High-dose, long duration beta-lactan therapy remains the mainstay of therapy for infective endocarditis. Gentamicin and rifampin-containing regimens are no longer necessary
#MeganHicks provides updates on endocarditis and cardiovascular infections #SCCM2023
#MeganHicks provides updates on endocarditis and cardiovascular infections #SCCM2023
STS RISK-E scoring system may be used to assist with determining surgical risk. Patients with cardiogenic shock or large mobile vegetations at eminent risk of mobilization require more emergent surgery #SCCM2023
Repair of the tricuspid and mitral valves is preferred to replacement as there is potential survival benefit.
Replacement of the aortic valve is preferred #SCCM2023
Replacement of the aortic valve is preferred #SCCM2023
AngioVac is useful as bridge therapy to remove vegetation from valves, especially in patients with a history of IV drug use.
During bridging, patients receive psychotherapy for substance use disorder and decrease chance of relapse and subsequent endocarditis recurrence #SCCM2023
During bridging, patients receive psychotherapy for substance use disorder and decrease chance of relapse and subsequent endocarditis recurrence #SCCM2023
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