
 • Malignancy
 • Autoimmune disease
 • Systemic infection
Native Valve
Endocarditis Algorithm ... vs Noninfective Causes ... streptococci • Enterococcus ... amzn.to/2LmUODZ #Endocarditis ... #Noninfective #Causes
DENOVA score to predict endocarditis in patients with Enterococcus faecalis bacteremia
 • Duration of symptoms ≥
score to predict endocarditis ... patients with Enterococcus ... DENOVA #score #endocarditis ... #Enterococcus #
Infective Endocarditis - Indications for Surgery - "Fun-HEARTS" Mnemonic

Fungal endocarditis
Heart failure (valve dysfunction)
Enterococcus (VRE) endocarditis
Abscess, annular
Infective Endocarditis ... Mnemonic Fungal endocarditis ... dysfunction) Enterococcus ... (VRE) endocarditis ... / pSeudomonas endocarditis
Microorganisms Responsible for Infective Endocarditis

Native valves:
 - Streptococcus viridans 
 - Enterococci 
 - Other streptococci
for Infective Endocarditis ... viridans - Enterococci ... Streptococci - Enterococci ... Staphylococcus aureus - Enterococci ... #Infective #Endocarditis
Daptomycin  - Antibiotics Class Overview

Mechanism: Lipopeptide antibiotic – forms transmembrane channels and depolarizes cells.
MRSA, strep, and Enterococcus ... MRSA bacteremia/endocarditis
Mitral Valve Vegetation Echocardiogram
Juicy vegetation on a mitral valve.

31% S. Aureus (IVDUs, IV lines)
17% Strep viridans
11%
Strep viridans 11% enterococci ... Mitral #Vegetation #Endocarditis
Infective endocarditis - etiology and sources of infection. 
 • Native and prosthetic 
valve endocarditis
 •
Infective endocarditis ... prosthetic valve endocarditis ... #Infective #Endocarditis ... #Sources #Causes
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Endocarditis Summary ... positive in 90% of IE cases ... Pyogenes • Enterococci ... Septic Emboli Cause ... Treat underlying cause