[Infectious endocarditis: from epidemiology to prevention].

La Revue du praticien Pub Date : 2024-06-01
Bernard Iung
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Abstract

Infectious endocarditis: FROM EPIDEMIOLOGY TO PREVENTION. The incidence of infective endocarditis is estimated between 30 and 80 cases per million inhabitants and per year in the general population in industrialized countries. It is heterogeneous and increases sharply in the presence of certain underlying heart diseases; it exceeds 1% per year in patients with a history of endocarditis. Incidence increases after the age of 60 and Staphylococcus is now the most frequent responsible microorganism. Antibiotic prophylaxis is indicated only in the patients who are at high risk of infective endocarditis and who undergo invasive dental care. The recommendations published in 2023 by the European Society of Cardiology highlig.

[传染性心内膜炎:从流行病学到预防]。
传染性心内膜炎:从流行病学到预防。据估计,在工业化国家的普通人群中,感染性心内膜炎的发病率为每年每百万居民 30 到 80 例。发病率有差异,如果存在某些潜在的心脏疾病,发病率会急剧上升;在有心内膜炎病史的患者中,发病率每年超过 1%。60 岁以后发病率增加,目前最常见的致病微生物是葡萄球菌。抗生素预防仅适用于感染性心内膜炎的高危人群和接受侵入性牙科治疗的患者。欧洲心脏病学会于 2023 年发布的建议强调了这一点。
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