MULTIBOOKS - TỔNG HỢP IT - PC PART 118 PDF

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Chapter 118. Infective Endocarditis (Part 8) Organism-Specific Therapies Streptococci To select the optimal therapy for streptococcal endocarditis, the minimum inhibitory concentration (MIC) of penicillin for the causative isolate must be determined (Table 118-4). The 2-week pe[r]

Other Studies Many laboratory studies that are not diagnostic—i.e., complete blood count, creatinine determination, liver function tests, chest radiography, and electrocardiography—are nevertheless important in the management of patients with endocarditis. The erythrocyte sedimentation rate, C-react[r]

immediately after three sets of blood cultures are obtained over several hours. Non-Blood-Culture Tests Serologic tests can be used to implicate causally some organisms that are difficult to recover by blood culture: Brucella, Bartonella, Legionella, and C. burnetii. Pathogens can also be identified[r]

Chapter 118. Infective Endocarditis (Part 4) Cardiac Manifestations Although heart murmurs are usually indicative of the predisposing cardiac pathology rather than of endocarditis, valvular damage and ruptured chordae may result in new regurgitant murmurs. In acute endocarditis involv[r]

2000. While rates of congenital heart diseases remain constant, other predisposing conditions in developed countries have shifted from chronic rheumatic heart disease to illicit IV drug use, degenerative valve disease, intracardiac devices, and health care–associated infection. The incidence of endo[r]

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Chapter 118. Infective Endocarditis (Part 2) Prosthetic valve endocarditis arising within 2 months of valve surgery is generally the result of intraoperative contamination of the prosthesis or a bacteremic postoperative complication. The nosocomial nature of these infections is reflec[r]

Chapter 118. Infective Endocarditis (Part 3) Clinical Manifestations The clinical syndrome of infective endocarditis is highly variable and spans a continuum between acute and subacute presentations. Native valve endocarditis (whether acquired in the community or in association with h[r]

Chapter 118. Infective Endocarditis (Part 5) Diagnosis The Duke Criteria The diagnosis of infective endocarditis is established with certainty only when vegetations obtained at cardiac surgery, at autopsy, or from an artery (an embolus) are examined histologically and microbiologicall[r]

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Chapter 118. Infective Endocarditis (Part 9) Other Organisms In the absence of meningitis, endocarditis caused by Streptococcus pneumoniae with a penicillin MIC of ≤1.0 can be treated with IV penicillin (4 million units every 4 h), ceftriaxone (2 g/d as a single dose), or cefotaxime ([r]

Chapter 118. Infective Endocarditis (Part 10) Table 118-5 Indications for Cardiac Surgical Intervention in Patients with Endocarditis Surgery required for optimal outcome Moderate to severe congestive heart failure due to valve dysfunction Partially dehisced unstable prosthe[r]

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