Charles A. Kennedy, MD
To the Editor: Chambers and colleagues ( 1 ) reported a bacteriologic cure in 47 of 50 (94%) patients with right-sided staphylococcal endocarditis who were treated with nafcillin and tobramycin for 2 weeks. In 127 intravenous drug users, 140 episodes of staphylococcal bacteremia were prospectively evaluated. Seventy cases of bacteremia and suspected endocarditis were excluded from the study by well-defined criteria, including patients' refusal to consent, an allergy to the study drugs, formation of a metastatic abscess, renal insufficiency, the presence of a methicillin-resistant organism, left-sided endocarditis, and pregnancy. Seventeen patients had findings considered for criteria exclusion after the institution
Kennedy CA. Right-Sided Endocarditis with Staphylococcus aureus. Ann Intern Med. ;110:496–498. doi: 10.7326/0003-4819-110-6-496_2
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Published: Ann Intern Med. 1989;110(6):496-498.
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