[Outpatient parenteral antimicrobial therapy for infective endocarditis].

Autor:	Umans VAWM; Noordwest Ziekenhuisgroep, Alkmaar. Afd. Cardiologie.; Contact: Victor A.W.M. Umans (v.a.w.m.umans@nwz.nl)., Douiyeb S; Amsterdam UMC, afd. Interne Geneeskunde, Amsterdam., Duffels MGJ; Noordwest Ziekenhuisgroep, Alkmaar. Afd. Cardiologie., Wagenaar JFP; Noordwest Ziekenhuisgroep, Alkmaar. Afd. Interne Geneeskunde., Hoogewerf M; Noordwest Ziekenhuisgroep, Alkmaar. Afd. Medische Microbiologie., Germans T; Noordwest Ziekenhuisgroep, Alkmaar. Afd. Cardiologie.
Jazyk:	Dutch; Flemish
Zdroj:	Nederlands tijdschrift voor geneeskunde [Ned Tijdschr Geneeskd] 2023 Jul 05; Vol. 167. Date of Electronic Publication: 2023 Jul 05.
Abstrakt:	Bacterial endocarditis is associated with high morbidity and mortality and requires a long hospitalization due to long-term intravenous antimicrobial therapy. It is possible to partially treat selected and stable patients at home. We present 3 patients partially treated at home with intravenous antibiotics for proven complicated endocarditis. Patient A presented with a septic shock and mitral valve endocarditis. Patient B presented with an ICD lead endocarditis and patient C presented with an mitral valve endocarditis. All 3 patients had a complicated endocarditis and presented with extensive embolic dissemination. Following the initial complicated clinical course, the patients were discharged for antibiotic home treatment after clinical improvement. Subsequent treatment was successful and reduced their hospital stay with more than 14 days. Thanks to transmural cooperation with the home-care colleagues, we can safely provide antibiotic care at home so that stabilized endocarditis patients can be treated in their own habitat.
Databáze:	MEDLINE
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