Endocarditis Flashcards
1
Q
Dukes criteria: Major
A
2
Q
Dukes criteria: Minor
A
3
Q
Early surgery (native valve IE). Early valve surgery is recommended, or should be considered, for native left-sided IE in the following scenarios:
A
- Valve dysfunction resulting in symptoms or signs of heart failure.
- IE caused by fungi or highly resistant organisms.
- IE complicated by heart block, annular abscess, or destructive perforating lesions.
- Persistent infection (bacteremia or fever) lasting >5-7 days after the start of appropriate antimicrobial therapy, assuming other sources of infection or fever have been excluded.
- Recurrent emboli or persistent/enlarging vegetations despite appropriate antimicrobial therapy.
4
Q
Early surgery (prosthetic valve IE). Early valve surgery is recommended, or should be considered, for prosthetic vale IE in the following scenarios:
A
- Symptoms or signs of heart failure resulting from valve dehiscence, intracardiac fistula, or severe prosthetic dysfunction.
- Persistent bacteremia >5-7 days after the start of appropriate antimicrobial therapy.
- Prosthetic valve IE complicated by heart block, annular abscess, or destructive perforating lesions.
- Prosthetic valve IE caused by fungi or highly resistant organisms.
- Recurrent emboli despite appropriate antimicrobial therapy.
5
Q
High-risk procedures in which high-risk patients should receive antibiotic prophylaxis.
A