Endocarditis

Diagnosis, prophylaxis and treatment

  1. Diagnosis
  2. Prophylaxis
  3. Treatment
  4. Pharmaceuticals
  5. ESC recommandations

Prophylaxis

Decision to administer endocarditis prophylaxis depend on the underlying cardiopathy and on the body site treated.

  1. Cardiopathy requiring prophylaxis.
  2. Treated body site.

Prophylaxis administered following body treatment site

  1. Digestive tract.
  2. Urogenital trac.
  3. Gynecology.
  4. Skin.
  5. Toth, OHNS, respiratory tract .

Gastro-intestinal tract

Prophylaxis if:

  • elective abdominal intervention (appendicectomy, cholcystectomy, etc..).
  • active abdominal infection.

No prophylaxis if:

  • endoscopy with or without biopsy.

Prophylaxis (1 hour preoperatively).

Parenteral: Amoxicilline/ac. clavulanique (Augmentin) 2.2 g i.v.

  • If acute or delayed penicillin allergy: Vancomycine (Vancocin) 1 g i.v. combined with antibiotics against Gram - Amikacin or Ciprofloxacine (Ciproxine). Treatment duration depend from infection type.
  • Pipéracilline (Tazobac) if septic shock.