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

Détails

ID Serval
serval:BIB_11E52DB49EA9
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
A review of recommendations for infective endocarditis prevention in patients undergoing transcatheter aortic valve implantation.
Périodique
EuroIntervention
Auteur⸱e⸱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
Statut éditorial
Publié
Date de publication
19/02/2021
Peer-reviewed
Oui
Volume
16
Numéro
14
Pages
1135-1140
Langue
anglais
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Résumé
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).
Mots-clé
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
Création de la notice
26/03/2021 19:54
Dernière modification de la notice
05/12/2023 8:06
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