A review of recommendations for infective endocarditis prevention in patients undergoing transcatheter aortic valve implantation.

Details

Serval ID
serval:BIB_11E52DB49EA9
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
A review of recommendations for infective endocarditis prevention in patients undergoing transcatheter aortic valve implantation.
Journal
EuroIntervention
Author(s)
Conen A., Stortecky S., Moreillon P., Hannan M.M., Franzeck F.C., Jeger R., Widmer A.F.
ISSN
1969-6213 (Electronic)
ISSN-L
1774-024X
Publication state
Published
Issued date
19/02/2021
Peer-reviewed
Oui
Volume
16
Number
14
Pages
1135-1140
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Abstract
Infective endocarditis (IE) after transcatheter aortic valve implantation (TAVI) is a new disease entity. The rate of IE after TAVI is similar to that after surgical aortic valve replacement (SAVR), but mortality and prevalence of Enterococcus spp. as causing pathogens are significantly higher. Guidelines on infection prevention measures before TAVI procedures are currently lacking. We performed a structured review of the available data to provide interim recommendations based on guidelines to prevent infections issued by the World Health Organization as well as guidelines by professional societies from Europe and the USA. Such interim recommendations based on expert opinions are probably justified until large randomised trials provide strong evidence for infection control in TAVI, because IE after TAVI is often related to the TAVI procedure itself and the associated mortality rate is high. Antibiotic prophylaxis should be adapted from an intravenous cephalosporin to, e.g., amoxicillin/clavulanic acid, to cover enterococci. In addition, infection control should follow operating room standards as far as is reasonable, even if the evidence for this recommendation is very low. These recommendations are endorsed by the International Society for Cardiovascular Infectious Diseases (ISCVID).
Keywords
Aortic Valve/surgery, Aortic Valve Stenosis/surgery, Endocarditis/epidemiology, Endocarditis/etiology, Endocarditis/prevention & control, Europe, Heart Valve Prosthesis Implantation, Humans, Prosthesis-Related Infections/epidemiology, Prosthesis-Related Infections/prevention & control, Risk Factors, Transcatheter Aortic Valve Replacement/adverse effects, Treatment Outcome
Pubmed
Web of science
Create date
26/03/2021 18:54
Last modification date
05/12/2023 7:06
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