Document Detail

[Infective endocarditis : emergency treatment and long-term surveillance].
MedLine Citation:
PMID:  23325118     Owner:  NLM     Status:  MEDLINE    
Infective endocarditis is a serious disease that is often diagnosed with a considerable delay in clinical practice and therefore has a high mortality rate; therefore, early diagnosis and antibiotic treatment are extremely important. Epidemiological shifts in the age profile, new risk factors and the increasing use of intravascular prosthetic materials have led to changes in the microbial spectrum and clinical symptoms, which must be taken into account in the diagnostic efforts and therapy. Nonspecific symptoms and the increase in nosocomial endocarditis, especially in critically ill and immunocompromised patients require a high level of diagnostic expertise. With diagnostic algorithms based on guideline recommendations antibiotic treatment has to be initiated as early as possible. For patients with severe infective endocarditis a cardiac surgeon has to be involved from an early stage of the disease as in about 50 % of cases conservative antibiotic therapy alone does not alleviate the infection. Also early surgical treatment should be sought with the onset of complications. After effective treatment and patient survival there will always be an increased risk of suffering from renewed endocarditis. This is taken into account in the new recommendations of the European Society of Cardiology for the prevention of infective endocarditis.
S Dietz; H Lemm; H Bushnaq; H-P Hobbach; K Werdan; M Buerke
Publication Detail:
Type:  English Abstract; Journal Article    
Journal Detail:
Title:  Der Internist     Volume:  54     ISSN:  1432-1289     ISO Abbreviation:  Internist (Berl)     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-01-22     Completed Date:  2013-08-01     Revised Date:  2013-10-11    
Medline Journal Info:
Nlm Unique ID:  0264620     Medline TA:  Internist (Berl)     Country:  Germany    
Other Details:
Languages:  ger     Pagination:  51-62     Citation Subset:  IM    
Universitätsklinik und Poliklinik für Innere Medizin III, Department für Innere Medizin, Universitätsklinikum Halle, Saale, Deutschland.
Vernacular Title:
Infektiöse Endokarditis : Notfallbehandlung und Langzeitbetreuung.
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MeSH Terms
Anti-Bacterial Agents / therapeutic use*
Cardiovascular Surgical Procedures / methods*
Combined Modality Therapy / methods
Endocarditis, Bacterial / diagnosis*,  epidemiology,  therapy*
Reg. No./Substance:
0/Anti-Bacterial Agents
Comment In:
Internist (Berl). 2013 Sep;54(9):1087-8   [PMID:  23896736 ]

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