Clinical Practice Update on Infectious Endocarditis.
Administration, Intravenous
Administration, Oral
Anti-Bacterial Agents
/ administration & dosage
Blood Culture
Cardiac Surgical Procedures
Delayed-Action Preparations
Echocardiography
Endocarditis
/ diagnosis
Heart Valve Prosthesis Implantation
Humans
Patient Care Team
Positron-Emission Tomography
Recurrence
Risk Assessment
Substance Abuse, Intravenous
/ therapy
Addiction
Echocardiography
Endocarditis
Multidisciplinary care
Nuclear imaging
Journal
The American journal of medicine
ISSN: 1555-7162
Titre abrégé: Am J Med
Pays: United States
ID NLM: 0267200
Informations de publication
Date de publication:
01 2020
01 2020
Historique:
received:
27
07
2019
revised:
05
08
2019
accepted:
05
08
2019
pubmed:
16
9
2019
medline:
18
4
2020
entrez:
16
9
2019
Statut:
ppublish
Résumé
Infectious endocarditis is a highly morbid disease with approximately 43,000 cases per year in the United States. The modified Duke Criteria have poor sensitivity; however, advances in diagnostic imaging provide new tools for clinicians to make what can be an elusive diagnosis. There are a number of risk stratification calculators that can help guide providers in medical and surgical management. Patients who inject drugs pose unique challenges for the health care system as their addiction, which is often untreated, can lead to recurrent infections after valve replacement. There is a need to increase access to medication-assisted treatment for opioid use disorders in this population. Recent studies suggest that oral and depo antibiotics may be viable alternatives to conventional intravenous therapy. Additionally, shorter courses of antibiotic therapy are potentially equally efficacious in patients who are surgically managed. Given the complexities involved with their care, patients with endocarditis are best managed by multidisciplinary teams.
Identifiants
pubmed: 31521667
pii: S0002-9343(19)30725-9
doi: 10.1016/j.amjmed.2019.08.022
pii:
doi:
Substances chimiques
Anti-Bacterial Agents
0
Delayed-Action Preparations
0
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
44-49Informations de copyright
Copyright © 2019 Elsevier Inc. All rights reserved.