Prevention and treatment of infectious endocarditis – evidence-based medicine approach in the European Society of Cardiology’s Guidelines
The article presents recommendations on infectious endocarditis (IE) prevention and treatment, according to the latest evidence on risk-benefit ratio for each intervention. IE in anamnesis, prosthetic valves or other artificial implants, surgery-created ducts, complicated congenital heart disease wi...
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| Main Author: | |
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| Format: | Article |
| Language: | Russian |
| Published: |
«SILICEA-POLIGRAF» LLC
2005-08-01
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| Series: | Кардиоваскулярная терапия и профилактика |
| Subjects: | |
| Online Access: | https://cardiovascular.elpub.ru/jour/article/view/988 |
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| Summary: | The article presents recommendations on infectious endocarditis (IE) prevention and treatment, according to the latest evidence on risk-benefit ratio for each intervention. IE in anamnesis, prosthetic valves or other artificial implants, surgery-created ducts, complicated congenital heart disease with cyanosis, are regarded as high-risk situations. IE prevention, focused on Streptococcus viridans and NACEK microorganisms before dental, respiratory or esophageal interventions, and on Enterococci and Streptococcus bovis before gastro-intestinal and urogenital interventions, is performed with amoxicillin and clindamycin. Ethiotropic antimicrobial therapy includes penicillins, cephalosporins, aminoglycosides, and vancomycine. Indications for surgery are: heart failure due to acute aortic or mitral regurgitation; resistant fever and bacteriemia for 8 days and longer, despite adequate antimicrobial therapy; abscesses, fistulas, ruptures of one or more valves; heart blocks; myocarditis – the signs of process dissemination, and antibiotic-resistant flora involvement (fungi, Brucella, Coxiella). |
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| ISSN: | 1728-8800 2619-0125 |