Massin M, Coremans C, Lepage Ph
Département Universitaire de Pédiatrie, CHR Citadelle, Université de Liège.
Rev Med Liege. 2003 Jun;58(6):378-81.
Because of its severity, it is agreed that infectious endocarditis should be prevented whenever possible. Certain patient populations at risk for endocarditis have been identified. Antibiotic prophylaxis is therefore recommended when these individuals undergo procedures likely to cause bacteremia with organisms that cause endocarditis. In this article we attempt to provide a comprehensive approach to infectious endocarditis prophylaxis based both on the pathophysiology of the disease and on the mechanisms of action of prophylactic drugs. Approaches to the prevention of endocarditis have been recently modified and are reviewed in this paper, especially important issues for the primary care physician.
鉴于感染性心内膜炎的严重性，人们一致认为应尽可能预防该病。已确定某些有感染性心内膜炎风险的患者群体。因此，当这些个体接受可能导致引起心内膜炎的生物体菌血症的手术时，建议进行抗生素预防。在本文中，我们试图基于该疾病的病理生理学和预防药物的作用机制，提供一种全面的感染性心内膜炎预防方法。心内膜炎的预防方法最近有所修改，本文对此进行了综述，这对初级保健医生来说是特别重要的问题。
