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Grand Rounds 02/18/15 @ BID-Needham: Dr. Ayana Morales  

Clinicopathologic Conference with Expert Consultant Input from Dr. Robert Colgrove and Dr. Anne Riley
Last Updated: Sep 1, 2016 URL: http://bidmc.libguides.com/Morales Print Guide RSS Updates
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Speaker: Date: Topic

Ayana Morales, MD; Robert Colgrove, MD & Anne Riley, MD

Feb 18, 2015

Clinicopathologic Conference: Infectious Endocarditis

      

    Responsibility for Content

    The PowerPoint Presentation, Take-Away Points, Pre- and Post-Test Questions, and Article Links were sent by Medical Library Services and the CME Committee.

    Diane E. Young, Information Specialist

    dyoung3@bidmc.harvard.edu

     

        

      Take-Away Points of the Presentation

      1.       Identification of the organism(s) is central to diagnosis and appropriate treatment. 2-3 blood cultures should routinely be drawn before antibiotics are started.

      2.       There is an emerging importance of health care-associated Infective endocarditis, more than 1/3 of cases. Staphylococci and Streptococci are the etiologic agents in 80% of cases of IE, staphylococci the most common.

      3.       The role of antibiotic prophylaxis for the prevention of endocarditis is controversial. Guidelines have been published from the American Heart Association. In the past decade, on the basis of expert opinion, indications for antibiotic prophylaxis against infective endocarditis have been restricted to patients who have a prosthetic valve, a history of infective endocarditis, congential heart disease (particular criteria), and cardiac transplantation recipients with cardiac valvular disease  as well as those who are planning to undergo an invasive dental procedure.

       



          
         

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