Circulation Journal
Online ISSN : 1347-4820
Print ISSN : 1346-9843
ISSN-L : 1346-9843
Clinical Investigation
Survey of Prophylaxis and Management of Infective Endocarditis in Patients With Congenital Heart Disease
Japanese Nationwide Survey
Koichiro NiwaMakoto NakazawaKunio MiyatakeShigeru TatenoMasao YoshinagaThe Japanese Circulation Society (JCS) Joint Working Groups for Guidelines for Management of Infective Endocarditis, The Japanese Society of Pediatric Cardiology and Cardiac Surgery Joint Working Groups for Guidelines for Prophylaxis, Diagnosis and Management of Infective Endocarditis in Patients with Congenital Heart Disease
Author information
JOURNAL FREE ACCESS

2003 Volume 67 Issue 7 Pages 585-591

Details
Abstract

Guidelines for the prevention and management of infective endocarditis (IE) in children with congenital heart disease (CHD) have not been established, so the aim of this study was to clarify the incidence, practical prevention and management of IE in patients with CHD in Japan through a nationwide survey. A written questionnaire was sent to members of the Japanese Society of Pediatric Cardiology and Cardiac Surgery and information was obtained from 236 cardiologists in 228 institutions. Four hundred and eight patients with IE were hospitalized during 1997 to 2001 (1/173 admissions with CHD including those hospitalized for cardiac catheterization or surgery). Prevention of IE for CHD was undertaken by 92% of cardiologists, usually oral penicillins (73%) and less frequently cephems (18%) were prescribed. The Duke criteria were used as clinical criteria by 38%. Blood culture was performed once only by 40%. Penicillins and aminoglycosides (38%) were frequently administered for management of culture-negative IE. There were variations in the dose and duration of antibiotics for prevention and management of IE. It appears that the prevalence of IE in CHD is rising and the nationwide survey revealed more variations in practical prevention and management of IE in patients with CHD than expected. The results should be helpful in making future guidelines for management of IE in CHD. (Circ J 2003; 67: 585 - 591)

Content from these authors
© 2003 THE JAPANESE CIRCULATION SOCIETY
Previous article Next article
feedback
Top