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Inicio Enfermedades Infecciosas y Microbiología Clínica New trends in infective endocarditis
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Vol. 29. Issue S4.
Update on infectious diseases
Pages 22-35 (March 2011)
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Vol. 29. Issue S4.
Update on infectious diseases
Pages 22-35 (March 2011)
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New trends in infective endocarditis
Nuevos retos en endocarditis infecciosa
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5799
M. Carmen Fariñasa,
Corresponding author
mirfac@humv.es

Correspondence author.
, Pedro Llinaresb, Benito Almirantec, José Barberánd, Juan de Dios Colmeneroe, Javier Garauf, Francisco Gudiolg, José Hernández Queroh, José Mensai, Miguel Montejoj, Jerónimo Pachónk, Jesús Rodríguez-Bañol, Miguel Sánchez-Garcíam
a Unidad de Enfermedades Infecciosas, Hospital Marqués de Valdecilla, Santander, Universidad de Cantabria, Spain
b Servicio de Enfermedades Infecciosas, Hospital Juan Canalejo, La Coruña. Spain
c Servicio de Enfermedades Infecciosas, Hospital Universitario Vall d’Hebron, Barcelona, Spain
d Servicio de Enfermedades Infecciosas, Hospital Central de la Defensa Gómez Ulla, Madrid, Spain
e Servicio de Enfermedades Infecciosas, Hospital Universitario Carlos Haya, Málaga, Spain
f Servicio de Enfermedades Infecciosas, Hospital Mutua de Terrassa, Barcelona, Spain
g Servicio de Enfermedades Infecciosas, Hospital Universitario de Bellvitge, Barcelona, Spain
h Unidad de Enfermedades Infecciosas, Hospital San Cecilio, Granada, Spain
i Servicio de Enfermedades Infecciosas, Hospital Clínic, Barcelona, Spain
j Unidad de Enfermedades Infecciosas, Hospital Universitario de Cruces, Bilbao, Spain
k Servicio de Enfermedades Infecciosas, Hospital Virgen del Rocío, Sevilla, Spain
l Unidad Clínica de Enfermedades Infecciosas y Microbiología, Hospital Universitario Virgen Macarena, Sevilla, Spain
m Servicio de Medicina Intensiva, Hospital Clínico San Carlos, Madrid, Spain
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Abstract

The present article is an update of the literature on endocarditis. A multidisciplinary group of Spanish physicians with an interest in cardiac infections selected the most important papers produced lately in the field. Two of the members of the group discussed the content of each of the selected papers, with a critical review by others members of the panel. After a review of the state of the art papers from the fields of epidemiology, new causative microorganisms (bacterial and fungal), clinical findings including those in special patients, laboratory diagnosis, prognostic factors, nosocomial endocarditis, prophylaxis, new drugs and guidelines for antibiotic treatment were discussed by the group.

Keywords:
Endocarditis
Epidemiology
Diagnosis
Treatment
Prophylaxis
Prognostic factors
Nosocomial endocarditis
Resumen

Este artículo resume una actualización bibliográfica de las novedades más destacables de la endocarditis bacteriana. Un grupo multidisciplinario de médicos españoles con experiencia en las infecciones cardíacas seleccionó las publicaciones más importantes en este campo aparecidas recientemente en la bibliografía. El contenido de cada uno de los artículos seleccionados fue expuesto y discutido por 2 de los miembros del grupo, después del cual los miembros restantes efectuaron una revisión crítica. Después de la revisión, el grupo discutió las publicaciones sobre la epidemiología, los microorganismos causales poco frecuentes, el diagnóstico de laboratorio, la presentación en pacientes con problemas especiales, los factores pronósticos, la endocarditis nosocomial, la profilaxis antibiótica y las nuevas guías de tratamiento antibiótico, así como la utilización de nuevos antibióticos.

Palabras clave:
Endocarditis
Diagnóstico
Tratamiento
Profilaxis
Factores pronósticos
Endocarditis nosocomial
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