Rheumatic endocarditis
Conținutul
Profilaxia endocarditei infecţioase la pacienţi cu cardiopatii reumatismale şi congenitale.
Chișinău: CEP Medicina,vol. Abstract: Infective endocarditis prophylaxis in the patients with rheumatic valve diseases and congenital cardiopathies.
Infective Endocarditis IE is an infection of the endocardial surface of the heart. It represents a challenging diagnosis having many presentations ranging from an indolent infection to severe valvular insufficiency, which may lead to rheumatic endocarditis congestive heart failure and myocardial rheumatic endocarditis causing septicemia rheumatic endocarditis life-threatening systemic embolizations.
Although an improvement in diagnosis and treatment was achieved, infective endocarditis continues to present a high mortality rate.
The use of definite criteria for identifying groups of risk and prescribing antibiotics regimens for IE prophylaxis can decrease its incidence and rate of complications.
Report about the particularities of infective endocarditis prophylaxis in the patients with rheumatic valve diseases and congenital heart diseases in the Republic of Moldova. Studiul a inclus rheumatic endocarditis pacienţi repartizaţi în trei loturi: I lot — 33 pacienţi cu endocardita infecţioasă EIlotul II — 80 pacienţi cu valvulopatii reumatismale VR şi lotul III — 20 pacienţi cu cardiopatii congenitale CC. Pacienţii au fost examinaţi clinic şi cercetaţi paraclinic.
Toţi bolnavii au fost informaţi despre principiile profilaxiei EI. Medicii de familie, cardiologii şi stomatologii, cei ce sunt responsabili de educaţia bolnavilor în domeniul profilaxiei EI au fost atenţionaţi faţă de grupele pacienţilor cu risc înalt şi moderat, procedeele ce pot induce bacteriemia şi regimurile profilactice antibacteriene la aceşti pacienţi.