Endocarditis Flashcards
1
Q
common portals of entry for endocarditis
A
mouth/dental work (viridans strep) GU/UTI (enterococci, gram -) GI/colon cancer (strep bovis and gallolyticus) skin (s aureus, s epidermidis) IV cxaths (staph or candida)
2
Q
causes for culture neg IE
A
prior abx fastidious organisms (anaerobes, HACEK, brucella) rare organisms (fungi, legionella, mycoplasma, chlamydia)
3
Q
IE tx
A
antimicrobial drugs (high dose, prolonged, bactericidal) *need to know antimicrobial susceptibility via MIC data
4
Q
indications for surgery w/ IE
A
CHF uncontrolled inf multiple emboli resistant organisms prosthetic valve endocarditis
5
Q
IE prevention
A
high risk cardiac pts should receive prophylaxis abx before dental, respiratory tract, and other procedures
6
Q
cardiac condition ass’d w/ higher risk for IE
A
prosthetic cardiac valce previous IE certain congenital heart cond (e.g. unprepared cyanotic congenital heart disease) certain post cardiac transplant cond certain CHD
7
Q
HACEK organisms
A
fastidious gram - organisms *community acquired SBE Haemophilus spp Actinobacillus Cardiobacterium Eikenella Kingella spp
