Management of infective endocarditis and multidisciplinary approach

Médecine et maladies infectieuses
F CamouN Issa

Abstract

The morbi-mortality related to infective endocarditis (IE) remains high as the epidemiology has changed over the last years: ageing of patients, comorbidity and healthcare-associated infections. To optimize IE management, a weekly endocarditis multidisciplinary meeting (EMM) was set up at our facility. We present the activity report of the EMM. All patients hospitalized for IE who were presented at the weekly EMM between January 2013 and June 2017 were prospectively included. The main objective was to assess the impact of the EMM on the management of community-acquired IE and healthcare-associated IE by analyzing in-hospital case fatality. Of the 1139 cases reported during the EMM for suspicion of IE, 493 (86% were definite cases) were selected for the study: 262 patients had community-acquired IE and 231 had healthcare-associated IE; 43% of IEs involved a valvular prosthesis. Following the EMM, infections were documented in 92% of cases: staphylococci in 45% of healthcare-associated IEs and streptococci in 44% of community-acquired IE cases. A septic embolism was diagnosed in 57% of cases. Finally, 49% of patients underwent surgery. The in-hospital case fatality was 12% with no significant difference between community-acquired...Continue Reading

References

Oct 7, 2008·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Nuria Fernández-HidalgoAlbert Pahissa
Jul 29, 2009·Archives of Internal Medicine·Elisabeth Botelho-NeversDidier Raoult
Mar 2, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Samer A M NashefUlf Lockowandt
Apr 12, 2012·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Christine Selton-SutyUNKNOWN AEPEI Study Group
Sep 6, 2015·Lancet·Thomas J Cahill, Bernard D Prendergast
Sep 17, 2015·Circulation·Larry M BaddourUNKNOWN American Heart Association Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease of the Council on Cardiovascular
Jan 21, 2017·Journal of the American College of Cardiology·Thomas J CahillBernard D Prendergast

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Citations

Jul 16, 2020·Human Psychopharmacology·Ying-Chih ChengWei-Lieh Huang
May 22, 2019·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·Olivia PeuchantFabrice Camou
Aug 17, 2020·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Florent Von TokarskiLouis Bernard
Aug 3, 2021·Infection·Christina Otto-LambertzNorma Jung

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