Is It Possible to Reduce the Length of Drug Therapy in Endocarditis?
DOI:
https://doi.org/10.24950/rspmi/CC/88/4/2018Keywords:
Anti-Bacterial Agents/administration and dosage, Endocarditis/drug therapy, Staphylococcal Infections/drug therapy, Staphylococcus epidermidis, Treatment OutcomeAbstract
Endocarditis is a disease characterized by its high mortality. The treatment recommended in the guidelines often involves the simultaneous use of several antibiotics for a long period. Often, patients affected by this disease have several associated comorbidities, which limit the use of recommended antimicrobials. The present case describes a patient with endocarditis who, due to his pathologies and organic limitations, was prevented from comply a prolonged treatment for endocarditis, nevertheless he achieved a documented cure, despite the short-term treatment regimen.
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Parize P, Mainardi JL. Les actualités dans l’endocardite infectieuse. Rev Med Interne. 2011; 32: 612-21. doi: 10.1016/j.revmed.2010.10.007.
Grinberg M, Solimene MC. Aspectos históricos da endocardite infeccio - sa. Rev Assoc Med Bras. 2011; 57: 228-33.
Cresti A, Chiavarelli M, Scalese M, Nencioni C, Valentini S, Guerrini F, et al. Epidemiological and mortality trends in infective endocarditis, a 17- year population-based prospective study. Cardiovasc Diagn Ther. 2017; 7: 27-35. doi: 10.21037/cdt.2016.08.09.
Thompson RL, Wright AJ. General principles of antimicrobial therapy. Mayo Clin Proc. 1998; 73: 995-1006.
Habib G, Lancellotti P, Antunes MJ, Bongiorni MG, Casalta JP, Del Zotti F, et al. 2015 ESC Guidelines for the management of infective endocarditis: The Task Force for the Management of Infective Endocarditis of the Eu - ropean Society of Cardiology (ESC). Endorsed by: European Association for Cardio-Thoracic Surgery (EACTS), the European Association of Nu - clear Medicine (EANM). Eur Heart J. 2015; 36: 3075-128. doi: 10.1093/ eurheartj/ehv319.
Borde JP, Sitaru G, Kopp WH, Ruhparwar A, Ehlermann P, Lasitschka F, et al. Heart transplantation as salvage therapy for progressive prosthetic valve endocarditis due to methicillin-resistant Staphylococcus epidermi - dis (MRSE). J Cardiothorac Surg. 2016; 11: 100. doi: 10.1186/s13019- 016-0505-0.
Baddour LM, Wilson WR, Bayer AS, Fowler VG, Jr., Tleyjeh IM, Rybak MJ, et al. Infective Endocarditis in Adults: Diagnosis, Antimicrobial Therapy, and Management of Complications: A Scientific Statement for Healthcare Professionals From the American Heart Association. Circulation. 2015; 132: 1435-86. doi: 10.1161/CIR.0000000000000296.
Ferrera C, Vilacosta I, Fernandez C, Sarria C, Lopez J, Olmos C, et al. Short-course antibiotic treatment is as effective as conventional antibiotic regimen for implantable electronic device-related infective endocarditis. Int J Cardiol. 2016; 221: 1022-4. doi: 10.1016/j.ijcard.2016.07.143
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