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Infective endocarditis (IE) is a severe, life-threatening infection of the endocardial surface of the heart, primarily affecting the heart valves. IE in the intensive care unit (ICU) often presents with diagnostic ambiguity, frequently mimicking other systemic infections. Early bedside suspicion and coordination with microbiology and cardiology teams are essential. Risk factors include prosthetic heart valves, previous history of endocarditis, intravenous drug use, immunosuppression, and recent healthcare exposure. Early recognition and initiation of appropriate diagnostics and treatment are essential for improving patient outcomes. This chapter provides ICU clinicians with a structured approach for assessing and managing suspected infective endocarditis [1, 2] [Ref: Algorithm 70.1].

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Approach to Infective Endocarditis in the ICU

  • 章节

  • 发表日期：

    2025年

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  • Shakti Bedanta Mishra,
  • Samir Samal,
  • Sagarika Panda

摘要

Infective endocarditis (IE) is a severe, life-threatening infection of the endocardial surface of the heart, primarily affecting the heart valves. IE in the intensive care unit (ICU) often presents with diagnostic ambiguity, frequently mimicking other systemic infections. Early bedside suspicion and coordination with microbiology and cardiology teams are essential. Risk factors include prosthetic heart valves, previous history of endocarditis, intravenous drug use, immunosuppression, and recent healthcare exposure. Early recognition and initiation of appropriate diagnostics and treatment are essential for improving patient outcomes. This chapter provides ICU clinicians with a structured approach for assessing and managing suspected infective endocarditis [1, 2] [Ref: Algorithm 70.1].