Ragnarsson Sigurdur, Åkesson Per, Gilje Patrik, Nozohoor Shahab, Mörtsell David, Stagmo Martin, Ostenfeld Ellen, Rasmussen Magnus
thoraxkirurgi, Skånes universitetssjukvård - Lund, Sweden thoraxkirurgi, Skånes universitetssjukvård - Lund, Sweden.
VO infektionssjukdomar, Skånes universitetssjukvård - Lund, Sweden VO infektionssjukdomar, Skånes universitetssjukvård - Lund, Sweden.
Lakartidningen. 2019 Jun 14;116:FL36.
International guidelines recommend that the treatment of patients with infective endocarditis (IE) should be directed by a multidisciplinary endocarditis team. The aim of this study was to describe the first-year experience of multidisciplinary rounds by the endocarditis team in Scania, Sweden. This was a retrospective study on all possible and definitive IE episodes that were assessed by the endocarditis team from January 1st to December 31st, 2017. Descriptive statistics were used. A total of 145 multidisciplinary rounds were held and addressed 100 episodes in 97 patients. The median age was 71 years and 66% were males. The most common causative pathogens were alpha-hemolytic streptococci, Staphylococcus aureus, coagulase-negative staphylococci, and enterococci. The endocarditis team recommended surgery in 40 % of episodes. The transfer of patients between different hospitals was facilitated by the team. The IE team evaluated a large proportion of patients with IE in the region and provided a rapid expert opinion on the optimal management of complicated cases of IE.
国际指南建议,感染性心内膜炎(IE)患者的治疗应由多学科心内膜炎团队指导。本研究的目的是描述瑞典斯坎尼亚的心内膜炎团队进行多学科查房的第一年经验。这是一项对2017年1月1日至12月31日由心内膜炎团队评估的所有可能和确诊的IE发作进行的回顾性研究。采用描述性统计方法。共进行了145次多学科查房,涉及97例患者的100次发作。中位年龄为71岁,66%为男性。最常见的致病病原体是α溶血性链球菌、金黄色葡萄球菌、凝固酶阴性葡萄球菌和肠球菌。心内膜炎团队在40%的发作中建议进行手术。该团队促进了患者在不同医院之间的转诊。IE团队评估了该地区很大一部分IE患者,并就IE复杂病例的最佳管理提供了快速专家意见。