Medicinski pregled 2011 Volume 64, Issue 5-6, Pages: 319-322
https://doi.org/10.2298/MPNS1106319S
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Prophylaxis of infective endocarditis
Sakač Dejan (Institut za kardiovaskularne bolesti Vojvodine, Sremska Kamenica)
Kovačević Dragan V. (Institut za kardiovaskularne bolesti Vojvodine, Sremska Kamenica)
Sekulić Slobodan (Klinički centar Vojvodine, Klinika za neurologiju, Novi Sad)
Introduction. Infective endocarditis is defined as an infection of the
endothelial surface of the heart and heart valves, above all. It is a great
challenge for doctors to diagnose infective endocarditis especially in
primary health care, because this is a disease in evolution, bearing in mind
changes in epidemiological and clinical characteristics, which developed in
the last decades. Even today this is a very severe and insidious disease,
with poor prognosis and high mortality. Prevention of Infective Endocarditis.
Although previous guidelines proposed a limitation to prophylaxis in patients
at increased risk of adverse outcome of infective endocarditis, new
guidelines recommend the principles of antibiotic prophylaxis when performing
procedures at risk of infective endocarditis in patients with predisposing
cardiac conditions, and limit its indication to patients at the highest risk
of infective endocarditis undergoing the highest risk procedures. Conclusion.
Despite the fact that previous guidelines for diagnostics and treatment of
infective endocarditis were published only several years ago, the Task Force
on Prevention, Diagnosis and Treatment of Infective Endocarditis of the
European Society of Cardiology identify infective endocarditis as a clearly
evolving disease, with changes in its microbiological profile and higher
incidence of health care associated cases which has brought about a need for
new recommendations to help health care providers in making clinical
decisions including preventive measures and antibiotic prophylaxis. As a
novelty, a group of patients at the highest risk of infective endocarditis
was defined as well as the type of procedures at risk divided into four
categories.
Keywords: Endocarditis, Endocarditis, Bacterial, Antibiotic Prophylaxis, Diagnosis, Heart Valve Prosthesis, Dental Care, Risk Factors
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