[跨学科心内膜炎团队:结构、证据和临床益处]。

IF 0.9 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS
Herz Pub Date : 2025-10-01 Epub Date: 2025-08-29 DOI:10.1007/s00059-025-05333-x
Carolyn Weber, Norma Jung, Stephan Baldus, Lenard Conradi, Maria Isabel Körber
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引用次数: 0

摘要

感染性心内膜炎(IE)是一种发病率高、死亡率高的严重疾病。由心脏病学、心脏外科、传染病和微生物学专家组成的跨学科心内膜炎小组已被证明可以改善病人护理。欧洲心脏病学会(ESC)和美国心脏协会(AHA)的现行指南明确建议实施。观察性研究显示,住院和1年死亡率显著降低,住院时间缩短,并发症减少。这样的多学科团队可以通过多模式成像实现更快的诊断,例如正电子发射断层扫描(PET)、计算机断层扫描(CT)、早期靶向抗生素治疗和优化的手术护理。迅速转诊到有现成团队的专业中心显然可以改善预后。注册数据,如欧洲心内膜炎(EURO-ENDO)和心内膜炎国际合作前瞻性队列研究(ICE-PCS)也促进了质量的提高和标准化。建议广泛实施心内膜炎团队概念。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Interdisciplinary endocarditis team : Structure, evidence and clinical benefit].

Infective endocarditis (IE) is a severe disease with high morbidity and mortality rates. Interdisciplinary endocarditis teams, consisting of specialists in cardiology, cardiac surgery, infectious diseases and microbiology, have been shown to improve patient care. Current guidelines of the European Society of Cardiology (ESC) and the American Heart Association (AHA) explicitly recommend the implementation. Observational studies showed significant reductions in hospital and 1‑year mortality, shorter hospital stays and fewer complications. Such multidisciplinary teams enable faster diagnosis through multimodal imaging, e.g. positron emission tomography (PET) computed tomography (CT), an early and targeted antibiotic therapy and optimized surgical care. A rapid referral to specialized centers with established teams clearly improves the prognosis. Registry data such as European Endocarditis (EURO-ENDO) and the International Collaboration on Endocarditis-Prospective Cohort Study (ICE-PCS) also promote quality improvement and standardization. The widespread implementation of the endocarditis team concept is recommended.

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来源期刊
Herz
Herz 医学-心血管系统
CiteScore
3.00
自引率
5.90%
发文量
61
审稿时长
4-8 weeks
期刊介绍: Herz is the high-level journal for further education for all physicians interested in cardiology. The individual issues of the journal each deal with specific topics and comprise review articles in English and German written by competent and esteemed authors. They provide up-to-date and comprehensive information concerning the speciality dealt with in the issue. Due to the fact that all relevant aspects of the pertinent topic of an issue are considered, an overview of the current status and progress in cardiology is presented. Reviews and original articles round off the spectrum of information provided.
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