Outpatient follow-up and management of infective endocarditis

A. Dahl, M. Hernandez-Meneses, J. Ambrosioni, J. M. Pericàs, C. Falces, E. Quintana, B. Vidal, A. Perissinotti, M. Almela, D. Fuster, E. Sandoval, J. M. Tolosana, C. García de la Maria, D. García-Pares, A. Moreno, N. E. Bruun, J. M. Miro

Abstract

This chapter explains different aspects of outpatient management, treatment, and follow-up in endocarditis patients. The opportunity to complete the last part of the antimicrobial treatment outside the hospital as intravenous or oral treatment is central. The first objective is to identify patients sufficiently stable to shift to outpatient treatment and the relevant criteria for finishing the antimicrobial therapy outside the hospital are discussed. The suggested oral antibiotic regimens are considered and the importance of performing a transesophageal echocardiography before shifting to outpatient treatment stressed. The chapter also assesses the recommendations for clinical and microbiological follow-up on short- as well as long-term. In addition, the chapter deals with cardiac surgery follow-up in patients operated during the endocarditis course and in patients with sequelae of significant valve destruction that might lead to cardiac surgery in the posttreatment phase. Finally, relevant ongoing and future research in the field is reviewed.

Original languageEnglish
Title of host publicationInfective Endocarditis : A Multidisciplinary Approach
Number of pages17
PublisherElsevier
Publication date1 Jan 2022
Pages221-237
ISBN (Print)9780128208977
ISBN (Electronic)9780128206577
DOIs
Publication statusPublished - 1 Jan 2022

Keywords

  • Antimicrobial treatment
  • Follow-up criteria
  • Infective endocarditis
  • Outpatient management
  • Outpatient oral antibiotic therapy
  • Outpatient parenteral antibiotic therapy (OPAT)

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