Hospital infectious endocarditis and endocarditis in drug addicts
Butkevich, O.M.; Vinogradova, T.L.
Terapevticheskii Arkhiv 70(8): 56-58
1998
ISSN/ISBN: 0040-3660 PMID: 9770748 Document Number: 488371
To specify etiology and clinical course of nosocomial infectious endocarditis (IE) and IE of drug addicts (AIE). 8 cases of AIE and 27 IE cases after various invasive interventions (nosocomial endocarditis). Among causing agents of IE and AIE were Staphylococcus aureus, Proteus, Escherichia coli, Pseudomonas aeruginosa, anaerobic microflora, pathogenic fungi. AIE is characterized by affection of the tricuspid valve, pulmonary artery thromboembolism. Among nosocomial endocarditides are frequent IE of the replaced valve, caused by infection of venous catheters, dental manipulations, chronic hemodialysis. IE and AIE are most frequently treated with the following antibiotics: ampicilin, gentamycin, augmentin, unasin, cephalosporins, rifadin, ciprofloxin, tienam. Nosocomial IE and AIE have drawn much attention in the last decade because of development of new complex invasive treatments and expansion of narcomania.