Related Experiment Video
Updated: Feb 7, 2026
05:10
Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
1.3K
Management of infective endocarditis and multidisciplinary approach
F Camou1, M Dijos2, L Barandon3
1Réanimation médicale et maladies infectieuses, groupe hospitalier Saint-André, CHU de Bordeaux, 1, rue Jean Burguet, 33075 Bordeaux cedex, France(1).
Medecine Et Maladies Infectieuses
|July 22, 2018
Summary
A weekly endocarditis multidisciplinary meeting (EMM) improved infective endocarditis (IE) management. The EMM helped adhere to guidelines and adapt patient care, improving IE prognosis despite a 12% in-hospital case fatality rate.
Area of Science:
- Cardiology
- Infectious Diseases
- Healthcare Management
Background:
- Infective endocarditis (IE) poses significant mortality challenges due to evolving patient demographics and healthcare-associated infections.
- Optimizing IE management requires a structured, multidisciplinary approach.
Purpose of the Study:
- To evaluate the impact of a weekly endocarditis multidisciplinary meeting (EMM) on the management and in-hospital case fatality of IE.
- To analyze the effectiveness of the EMM in addressing both community-acquired and healthcare-associated IE.
Main Methods:
- Prospective analysis of patients hospitalized for IE presented at the weekly EMM from January 2013 to June 2017.
- Inclusion of 493 definite IE cases (262 community-acquired, 231 healthcare-associated) for case fatality analysis.
Main Results:
- The EMM documented infections in 92% of cases, with staphylococci and streptococci being common pathogens.
- Septic embolism occurred in 57% of patients, and 49% underwent surgery.
- In-hospital case fatality was 12%, with higher rates in elderly patients, those not receiving surgery, or with initial heart failure or Staphylococcus aureus IE.
Conclusions:
- The weekly EMM facilitates adherence to European Society of Cardiology guidelines for IE management.
- The EMM enables personalized patient care adaptation, contributing to improved IE prognosis.
Related Concept Videos
01:25Endocarditis II: Clinical Features of Infective Endocarditis
535
Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
535
01:18Endocarditis III: Medical Management
261
Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
261
01:29Endocarditis IV: Nursing Management
396
Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
396
01:25Endocarditis I: Introduction
512
Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...
512
01:17Urinary Tract Infection IV: Nursing Management
484
In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs...
484
01:20Frustration and Conflict: Approach-Approach, Approach-Avoidance
540
Frustration occurs when people are obstructed or prevented from achieving a desired goal or fulfilling a perceived need. For example, when someone's input is ignored in a discussion, it can lead to feelings of frustration. Conflict, however, arises from opposing interests, goals, or actions. Conflicts can take various forms based on the nature of these opposing desires or goals.
One common type of conflict is the Approach–Approach Conflict. In this case, a person faces two desirable...
One common type of conflict is the Approach–Approach Conflict. In this case, a person faces two desirable...
540