Infective endocarditis in the XXI century: Epidemiological, therapeutic, and prognosis changes

Nuria Fernández-Hidalgo, Benito Almirante

    Research output: Contribution to journalReview articleResearchpeer-review

    16 Citations (Scopus)

    Abstract

    Infective endocarditis (IE) is an uncommon and severe disease. Nowadays, in developed countries, IE patients are older, usually have a degenerative heart valve disease, and up to 30% acquire this infection within the health care system. In consequence, staphylococci species are the most frequently isolated microorganisms. Antimicrobial treatment for IE has significantly changed over the last decades. In IE episodes due to Staphylococcus aureus, cloxacillin-resistance makes antimicrobial election more difficult. Other microorganisms, such as enterococci and some species of streptococci, show high rates of resistance to antimicrobial agents established in guidelines. Despite improvements in the diagnosis, and medical and surgical treatment of IE, this disease continues to be associated with high rates of in-hospital mortality. At present, due to epidemiological changes, antimicrobial prophylaxis can avoid few cases of IE. Prevention of nosocomial bacteremia, an early diagnosis of IE, prompt identification of IE patients at a higher risk of mortality, and a multidisciplinary approach of this disease could be valid strategies in order to improve the outcome of these patients.© 2011 Elsevier España, S.L. All rights reserved.
    Original languageEnglish
    Pages (from-to)394-406
    JournalEnfermedades Infecciosas y Microbiologia Clinica
    Volume30
    Issue number7
    DOIs
    Publication statusPublished - 1 Jan 2012

    Keywords

    • Bias
    • Endocarditis
    • Epidemiology
    • Etiology
    • Health care
    • Incidence
    • Outcome
    • Risk factors
    • Surgery
    • Therapy

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