Diagnostik und Therapie der infektiösen Endokarditis. Welche Massnahmen sind erforderlich?
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Diagnostik und Therapie der infektiösen Endokarditis. Welche Massnahmen sind erforderlich? / Köster, R; Kähler, J; Franzen, O; Münzel, T; Hamm, C W.
in: MMW Fortschr Med, Jahrgang 144, Nr. 14, 04.04.2002, S. 28-34.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Diagnostik und Therapie der infektiösen Endokarditis. Welche Massnahmen sind erforderlich?
AU - Köster, R
AU - Kähler, J
AU - Franzen, O
AU - Münzel, T
AU - Hamm, C W
PY - 2002/4/4
Y1 - 2002/4/4
N2 - Infectious endocarditis remains a potentially life-threatening disease, the outcome of which can be substantially influenced by rapid diagnosis and initiation of suitable treatment. Leading clinical features are fever, a new sound suggestive of valvular insufficiency and, when the course is subacute, anemia. The main diagnostic procedures are transthoracic and transesophageal echocardiography that reliably identify vegetation, valvular insufficiency and abscess. Of decisive importance for treatment and prognosis is the rapid identification of the pathogen by means of blood culture and, if necessary, serologic and molecular-biologic measures. Antimicrobial treatment is applied in accordance with the recommendations of the American Heart Association. Surgical treatment is indicated in the event of refractory infection, severe valvular insufficiency with heart failure, valve avulsion, recurrent emboli or large floating vegetation with an elevated risk of embolism.
AB - Infectious endocarditis remains a potentially life-threatening disease, the outcome of which can be substantially influenced by rapid diagnosis and initiation of suitable treatment. Leading clinical features are fever, a new sound suggestive of valvular insufficiency and, when the course is subacute, anemia. The main diagnostic procedures are transthoracic and transesophageal echocardiography that reliably identify vegetation, valvular insufficiency and abscess. Of decisive importance for treatment and prognosis is the rapid identification of the pathogen by means of blood culture and, if necessary, serologic and molecular-biologic measures. Antimicrobial treatment is applied in accordance with the recommendations of the American Heart Association. Surgical treatment is indicated in the event of refractory infection, severe valvular insufficiency with heart failure, valve avulsion, recurrent emboli or large floating vegetation with an elevated risk of embolism.
KW - Anti-Bacterial Agents/therapeutic use
KW - Diagnosis, Differential
KW - Endocarditis, Bacterial/diagnosis
KW - Heart Valve Prosthesis Implantation
KW - Humans
KW - Methicillin Resistance
KW - Penicillin Resistance
KW - Prognosis
M3 - SCORING: Zeitschriftenaufsatz
C2 - 12014274
VL - 144
SP - 28
EP - 34
JO - MMW Fortschr Med
JF - MMW Fortschr Med
SN - 1438-3276
IS - 14
ER -