Endocarditis is an infection of the endocardium. The disease occurs when bacteria or fungi find their way through the bloodstream and attack the heart. The bacteria or fungi can come from any part of the blood and through blood attack the inner lining of your heart chambers and heart valves. For most cases of the bacterial infection that causes endocarditis are fungi, such as Candida. It is one of the most common types of diseases in the world. From the presentation, it is evident that for endocarditis , there are three ways of managing the disease. For severe endocarditis, the patient can either undergo prophylaxis, surgery, or organ removal. Surgery, therefore, is one most common interventions for the patients suffering from endocarditis. But how do you understand or know whether a patient should undergo surgery when they suffer from endocarditis? The first when the patients have heart failure, the need surgery. Also, patients exhibit signs of uncontrolled infections that need surgery. Also, there are other situations such as embolism, which a patient shows indicate that there is a need for surgical intervention ( Tina Varghese). Others are s evere valve dysfunction, prosthetic valve infection , invasion beyond the valve leaflets.
Despite the surgery, there are different antibiotics that these patients can use to help patients. For instance, penicillin or ampicillin are critical antibiotics for a patient surfing from endocarditis. These antibiotics can be vital when they are a combination of the gentamicin can also be advisable for the patient. Also, a combination of vancomycin or ampicillin-sulbactam can be useful for the patients (Witten, 2019). However, such drugs should be used together with medicines such as an aminoglycoside. Despite the dangers that come with the endocarditis, surgery is one of the best ways to control it. However, there are medications that doctors need to try as a way to intervene for the patients.
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References
Witten, J. C., Hussain, S. T., Shrestha, N. K., Gordon, S. M., Houghtaling, P. L., Bakaeen, F. G., ... & Pettersson, G. B. (2019). Surgical treatment of right-sided infective endocarditis. The Journal of Thoracic and Cardiovascular Surgery , 157 (4), 1418-1427.
Tina Varghese, Prevention and Intervention in Infective Endocard; Cardiovascular Fellows Rounds 2-02-18, https://www.youtube.com/watch?v=fSfMnBEafj8&feature=youtu.be
