Infective Endocarditis: Difference between revisions

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===Definite IE:===
===Definite IE:===
*Pathologic Criteria:
*Pathologic Criteria:
**Microorganisms demonstrated by culture or histologic examination of vegetation, a vegetation that has embolized, or an intracardiac abscess specimen OR pathologic lesions; vegetation or intracardiac abscess confirmed by histologic examination showing active endocarditis
**Microorganisms demonstrated by culture or histologic examination of vegetation, a vegetation that has embolized, or an intracardiac abscess specimen OR pathologic lesions; vegetation or intracardiac abscess confirmed by histologic examination showing active endocarditis
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===Possible IE:===
===Possible IE:===
*1 Major criterion + 1 Minor criterion '''OR''' 3 minor criteria
*1 Major criterion + 1 Minor criterion '''OR''' 3 minor criteria


===Rejected IE:===
===Rejected IE:===
*Firm alternate diagnosis explaining evidence of IE '''OR'''
*Firm alternate diagnosis explaining evidence of IE '''OR'''
*Resolution of IE syndrome with =<4 days of antibiotics therapy '''OR'''
*Resolution of IE syndrome with =<4 days of antibiotics therapy '''OR'''
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[http://eurheartj.oxfordjournals.org/content/30/19/2369.long The guidelines on treatment of endocarditis from the task force for treatment of Infective endocarditis of the European Society of Cardiology shows this.]
[http://eurheartj.oxfordjournals.org/content/30/19/2369.long The guidelines on treatment of endocarditis from the task force for treatment of Infective endocarditis of the European Society of Cardiology shows this.]


===Prophylaxis===
===Prophylaxis===
According the American Heart Association guidelines published in 2007 the following groups of patients are considered to be high-risk and require prophylaxis:<cite>xvii</cite>
According the American Heart Association guidelines published in 2007 the following groups of patients are considered to be high-risk and require prophylaxis:<cite>xvii</cite>


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