Prophylaxis against infective endocarditis: summary of NICE guidance

Richey, Roberta; Wray, D. Walter; Stokes, Tim

doi:10.1136/bmj.39510.423148.ad

Cited by 151 publications

(83 citation statements)

References 2 publications

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“…Amerika ve Avrupa kılavuzlarında sadece yüksek riskli hastalara, dişle ile ilgili işlemlerde antibiyotik profilaksisi önerilmiştir. [4][5][6] İngiltere'de ise profilaksi uygulaması tamamen terk edilmiş-tir. 5 Ancak, doktorların %20'sinin yüksek riskli hastalara profilaksi önerdiği gözlenmiştir.…”

Section: Sağ Taraf Enfekti̇f Endokardi̇ti̇unclassified

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Infective Endocarditis: Diagnosis, Treatment and Prevention: Review

Doğan¹,

Gürbüz²

2016

Turkiye Klinikleri J Cardiovasc Sci

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Section: Sağ Taraf Enfekti̇f Endokardi̇ti̇unclassified

“…[4][5][6] İngiltere'de ise profilaksi uygulaması tamamen terk edilmiş-tir. 5 Ancak, doktorların %20'sinin yüksek riskli hastalara profilaksi önerdiği gözlenmiştir. Bu kı-sıtlamalar sonrası yapılan gözlemsel çalışmalarda, endokardit sıklığında anlamlı bir artış gözlenme-miştir.…”

Section: Sağ Taraf Enfekti̇f Endokardi̇ti̇unclassified

Infective Endocarditis: Diagnosis, Treatment and Prevention: Review

Doğan¹,

Gürbüz²

2016

Turkiye Klinikleri J Cardiovasc Sci

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“…De igual forma, algunas situaciones clínicas como la hemodiá-lisis de larga data, la mala higiene dental, los procedimientos o lesiones en el tracto gastrointestinal, el uso de drogas endovenosas y la infección por el virus de la inmunodeficiencia adquirida (VIH) (8,14,15). La endocarditis con hemocultivos negativos se presenta en 5 % a 10 % de los casos, está relacionada con el comienzo de los antibióticos antes de obtener las muestras para hemocultivos y en algunas ocasiones se explica por la presencia de gérmenes de difícil crecimiento (3,7); los organismos aislados en esta forma de presentación son bacterias exigentes, como los estreptococos nutricionalmente variantes de los géne-ros Gemella, Abiotrophia y Granulicatella, los bacilos gramnegativos del grupo HACEK como Haemophilus parainfluenzae, H. aphrophilus, H. paraphrophilus, H. influenzae, Actinobacillus actinomycetemcomitans, Cardiobacterium hominis, Eikenella corrodens, Kingella kingae y K. dentrificans, y otros como Brucella y los hongos (7); Haemophilus paraphrophilus y Actinobacillus actinomycetemcomitans han sido reclasificados en el género Aggregatibacter.…”

Section: Factores De Riesgounclassified

Endocarditis infecciosa

Senior

Gándara-Ricardo

2015

iatreia

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RESUMENLa endocarditis infecciosa es una enfermedad producida por la colonización y proliferación de agentes infecciosos en la superficie endotelial del corazón. Su presentación clínica es variable pues depende de condiciones propias del hospedero, tales como el estado inmunológico, la presencia de material protésico y el uso de drogas endovenosas, y del agente causal. El diagnóstico se establece, usualmente, mediante la suma de elementos como la historia clínica, el examen físico, los hemocultivos, el ecocardiograma y otras ayudas. Presentamos el caso de un hombre adulto que acudió al hospital con un cuadro clínico de fiebre e insuficiencia cardíaca aguda. Se documentó la presencia de soplo sistólico en el foco aórtico y el ecocardiograma reveló insuficiencia valvular grave y una lesión vegetante sobre la válvula aórtica bicúspide. Requirió reemplazo valvular y completó el tratamiento antibiótico, dirigido por la sensibilidad demostrada, luego de hemocultivos positivos para Streptococcus mitis. PALABRAS CLAVEBacteriemia; Endocarditis; Insuficiencia cardíaca congestiva SUMMARY Infective endocarditisInfective endocarditis is a disease caused by colonization and proliferation of infectious agents on the endothelial surface of the heart. Its clinical presentation is variable, depending upon conditions of the patient, such as immunosuppression, presence of prosthetic material, intravenous drug use, and the etiologic agent. Diagnosis is usually established through the addition of elements such as medical history, physical examination, results of blood cultures, echocardiography and other aids. We present the case of an adult male who came to the hospital with fever and symptoms and signs of acute heart failure. The presence of a systolic murmur was documented in the aortic area, and the echocardiogram revealed severe valve regurgitation and a vegetating lesion on the bicuspid aortic valve. He required valve replacement and

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“…Guidelines from the ESC similarly recommended using dental prophylaxis only for those with highest risk of developing IE 102 . Recommendations of the British National Institute for Health and Clinical Excellence (NICE) were published in 2008 and were even more restrictive, advising against IE prophylaxis for any dental, gastrointestinal, genitourinary or respiratory tract procedures 123 .…”

Section: Preventionmentioning

confidence: 99%

Infective Endocarditis

and¹,

Malani²

2013

Inpatient Cardiovascular Medicine

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Infective endocarditis (IE) is a rare, life-threatening disease that has long-lasting effects even among patients who survive and are cured. IE disproportionately affects those with underlying structural heart disease and is increasingly associated with healthcare contact, particularly in patients who have intravascular prosthetic material. In the setting of bacteraemia with a pathogenic organism, an infected vegetation may form as the end result of complex interactions between invading microorganisms and the host immune system. Once established, IE can involve almost any organ system in the body. The diagnosis of IE may be difficult to establish and a strategy that HHS Public Access ToC blurbInfective endocarditis (IE) is caused by damage to the endocardium of the heart followed by microbial, usually bacterial, colonization. IE is a multisystem disease that can be fatal if left untreated and antimicrobial prophylaxis strategies for IE remain controversial.

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Prophylaxis against infective endocarditis: summary of NICE guidance

Cited by 151 publications

References 2 publications

Infective Endocarditis: Diagnosis, Treatment and Prevention: Review

Infective Endocarditis: Diagnosis, Treatment and Prevention: Review

Endocarditis infecciosa

Infective Endocarditis

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