Information ⬇
- The timing and indications for surgical intervention are listed in Table 80-3; most of these indications are not absolute, and recommendations are derived from observational studies and expert opinion. Moderate or severe refractory CHF is the major indication for surgical treatment of endocarditis.
- Cardiac surgery should be delayed for 2-3 weeks if possible when the pt has had a nonhemorrhagic embolic stroke and for 4 weeks when the pt has had a hemorrhagic embolic stroke. Ruptured mycotic aneurysms should be treated prior to cardiac surgery.
- The duration of antibiotic therapy after cardiac surgery depends on the indication for surgery.
- - For cases of uncomplicated NVE caused by susceptible organisms with negative valve cultures at surgery, the duration of pre- and postoperative treatment should equal the total duration of recommended therapy, with ~2 weeks of treatment given postoperatively.
- - For endocarditis with paravalvular abscess, partially treated PVE, or culture-positive valves, pts should receive a full course of therapy postoperatively.
Outline ⬆
Section 7. Infectious Diseases
- 78. Infections Acquired in Health Care Facilities
- 79. Infections in the Immunocompromised Host
- 80. Infective Endocarditis
- 81. Intraabdominal Infections
- 82. Infectious Diarrheas
- 83. Sexually Transmitted and Reproductive Tract Infections
- 84. Infections of the Skin, Soft Tissues, Joints, and Bones
- 85. Pneumococcal Infections
- 86. Staphylococcal Infections
- 87. Streptococcal/Enterococcal Infections, Diphtheria, and Infections Caused by Other Corynebacteria and Related Species
- 88. Meningococcal and Listerial Infections
- 89. Infections Caused by Haemophilus, Bordetella, Moraxella, and HACEK Group Organisms
- 90. Diseases Caused by Gram-Negative Enteric Bacteria and Pseudomonas
- 91. Infections Caused by Miscellaneous Gram-Negative Bacilli
- 92. Anaerobic Infections
- 93. Nocardiosis, Actinomycosis, and Whipple's Disease
- 94. Tuberculosis and Other Mycobacterial Infections
- 95. Lyme Disease and Other Nonsyphilitic Spirochetal Infections
- 96. Rickettsial Diseases
- 97. Mycoplasma Pneumoniae, Legionella Species, and Chlamydia Pneumoniae
- 98. Chlamydia Trachomatis and C. Psittaci
- 99. Herpesvirus Infections
- 100. Cytomegalovirus and Epstein-Barr Virus Infections
- 101. Influenza and Other Viral Respiratory Diseases
- 102. Rubeola, Rubella, Mumps, and Parvovirus Infections
- 103. Enteroviral Infections
- 104. Insect- and Animal-Borne Viral Infections
- 105. HIV Infection and AIDS
- 106. Fungal Infections
- 107. Pneumocystis Infections
- 108. Protozoal Infections
- 109. Helminthic Infections and Ectoparasite Infestations