Infective Endocarditis Flashcards Preview

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Flashcards in Infective Endocarditis Deck (11)
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1

Leading causative agents for endocarditis in pediatric patients

1) Viridans strep (α-hemolytic strep) 2) S. aureus

2

~__% of cases of IE are culture negative

6

3

T/F IE: No relationship exists between the infecting organism and the type of congenital defect, duration of illness, or age of child

T

4

IE organism: No underlying heart disease

Staph

5

IE organism: After dental procedures

Viridans strep

6

IE organism: After lower bowel or GU manipulation

Group D enterococci

7

IE organism: IV drug users

P. aeruginosa and S. marsescens

8

IE organism: After open heart surgery

Fungal

9

IE organism: Indwelling central venous catheters

Coagulase-neg staph

10

Initiating lesion for IE

Nonbacterial thrombotic embolus (NBTE)

11

Children at highest risk of adverse outcome after IE

1) Prosthetics 2) Unrepaired CHD including palliative shunts 3) Repaired CHD with prosthetic valves (1st 6m after repair) 4) Repaired CHD with residual defects 5) Valce stenosis or insufficiency after heart transplantation 6) Previous IE