Issue: 2003 > December > special report

Optimisation of the antibiotic guidelines in the Netherlands VII. SWAB guidelines for antimicrobial therapy in adult patients with infectious endocarditis

D.W.M. Verhagen, M. van der Feltz, H.W.M. Plokker, A.G.M. Buiting, M.M. Tjoeng, J.T.M. van der Meer


The Working Party on Antibiotic Policy (Dutch acronym is
SWAB) is a Dutch organisation that develops guidelines
for in-hospital antimicrobial therapy of bacterial infectious diseases. This present guideline describes the antimicrobial treatment for adult patients with infective endocarditis. The choice and duration of antimicrobial therapy is determined by the infecting micro-organism, sensitivity of this micro-organism for antimicrobial therapy, location of the endocarditis, left-sided or right-sided, and presence of intracardial prosthetic material. In this guideline, the empirical therapy for endocarditis is discussed as well as the therapy for the most frequent causative organisms: streptococci, enterococci, staphylococci and HACEK micro-organisms