Infective Endocarditis in Patients with End-Stage Renal Disease on Dialysis: Epidemiology, Risk Factors, Diagnostic Challenges, and Management Approaches

被引:2
作者
Issa, Rochell [1 ]
Chaaban, Nourhan [2 ]
Salahie, Abdullah [3 ]
Honnekeri, Bianca [1 ]
Parizher, Gary [3 ]
Xu, Bo [3 ]
机构
[1] Cleveland Clin, Dept Internal Med, Cleveland, OH 44195 USA
[2] Univ Toledo, Dept Cardiol, Toledo, OH 43606 USA
[3] Cleveland Clin, Sydell & Arnold Miller Family Heart Vasc & Thorac, Robert & Suzanne Tomsich Dept Cardiovasc Med, Sect Cardiovasc Imaging, Cleveland, OH 44195 USA
关键词
infective endocarditis; end-stage renal disease; dialysis; cardiovascular imaging; HEALTH-CARE PROFESSIONALS; BLOOD-STREAM INFECTIONS; ANTIMICROBIAL THERAPY; SCIENTIFIC STATEMENT; HEMODIALYSIS; OUTCOMES; UPDATE; CARDIOLOGY; SURGERY; CATHETERIZATION;
D O I
10.3390/healthcare12161631
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Infective endocarditis (IE) poses a significant clinical challenge, especially among patients with end-stage renal disease (ESRD) undergoing dialysis, and is associated with high morbidity and mortality rates. This review provides a contemporary discussion of the epidemiology, risk factors, diagnostic challenges, and management strategies for IE among ESRD patients, including a literature review of recent studies focused on this vulnerable population. The review highlights the multifactorial nature of IE risk in ESRD patients, emphasizing the roles of vascular access type, dialysis modality, and comorbid conditions. It also explores the diagnostic utility of different imaging modalities and the importance of a multidisciplinary approach in managing IE, including both medical and surgical interventions. The insights from this review aim to contribute to the improvement of patient outcomes through early recognition, appropriate antimicrobial therapy, and timely surgical intervention when necessary.
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页数:21
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