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Table 1 Summary of multiple events

From: Multiresistant-MRSA tricuspid valve infective endocarditis with ancient osteomyelitis locus

Period

Hospital Admission

Cause

Isolated pathogen

Antibiotic therapy

June 2000

ICU

Road Traffic accident

-

-

August 2000 – December 2000

Rehabilitation Unit

Rehabilitation, Orthopaedic fixation, osteomyelitis left leg

-

Ciprofloxacin 500 mg/12 h/21 days

Amoxicillin/clavulanic acid 1 g/12 h/28 days

June 2002

Orthopaedic Unit

Re-Orthopaedic fixation

MRSA

Minocycline 100 mg/12 h/14 days

Cotrimoxazole 480 mg./12 h/8 days

Teicoplanin 200 mg/24 h/8 days

September 2002

Orthopaedic Unit

Spontaneous limb fracture – Orthopaedic fixation

MRSA

Teicoplanin 400 mg/24 h/8 days

Rifampicin 600 mg/12 h/10 days

February 2003 – May 2003

Rehabilitation Unit

Rehabilitation

-

-

October 2003

Orthopaedic Unit

Autotransplantation of corticospongiosa

MRSA

Ciprofloxacin 500/12 h/14 days

Teicoplanin 200 mg/24 h/8 days

June 2004 – August 2004

Internal Medicine Unit and Cardiac Surgery Unit

Tricuspid valve endocarditis

MRSA

Cefixime 800 mg/2 days

Oxacillin 16 g/24 h/3 days + Gentamycin 240 mg/24 h/3 days

Teicoplanin 1200 mg/24 h/8 days + Cotrimoxazole 960 mg/24 h/8 days

Linezolid 600 mg/24 h/7 days

Vancomycin 3 g/24 h/12 days + Rifampicin 600 mg/24 h/12 days+ Cotrimoxazole 1440 mg/24 h/12 days

Quinupristin/dalfopristin 750 mg/8 h/36 days