PMID: 6412805Sep 10, 1983Paper

Prosthetic valve endocarditis

British Medical Journal
J Moore-GillonI Phillips

Abstract

During 1965 to 1982, 32 episodes of infective endocarditis on prosthetic valves in 30 patients were treated at this hospital. In early endocarditis (presenting within four months of operation) staphylococci were the organisms most commonly responsible. Early endocarditis appears to be declining in incidence and is largely preventable; sternal sepsis was the main predisposing factor, requiring urgent and effective treatment. Streptococci were the most common organisms in late onset disease, but as with natural valve endocarditis a wide range or organisms was responsible. All but one of the patients with early onset disease were treated conservatively, but mortality was high; prompt surgical replacement of infected prostheses is probably indicated in such patients. Medical management was effective in most patients with late onset disease, and for them early surgical intervention may not be justified.

References

Nov 1, 1979·Progress in Cardiovascular Diseases·C Watanakunakorn
Aug 1, 1977·Thorax·I S Petheram, J M Boyce
Feb 1, 1985·Mayo Clinic Proceedings·G J Kontos, H V Schaff
Aug 1, 1973·Circulation·W E DismukesM N Swartz
Jun 1, 1973·Circulation·L SlaughterA Starr
May 18, 1972·The New England Journal of Medicine·M A SandeD Kaye
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Apr 3, 1982·British Medical Journal·C M Oakley
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Jan 1, 1980·The American Journal of Tropical Medicine and Hygiene·E L JarrollE A Meyer

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Citations

Dec 28, 1999·The Journal of Infection·A KrauseJ Forty
Jan 28, 1984·British Medical Journal·W R GransdenI Phillips
Feb 21, 2019·Expert Opinion on Pharmacotherapy·Daniele Roberto GiacobbeClaudio Viscoli
Sep 1, 1985·The British Journal of Surgery·M FarringtonI Phillips
Jan 1, 1985·Acta Medica Scandinavica·G GossiusK Rasmussen
May 24, 2013·Journal of Medical Microbiology·Muzahir H TayebjeeJonathan A Sandoe

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