Protocolo terapéutico de la endocarditis infecciosa

Abstract

Infective endocarditis is a serious disease. Its treatment is based on a multidisciplinary approach that combines targeted antimicrobial therapy and, in some cases, surgery. Early diagnosis, based on the Duke criteria and studies such as blood cultures and echocardiography, is essential to guide management. Antimicrobial therapy is chosen according to the causative microorganism. Bactericidal antibiotics, which are essential, are administered intravenously for a prolonged period, usually four to six weeks. In cases of infection by Staphylococcus aureus, enterococci, or resistant microorganisms, specific combinations of antibiotics are used. Cardiac surgery is indicated in patients with heart failure, uncontrolled infections, or presence of large vegetations with risk of embolization. This comprehensive approach improves survival and reduces complications such as septic embolism and heart valve dysfunction.