scholarly journals Effect of antibiotic treatment on vegetation size and complication rate in infective endocarditis

1997 ◽  
Vol 20 (2) ◽  
pp. 132-140 ◽  
Author(s):  
Sven Rohmann ◽  
Raimund Erbel ◽  
Harald Darius ◽  
Thomas Makowski ◽  
JÜRgen Meyer
Keyword(s):  
Infective Endocarditis ◽  
Antibiotic Treatment ◽  
Complication Rate

Incidence and complication rate of infective endocarditis in the Dutch region of Walcheren

2006 ◽  
Vol 61 (2) ◽  
pp. 175-181 ◽  
Author(s):  
Jeroen WALPOT ◽  
Willem BLOK ◽  
Jan VAN ZWIENEN ◽  
Cees KLAZEN ◽  
Bram AMSEL
Keyword(s):  
Infective Endocarditis ◽  
Complication Rate

Antibiotic Treatment for Infective Endocarditis

JAMA ◽  
1996 ◽  
Vol 275 (12) ◽  
pp. 911
Author(s):  
Thomas E. Johns
Keyword(s):  
Infective Endocarditis ◽  
Antibiotic Treatment

scholarly journals Antibiotics in acute appendicitis. When and how? A general review

2019 ◽  
Vol 6 (1) ◽  
pp. 30-33
Author(s):  
L. Alecu ◽  
C. Niţipir ◽  
Iulian Slavu ◽  
V. Braga ◽  
D. Mihăilă ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Antibiotic Treatment ◽  
Complication Rate ◽  
Acquired Resistance ◽  
Perforated Appendicitis ◽  
Interval Appendectomy ◽  
Bacterial Proliferation ◽  
Long Period ◽  
Clinical Surveillance ◽  
Relapse Rates

Introduction: An increasing interest exits towards the use of antibiotics in the treatment of uncomplicated acute appendicitis.Discussion: For a long period of time, surgery was the only treatment for acute appendicitis. Due to recent research in the etiology of acute appendicitis which seems to be driven by intraluminal bacterial proliferation, new data suggests that for non-perforated appendicitis confirmed with the help of CT, antibiotics may play a central role in the treatment. As relapse rates amount in some cases to only 5% after antibiotic treament, a discussion is required regarding the risks of interval appendectomy and its use. The debate regarding the optimal antibiotic course is on-going as some surgeons advocate for amoxicillin/clavulanic while others, due to acquired resistance recommend Ertapenem.Conclusion:  Selective antibiotic treatment for selected forms of acute appendicitis, uncomplicated without perforation is safe and has a relatively low complication rate. However, certain mentions must be made:  surgery must not be delayed if failure of antibiotics exists as it can lead to higher rates of peritonitis. Close clinical surveillance is of utmost importance

Prosthetic valve endocarditis

ESC CardioMed ◽  
2018 ◽  
pp. 1720-1723
Author(s):  
José A. San Román ◽  
Javier López
Keyword(s):  
Computed Tomography ◽  
Infective Endocarditis ◽  
Antibiotic Treatment ◽  
Prosthetic Valve ◽  
Photon Emission ◽  
Clinical Manifestations ◽  
Prosthetic Valve Endocarditis ◽  
Native Valve ◽  
Native Valve Endocarditis ◽  
Duke Criteria

Prosthetic valve endocarditis (PVE) complicates the clinical course of 1–6% of patients with prosthetic valves and it is one of the types of infective endocarditis with the worst prognosis. In early-onset PVE (that occurs within the first year after surgery), the microbiological profile is dominated by staphylococci. In late-onset PVE, the microorganisms are similar to native valve endocarditis. Clinical manifestations are very variable and depend on the causative microorganism. The diagnosis is established with the modified Duke criteria although they yield lower diagnostic accuracy than in native valve endocarditis. Transoesophageal echocardiography is the main imaging technique in everyday clinical practice in PVE as the sensitivity is higher than transthoracic echocardiography. The findings of other techniques, as cardiac computed tomography (CT), positron emission tomography/CT, or single-photon emission computed tomography/CT have been recently recognized as new major diagnostic criteria and can be very useful in cases with a high level of clinical suspicion and negative echocardiography. Empirical antibiotic treatment should cover the most frequent microorganisms, especially staphylococci. Once the microbiological diagnosis is made, the antibiotic treatment is similar to native valve infective endocarditis, except for the addition of rifampicin in staphylococcal PVE and a longer length (up to 6 weeks) of the treatment. Surgical indications are also similar to native valve endocarditis, heart failure being the most common and embolic prevention the most debatable. Prognosis is bad, and during the follow-up, a team experienced with endocarditis is needed. Patients with a history of PVE should receive antibiotic prophylaxis if they undergo invasive dental manipulations.

Can Acute Appendicitis be Treated by Antibiotics Alone?

2007 ◽  
Vol 73 (11) ◽  
pp. 1161-1165 ◽  
Author(s):  
Katherine Liu ◽  
Sadie Ahanchi ◽  
Mark Pisaneschi ◽  
Irene Lin ◽  
Robert Walter
Keyword(s):  
Length Of Stay ◽  
Acute Appendicitis ◽  
Antibiotic Treatment ◽  
Alternative Treatment ◽  
Complication Rate ◽  
Standard Of Care ◽  
Group I ◽  
Recurrent Appendicitis ◽  
Group Ii

Emergency appendectomy at presentation has been the standard of care for acute appendicitis. We examined the use of antibiotics as an alternative treatment. From September 2002 to August 2003, 170 consecutive patients diagnosed with acute appendicitis without abscess were reviewed retrospectively. Patients were divided into two groups: Group I (n = 151) underwent emergency appendectomy and Group II (n = 19) received antibiotics alone. The mode of treatment was at the attending surgeon's discretion. The overall complication rate was eight per cent for Group I and 10 per cent for Group II patients ( P = 0.22). Group II patients suffered no complications during antibiotic treatment, and any complications that did occur developed after subsequent appendectomy. One Group II patient had recurrent appendicitis (5%). The length of stay was 2.61 ± 0.21 days for Group I and 2.95 ± 0.38 days for Group II patients ( P = 0.57). Patients with acute appendicitis may be treated safely with antibiotics alone without emergency appendectomy.

Short-course antibiotic treatment is as effective as conventional antibiotic regimen for implantable electronic device-related infective endocarditis

2016 ◽  
Vol 221 ◽  
pp. 1022-1024 ◽  
Author(s):  
Carlos Ferrera ◽  
Isidre Vilacosta ◽  
Cristina Fernández ◽  
Cristina Sarriá ◽  
Javier López ◽  
...  
Keyword(s):  
Infective Endocarditis ◽  
Antibiotic Treatment ◽  
Electronic Device ◽  
Antibiotic Regimen ◽  
Short Course
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