Infective endocarditis is defined by a focus of infection within the heart and is a feared disease across the field of cardiology. Esc guidelines on infective endocarditis prevention. Infective endocarditis occurs worldwide, and is defined by infection of a native or prosthetic heart valve, the endocardial surface, or an indwelling cardiac device. Current epidemiology and outcome of infective endocarditis. The epidemiology of infective endocarditis has become more complex with todays myriad healthcareassociated factors that predispose to infection. The challenges posed by infective endocarditis are significant. The causes and epidemiology of the disease have evolved in recent decades with a doubling of the average patient age and an increased prevalence in patients with indwelling cardiac devices. Nishimura ra, otto cm, bonow ro, carabello ba, erwin jp 3rd, guyton ra, et al. Antimicrobial prophylaxis is recommended for use in fewer patients and for a smaller number of invasive procedures. The new american heart association aha guidelines on antimicrobial prophylaxis for endocarditis published in 2007 represent a major step in the evolution of these guidelines 1. Endocarditis infecciosa con estafilococos coagulasanegativos. Endocarditis no infecciosa trastornos cardiovasculares.
Estas y otras presentaciones, casos clinicos, guias, resumenes. Practice guidelines are systematically developed statements to assist practitioners and patients in making decisions about appropriate health care for specific clinical circumstances. These revisions were aimed at simplifying recommendations and ensuring consistency with the published evidence over the past two decades 1, 2. These revisions were based on the fact that current data have brought. Indications for cardiac surgery in the management of infective endocarditis ie adapted from the european society for cardiology guidelines 49 and the american heart association. Ie disproportionately affects those with underlying. A scientific statement for healthcare professionals from the american heart association.
Despite optimal care, mortality approaches 30% at 1 year. The timing of surgery should be judged on a casebycase basis, but the relative urgency of different indications is given in figure 5. A report of the american college of cardiology american heart association task force on practice guidelines vol. Aha scientific statement 1435 backgroundinfective endocarditis is a potentially lethal disease that has undergone major changes in both host and pathogen.
The american heart association 2007 endocarditis prophylaxis. Infective endocarditis ie is a rare, lifethreatening disease that has longlasting effects even among patients who survive and are cured. Endocarditis infecciosa ei cesar patino aguirre veronica perez guerra andres felipe quintero medicina udea juan fernando quiroz rua. Focused update incorporated into the accaha guidelines for the management for. Attributes of good guidelines include validity, reliability, reproducibility, clinical applicability, clinical flexibility, clarity, multidisciplinary process. Endocarditis infecciosa evid med invest salud 2014. Infective endocarditis ie, also called bacterial endocarditis be, is an infection caused by bacteria that enter the bloodstream and settle in the heart lining, a heart valve or a blood vessel. Infective endocarditis has been recognized as a clinical entity since the 1950s. In 2007, the american heart association aha and the british society for antimicrobial chemotherapy undertook major revisions of their infective endocarditis ie prophylaxis guidelines. Management considerations in infective endocarditis. The most recent revision of the american heart association guidelines on infective endocarditis prophylaxis occurred in 2007. Guidelines for the diagnosis and antibiotic treatment of. Moreover, changes in pathogen prevalence, in particular a more common.
Endocarditis infecciosa trastornos cardiovasculares. Accaha 2006 guidelines for the management of patients with valvular heart disease. Mar 04, 2014 etiologia, sintomas, diagnostico y tratamiento. Diagnosis, antimicrobial therapy, and management of complications. In 1955, the american heart association aha first established guidelines for the treatment of infective endocarditis. It is no exaggeration to say that endocarditis infecciosa is an extraordinarily good book and. It is frequently acquired in the health care setting, and more than onehalf of cases now occur in patients without known heart disease. The epidemiology of infective endocarditis has become more complex wit. After all, the accaha task force classifies this as type iib. Endocarditis infecciosa con hemocultivos positivos.1397 1009 744 61 1428 801 1283 1054 182 5 1456 695 1127 912 872 402 214 260 1304 1098 1221 99 312 248 935 1269 774 505 1085 1507 1141 376 1128 909 1221 976 1491 669 1121 189 529