Prophylaxis and treatment of infective endocarditis in adults: a concise guide

被引:29
作者
Ramsdale, DR
Turner-Stokes, L
机构
[1] Ctr Cardiothorac, Liverpool L14 3PE, Merseyside, England
[2] Kings Coll London, Herbert Dunhill Chair Rehabil, London WC2R 2LS, England
关键词
antibiotics; guidelines; infective endocarditis; prophylaxis; surgery;
D O I
10.7861/clinmedicine.4-6-545
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Infective endocarditis (IE) is a life-threatening disease with substantial morbidity and mortality which affects individuals with underlying structural cardiac defects who develop bacteraemia, often as a result of dental, gastrointestinal, genitourinary, respiratory or cardiac invasive/surgical procedures. Prompt recognition of the clinical diagnosis by a wide variety of medical personnel, early involvement of specialist cardiologists, cardiac surgeon and a microbiologist, and prompt treatment with the most appropriate antimicrobial agents offer the greatest chance of improving the outcome for these patients. The guidance given here to clinicians involved in the management of patients with IE briefly covers diagnosis, antibiotic prophylaxis, medical treatment and the indications for surgery.
引用
收藏
页码:545 / 550
页数:6
相关论文
共 10 条
[1]   Culture negative endocarditis [J].
Barnes, PD ;
Crook, DWM .
JOURNAL OF INFECTION, 1997, 35 (03) :209-213
[2]   Infective endocarditis -: A prospective study at the end of the twentieth century -: New predisposing conditions, new etiologic agents, and still a high mortality [J].
Bouza, E ;
Menasalvas, A ;
Muñoz, P ;
Vasallo, FJ ;
Moreno, MD ;
Fernández, MAG .
MEDICINE, 2001, 80 (05) :298-307
[3]   NEW CRITERIA FOR DIAGNOSIS OF INFECTIVE ENDOCARDITIS - UTILIZATION OF SPECIFIC ECHOCARDIOGRAPHIC FINDINGS [J].
DURACK, DT ;
LUKES, AS ;
BRIGHT, DK ;
ALBERTS, MJ ;
BASHORE, TM ;
COREY, GR ;
DOUGLAS, JM ;
GRAY, L ;
HARRELL, FE ;
HARRISON, JK ;
HEINLE, SA ;
MORRIS, A ;
KISSLO, JA ;
NICELY, LM ;
OLDHAM, N ;
PENNING, LM ;
SEXTON, DJ ;
TOWNS, M ;
WAUGH, RA .
AMERICAN JOURNAL OF MEDICINE, 1994, 96 (03) :200-209
[4]  
DURACK DT, 1990, HEART, P1230
[5]   Proposed modifications to the Duke criteria for the diagnosis of infective endocarditis [J].
Li, JS ;
Sexton, DJ ;
Mick, N ;
Nettles, R ;
Fowler, VG ;
Ryan, T ;
Bashore, T ;
Corey, GR .
CLINICAL INFECTIOUS DISEASES, 2000, 30 (04) :633-638
[6]   UNDERLYING CARDIAC LESIONS IN ADULTS WITH INFECTIVE ENDOCARDITIS - THE CHANGING SPECTRUM [J].
MCKINSEY, DS ;
RATTS, TE ;
BISNO, AL .
AMERICAN JOURNAL OF MEDICINE, 1987, 82 (04) :681-688
[7]  
Millaire A, 1997, EUR HEART J, V18, P677
[8]   RIGHT-SIDED VALVULAR ENDOCARDITIS - ETIOLOGY, DIAGNOSIS, AND AN APPROACH TO THERAPY [J].
ROBBINS, MJ ;
SOEIRO, R ;
FRISHMAN, WH ;
STROM, JA .
AMERICAN HEART JOURNAL, 1986, 111 (01) :128-135
[9]   FUNGAL ENDOCARDITIS [J].
RUBINSTEIN, E ;
LANG, R .
EUROPEAN HEART JOURNAL, 1995, 16 :84-89
[10]  
THOMAS D, 1993, ARCH MAL COEUR VAISS, V86, P1825