ISSN : 1301-5680
e-ISSN : 2149-8156
TURKISH JOURNAL OF
THORACIC AND
CARDIOVASCULAR SURGERY
Turkish Journal of Thoracic and Cardiovascular Surgery     
Consensus Report on Diagnosis, Treatment and Prevention of Infective Endocarditis by Turkish Society of Cardiovascular Surgery (TSCVS), Turkish Society of Clinical Microbiology and Infectious Diseases (KLIMIK), Turkish Society of Cardiology (TSC), Turkish Society of Nuclear Medicine (TSNM), Turkish Society of Radiology (TSR), Turkish Dental Association (TDA) and Federation of Turkish Pathology Societies (TURKPATH) Cardiovascular System Study Group
Serap Şimşek-Yavuz1, Ahmet Rüçhan Akar2, Sinan Aydoğdu3, Denef Berzeg-Deniz1, Hakan Demir4, Tuncay Hazırolan5, Mehmet Ali Özatik2, Necla Özer3, Murat Sargın2, Emine Nursen Topcuoğlu6, Nesrin Turhan7, Mehmet Birhan Yılmaz3, Özlem Azap8, Seniha Başaran8, Yasemin Çağ8, Atahan Çağatay8, Güle Çınar8, Sibel Doğan-Kaya8, Lokman Hızmalı8, Mehmet Emirhan Işık8, Nirgül Kılıçaslan8, Şirin Menekşe8, Meliha Meriç-Koç8, Serpil Öztürk8, Ayfer Şensoy8, Yasemin Tezer-Tekçe8, Elif Tükenmez-Tigen8, Yeşim Uygun-Kızmaz8, Mutlu Şeyda Velioğlu-Öcalmaz8, Ayşegül Yeşilkaya8, Emel Yılmaz8, Neziha Yılmaz8, Fatma Yılmaz-Karadağ8
1Turkish Society of Clinical Microbiology and Infectious Diseases, Istanbul, Turkey
2Turkish Society of Cardiovascular Surgery, Istanbul, Turkey
3Turkish Society of Cardiology, Istanbul, Turkey
4Turkish Society of Nuclear Medicine, Ankara, Turkey
5Turkish Society of Radiology, Ankara, Turkey
6Turkish Dental Association, Ankara, Turkey
7Federation of Turkish Pathology Societies, Cardiovascular System Study Group, Ankara, Turkey
8Infective Endocarditis and Other Cardiovascular Infections Study Group
DOI : 10.5606/tgkdc.dergisi.2020.01954
Infective endocarditis (IE) is rare, but associated with significant morbidity and mortality rates. Estimates of the incidence of IE in Turkey are compromised by the absence of population-based prospective studies. Due to the frequent presence of predisposing cardiac conditions and higher rates of nosocomial bacteremia in highrisk groups, the incidence of IE is expected to be higher in Turkey. Additionally, while IE generally affects older people in developed countries, it still affects young people in Turkey. In order to reduce the mortality and morbidity, it is critical to diagnose the IE to determine the causative agent and to start treatment rapidly. However, most of the patients cannot be diagnosed in their first visits, about half of them can be diagnosed after three months, and the disease often goes unnoticed. In patients diagnosed with IE, the rate of identification of causative organisms is significantly lower in Turkey than in developed countries. Furthermore, most of the centers do not perform some essential microbiological diagnostic tests as a routine practice. Some antimicrobials that are recommended as the first-line of treatment for IE, particularly antistaphylococcal penicillins, are not available in Turkey. These problems necessitate reviewing the epidemiological, laboratory, and clinical characteristics of IE in our country, as well as the current information about its diagnosis, treatment, and prevention together with local data. Physicians can follow patients with IE in many specialties. Diagnosis and treatment processes of IE should be standardized at every stage so that management of IE, a setting in which many physicians are involved, can always be in line with current recommendations. Study Group for Infective Endocarditis and Other Cardiovascular Infections of the Turkish Society of Clinical Microbiology and Infectious Diseases has called for collaboration of the relevant specialist organizations to establish a consensus report on the diagnosis, treatment, and prevention of IE in the light of current information and local data in Turkey.
Keywords : Diagnosis, endocarditis, prevention, treatment
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