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Prophylaxis of infective endocarditis: French recommendations 2002
1 Department of Cardiology, Hôpital Européen Georges Pompidou, Paris, France
2 Department of Infectious Diseases, Hôpital Bichat, Paris, France
Correspondence to:
Correspondence to:
Professor Nicolas Danchin
Department of Cardiology, Hôpital Européen Georges Pompidou, 20 rue Leblanc, 75015 Paris, France; nicolas.danchin@egp.ap-hop-paris.fr
Accepted 11 March 2004
Keywords: antibiotic; infective endocarditis; prophylaxis; guidelines
| The first 150 words of the full text of this article appear below. |
Infective endocarditis is a rare but severe disease, the incidence of which seems to have been stable over the past decades. Streptococci are the most frequent causative organisms. In France, infective endocarditis ranges from 2530 cases/million inhabitants/year (about 1500 cases/year). The profile of patients presenting with infective endocarditis, though, is changing, with an increased proportion of elderly patients and a decrease of endocarditis due to oral streptococci. Valve surgery for endocarditis is performed in about one patient in two with a perioperative mortality that remains high.
Since 1992, the date of the French consensus conference on the prophylaxis of infective endocarditis, new data have been published, requiring an update of its conclusions. These new data feature the following points:
- Endocarditis remains a severe disease
- Bacteraemia causing infective endocarditis is probably more often related to a daily transfer of bacteria from mouth to blood than to occasional oral or dental procedures
. . . [Full text of this article]
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