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What is the recommended duration of therapy for Enterococcal bacteremia from a urinary source in patients with prosthetic valves assuming negative TEE and clearance of bacteremia?

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What is the recommended duration of therapy for Enterococcal bacteremia from a urinary source in patients with prosthetic valves assuming negative TEE and clearance of bacteremia?

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1 Answer
Mednet Member
Infectious Disease · Cooperman Barnabas Medical Center
Answered on

I guess a few questions. How quickly did the blood cultures clear? How good was the quality of the TEE? What is meant by treatment of enterococcal bacteremia, a single agent or endocarditis regimen? How long was the patient sick before they came in? ESR? Hgb? I guess, peripheral stigmata can be looked for.

Addressing Question #2 first, if the prosthetic valve is mechanical or the TEE is of poor quality, the sensitivity is greatly reduced.

Overall, my approach to enterococcal bacteremia from a ...

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