Kohli Vikas
Rabindranath Tagore International Institute of Cardiac Sciences, Kolkata, India.
Indian J Pediatr. 2002 Apr;69(4):333-9. doi: 10.1007/BF02723220.
Infective Endocarditis (IE) is a known and a well-described complication of congenital and acquired heart disease. Its onset may be related to a procedure (which is commonly dental) or to poor dental hygiene. Use of antibiotics prior to the procedure prevents IE. General awareness of dental hygiene and use of prophylactic antibiotic is as much a responsibility of the Pediatrician as it is of the Pediatric Cardiologist. This article reviews the changing epidemiology, pathophysiology, clinical manifestations, and the microbiology of IE. Duke criteria for diagnosis of IE and the role of echocardiography in diagnosis of IE are discussed. There is special emphasis on the prevention of IE.
感染性心内膜炎（IE）是先天性和后天性心脏病一种已知且已被充分描述的并发症。其发病可能与某一操作（通常是牙科操作）或口腔卫生不良有关。操作前使用抗生素可预防IE。口腔卫生意识及预防性抗生素的使用，既是儿科医生的责任，也是儿科心脏病专家的责任。本文综述了IE不断变化的流行病学、病理生理学、临床表现及微生物学。讨论了IE的杜克诊断标准及超声心动图在IE诊断中的作用。特别强调了IE的预防。
