Attention: This is an archive version of the HELP CDSS for documentation purposes. It is neither updated nor actively maintained!
Are
all
of the following conditions met?
| Exclusion of endocarditis | |
| No implanted foreign bodies | |
| No evidence of deep-seated metastatic deposits | |
| None of the subsequent blood cultures were positive (for the same pathogen) | |
| Fever reduction within 48-72h after starting therapy | |
|
Infection focus known
If "Yes"
Uncomplicated infection:
Therapy duration 14 days i.v.
|
CAVE:
| Especially when the entry point/the infection focus of the S. aureus ( S. lugdunensis ) could not be determined, in case of clinical deterioration after the end of therapy, a recurrence of bacteremia should always be considered and appropriate diagnostics (blood cultures, focus search as above) should be initiated. |
Explanatory Notes:
| If all the above points apply, it is probably an uncomplicated bacteremia. The duration of therapy is then 14 days i.v. (usually no oral therapy, if necessary consult with infectiology). | |
| Should there be a complicated bacteremia present, an individual therapy duration must be determined (usually at least 4-6 weeks ). |