What antibiotic regimen is recommended for treating streptococcal endocarditis in children?
The recommended antibiotic regimen for treating streptococcal endocarditis in children is a 4-week course of penicillin, ampicillin, or ceftriaxone combined with gentamicin for the first 2 weeks. If the streptococcus is relatively resistant to penicillin, then a treatment regimen of 4 weeks of penicillin, ampicillin, or ceftriaxone combined with gentamicin for the first 2 weeks should be used. Alternatively, vancomycin can be used if the child is unable to tolerate -lactam antibiotic drugs. In this case, gentamicin should be added for a 4-week course.