Tổng kết một số kinh nghiệm chẩn đoán và điều trị viêm nội tâm mạc nhiễm khuẩn tại Khoa Nội Tim mạch, Bệnh viện Trung ương Quân đội 108 giai đoạn 2015-2020

Abstract

Objective: To describe the clinical experiences in diagnosis and treatment of infective endocarditis at the Department of Cardiology, 108 Military Central Hospital from 2015 to 2020. Subject and method: A retrospective, descriptive, cross-sectional study collected patient data based on electronic medical records in 5 years from 2015 to 2020. Result: A total of 42 patients were included in the study with an average age of 49.17 ± 16.71, more men than women (64.3%). The most common lesions were the mitral valve (54.7%), then the aortic valve (26.1%). Blood cultures mainly showed Streptococci (38.1%), or negative (28.1%), Staphylococci (11.9%). Antibiotics were mainly used in combination of 2 types (64.3%), 3 types (14.3%) of which the main combination was vancomycin (50.0%), quinolone (45.2%) and cephalosporins (41.3%). The majority of patients received planned surgery in 6 months (57.1%), or conservative treatment (33.3%). The 6-month mortality rate for this group was 9.5%. Conclusion: Infective endocarditis is a complex disease with high morbidity and mortality rates.