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Infective endocarditis
‫אלירן‬‫יעקובי‬
Infection occurs most frequently in those with
preexisting valvular abnormality
People at risk
• Congenital heart disease
• Chronic rheumatic heart disease
• IV Drug users
• Degenerative valve disease
• Intracardiac devices(prosthetic valve)
Diagnosis- Duke Criteria
90% sensitive
For diagnosis:
• 2 major
• 1 major + 3 minor
• 5 minor
Diagnosis-
Duke
Criteria
BE FEVEER
(*BE - Bacterial Endocarditis)
Major:
B = blood culture >2 times 12 hr part
E = Endocardial involvement from Echo
Minor:
F = Fever>38
E = Echo findings (not fulfilling a major)
V = Vascular findings
EE = Evidences from microbiological/immunology (2
evidences)
R = Risk factors/predisposing factors - drug abuse,
valvular diseases
Empiric Treatment
• Therapy of suspected Bacterial Endocarditis
▫ Uncomplicated history
 Ceftriaxone or nafcillin plus gentamycin
▫ IVDU, Congenital heart disease, MRSA use
 Nafcillin plus gentamycin plus vancomycin
▫ Prosthetic heart valve
 Vancomycin plus gentamycin plus rifampin
• Most patients will require 4 to 6 weeks of
antibiotic therapy
Surgical Treatment
• Indications for surgical management:
▫ Severe valvular dysfunction: Acute, CHF or
impaired hemodynamic status
▫ Relapsing prosthetic valve endocarditis
▫ Major embolic complications
▫ Fungal endocarditis
▫ New conduction defects or arrhythmias
▫ Persistent bacteremia

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Infective endocarditis ELIRAN JACOBI

  • 2. Infection occurs most frequently in those with preexisting valvular abnormality
  • 3. People at risk • Congenital heart disease • Chronic rheumatic heart disease • IV Drug users • Degenerative valve disease • Intracardiac devices(prosthetic valve)
  • 4. Diagnosis- Duke Criteria 90% sensitive For diagnosis: • 2 major • 1 major + 3 minor • 5 minor
  • 6. BE FEVEER (*BE - Bacterial Endocarditis) Major: B = blood culture >2 times 12 hr part E = Endocardial involvement from Echo Minor: F = Fever>38 E = Echo findings (not fulfilling a major) V = Vascular findings EE = Evidences from microbiological/immunology (2 evidences) R = Risk factors/predisposing factors - drug abuse, valvular diseases
  • 7. Empiric Treatment • Therapy of suspected Bacterial Endocarditis ▫ Uncomplicated history  Ceftriaxone or nafcillin plus gentamycin ▫ IVDU, Congenital heart disease, MRSA use  Nafcillin plus gentamycin plus vancomycin ▫ Prosthetic heart valve  Vancomycin plus gentamycin plus rifampin • Most patients will require 4 to 6 weeks of antibiotic therapy
  • 8. Surgical Treatment • Indications for surgical management: ▫ Severe valvular dysfunction: Acute, CHF or impaired hemodynamic status ▫ Relapsing prosthetic valve endocarditis ▫ Major embolic complications ▫ Fungal endocarditis ▫ New conduction defects or arrhythmias ▫ Persistent bacteremia