[Infective endocarditis in patients on program hemodyalisis].

Autor: Tiurin VP, Potekhin NP, Anashkin VA, Grankin VI, Malysheva SA, Liuosev SV
Jazyk: ruština
Zdroj: Klinicheskaia meditsina [Klin Med (Mosk)] 2006; Vol. 84 (6), pp. 38-41.
Abstrakt: Ten (1.8%) out of 558 patients with end-stage chronic renal failure on program hemodialysis developed infective endocarditis (IE). The average length of hemodialysis before IE was 17.0 +/- 14.5 months. The main cause of IE was infection of the site of vascular approaches. The diagnosis was difficult; Duke criteria modified by J. Li et al. (2000) allowed evidenced diagnosis of IE only in 30% of cases, while modified criteria offered by the authors did it in 50% of cases. The article discusses rational antibacterial therapy. Hospital lethality in IE is as high as 50%.
Databáze: MEDLINE