Endocarditis infecciosa

  1. Martínez Monzonís, Amparo
  2. Abu Assi, Emad
  3. Raposeiras Roubín, Sergio
  4. Vega Fernández, J. M.
Journal:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Year of publication: 2013

Series: 11

Issue: 41

Pages: 2465-2478

Type: Article

DOI: 10.1016/S0304-5412(13)70647-4 DIALNET GOOGLE SCHOLAR

More publications in: Medicine: Programa de Formación Médica Continuada Acreditado

Sustainable development goals

Abstract

Infective endocarditis still remains a severe disease with high morbimortality rates despite substantial improvements have been made in antibiotic therapy and surgical management. Epidemiological features of infective endocarditis have changed during the last years because of an increase in the age of the patients and comorbidities accompanying the elderly. Further more, nosocomial and staphylococcal endocarditis have risen significantly. Prosthetic valve endocarditis is a serious condition whose incidence has increased in recent years. Diagnosis basis of infectious endocarditis is the modified Duke criteria, being the microbiological techniques and echocardiography the most relevant. Treatment is done with antibiotics and surgery is indicated according to the clinical evolution. Antibiotic prophylaxis has undergone major changes in recent years. These changes are intended to define more clearly when infective endocarditis prophylaxis is or is not recommended.

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