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Infective Endocarditis.

Publication ,  Journal Article
Klein, M; Wang, A
Published in: J Intensive Care Med
March 2016

Infective endocarditis (IE) is a noncontagious infection of the endocardium and heart valves. The epidemiology of IE has shifted recently with an increase in health care-associated IE. Infective endocarditis requiring intensive care unit stay is increasing, and nosocomial IE is frequently responsible. Diagnosis of IE requires multiple clinical data points encompassing history and physical examination, microbiology, and cardiac imaging as no one test is sufficiently sensitive or specific. The modified Duke criteria algorithm is the standard of care in the clinical diagnosis of IE. Complications from IE are common, particularly so in the critical care setting, and include congestive heart failure, embolism, septic shock, invasive infection, prosthetic valve dehiscence, heart block, and mycotic aneurysm. A multidisciplinary care team of infectious disease, cardiology, and cardiac surgery physicians is recommended to reduce complications. Intravenous antibiotics are first-line therapy with cardiac surgery being reserved for certain complications of IE and/or for clinical situations in which there is a high risk of complications. Timing of surgery for IE remains controversial and depends on a variety of clinical factors.

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Published In

J Intensive Care Med

DOI

EISSN

1525-1489

Publication Date

March 2016

Volume

31

Issue

3

Start / End Page

151 / 163

Location

United States

Related Subject Headings

  • Risk Assessment
  • Prognosis
  • Practice Guidelines as Topic
  • Interdisciplinary Communication
  • Intensive Care Units
  • Humans
  • Endocarditis, Bacterial
  • Emergency & Critical Care Medicine
  • Echocardiography
  • Critical Care
 

Citation

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Klein, M., & Wang, A. (2016). Infective Endocarditis. J Intensive Care Med, 31(3), 151–163. https://doi.org/10.1177/0885066614554906
Klein, Michael, and Andrew Wang. “Infective Endocarditis.J Intensive Care Med 31, no. 3 (March 2016): 151–63. https://doi.org/10.1177/0885066614554906.
Klein M, Wang A. Infective Endocarditis. J Intensive Care Med. 2016 Mar;31(3):151–63.
Klein, Michael, and Andrew Wang. “Infective Endocarditis.J Intensive Care Med, vol. 31, no. 3, Mar. 2016, pp. 151–63. Pubmed, doi:10.1177/0885066614554906.
Klein M, Wang A. Infective Endocarditis. J Intensive Care Med. 2016 Mar;31(3):151–163.
Journal cover image

Published In

J Intensive Care Med

DOI

EISSN

1525-1489

Publication Date

March 2016

Volume

31

Issue

3

Start / End Page

151 / 163

Location

United States

Related Subject Headings

  • Risk Assessment
  • Prognosis
  • Practice Guidelines as Topic
  • Interdisciplinary Communication
  • Intensive Care Units
  • Humans
  • Endocarditis, Bacterial
  • Emergency & Critical Care Medicine
  • Echocardiography
  • Critical Care