A New Era for Treating Enterococcus faecalis Endocarditis: Ampicillin Plus Short-Course Gentamicin or Ampicillin Plus Ceftriaxone: That Is the Question!
Abstract
E nterococci are the third most common etiologic agent of infective endocarditis worldwide after staphylococci and streptococci and cause 10% to 15% of cases. 1 Enterococcal infections are increasingly relevant, especially among the elderly and patients with comorbid conditions in the healthcare setting.2,3 Approximately 90% of cases of enterococcal endocarditis are caused by Enterococcus faecalis, with <5% caused by E. faecium.2,3 The morbidity and mortality of enterococcal endocarditis are high.The percentage of patients requiring cardiac surgery (42%) and the 1-year mortality rate (29%) have remained almost unchanged for the last 30 years; recent data show that they may even be increasing.3
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- Authors
- Miro, J. M., Pericas, J. M., & del Rio, A.
- Affiliations
- From the Infectious Diseases Service, Hospital Clinic–IDIBAPS, University of Barcelona, Barcelona, Spain.
- Venue
- Circulation
- Published
- 2013-04-30
- Volume
- 127
- Issue
- 17
- Pages
- 1763-1766
- ISSN
- 0009-7322 (ISSN-L)
- 1524-4539
- OpenAlex
- W2130478228
- Semantic Scholar
- f1b691f3aadca2114cdb66b070096792c9ae6983
- Cited by
- 46
- References
- 18
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 3 · 2023: 6 · 2022: 4 · 2021: 1 · 2020: 7 · 2019: 2 · 2018: 6 · 2017: 1 · 2015: 4 · 2014: 4 · 2013: 2
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Circulation (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Universitat de Barcelona
- Centre Hospitalier Universitaire de Rennes
- Instituto de Salud Carlos III
- Topics
- Health Sciences › Medicine › Epidemiology › Infective Endocarditis Diagnosis and Management
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Streptococcal Infections and Treatments
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Valve Diseases and Treatments
- Keywords
- Enterococcus faecalis, infective endocarditis, enterococcal endocarditis, Enterococcus faecium, antibiotic therapy, mortality, cardiac surgery, elderly patients, comorbidities
- MeSH terms
- Anti-Bacterial Agents, Endocarditis, Bacterial, Female, Gentamicins, Humans, Male, Enterococcus faecalis
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