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Management of Endocarditis

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Evidence-Based Critical Care

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Abstract

Infective endocarditis most commonly affects patients with structural heart disease or select sociodemographic risk factors. The Modified Duke Criteria are recommended to establish a diagnosis of endocarditis. Medical treatment consists of early empiric broad spectrum antibiotics followed by therapy tailored to the individual organism’s sensitivity. Patients with complicated or medically refractory endocarditis may also require surgical intervention. This chapter focuses on the diagnosis, suggested antimicrobial therapy, and indications for emergent surgical intervention. Controversial aspects of management including timing of surgery, neuroimaging in infective endocarditis, and management of patients with cerebral embolic strokes are also reviewed.

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Authors and Affiliations

  1. Division of Cardiology, Department of Medicine, University of Alberta, Edmonton, AB, Canada

    Janek Manoj Senaratne & Sean van Diepen

  2. Department of Critical Care Medicine, University of Alberta, Edmonton, AB, Canada

    Janek Manoj Senaratne & Sean van Diepen

Authors
  1. Janek Manoj Senaratne
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  2. Sean van Diepen
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Correspondence to Sean van Diepen .

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Editors and Affiliations

  1. Division of Pulmonary and Critical Care, University of Michigan, Ann Arbor, MI, USA

    Robert C. Hyzy

  2. Division of Pulmonary and Critical Care, University of Michigan, Ann Arbor, MI, USA

    Jakob McSparron

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Senaratne, J.M., van Diepen, S. (2020). Management of Endocarditis. In: Hyzy, R.C., McSparron, J. (eds) Evidence-Based Critical Care. Springer, Cham. https://doi.org/10.1007/978-3-030-26710-0_19

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  • DOI: https://doi.org/10.1007/978-3-030-26710-0_19

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-26709-4

  • Online ISBN: 978-3-030-26710-0

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