Infective endocarditis

Pathogn- S.aureus, Group D streptococcus, Viridians, Enterococcus, Pseudomonas/Serratia(drug injection), HACEK group(Haemophilus, Aggregatibacter, Cardiobacterium, Eikenella, Kingella)

Duke criteria- 2 Major/1 Major+3 minor/5 minor

*Prosthetic valve- Post-op<12 months(Coagulase negative staphylococcus), Post-op>12 months (Streptococci)

*Injection drug- Right(S.aureus, pseudomonas), Left(Enterococci)

High risk group- AS, congenital bicuspid, congenital heart(PDA, VSD, TF, coarctation)

Dentistry surgery(For high risk)

1.Prosthetic heart valve

2.Previous IE

3.Congenital heart- Cyanotic heart, residual defects after surgery

4.Transplant heart- Valvulopathy

→ Amoxicillin 2g PO 1hr before procedure

Published by Steve Johnson

I am a doctor who like to organise knowledges and share ideas with others. As a doctor, a lot of knowledges influx everyday and need some patient to organise and absorb. Here was my notes to share with you and hope to save your time to know it.

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