Профилактика инфекционного эндокардита: современные подходы

В настоящем обзоре освещаются современные представления о профилактике инфекционного эндокардита (ИЭ). Описываются история развития концепции антибактериальной профилактики (АБП) ИЭ, основные подходы и обоснование изменения принципов АБП в последние годы. Подробно освещаются последние принятые международные и национальные рекомендации, в частности, Европейского общества кардиологов, Американской ассоциации сердца/Американской коллегии кардиологов и Японского общества по кровообращению. Представлена критическая оценка принятых ранее международных рекомендаций с анализом влияния частичного или полного ограничения АБП на заболеваемость ИЭ и частоту его осложнений. Отдельное внимание уделено осведомленности практических врачей и, в частности, стоматологов, о проблемах АБП в своей практике. Обсуждаются вопросы обоснованности и специфики профилактических подходов при имплантации электронных кардиальных устройств и транскатетерной имплантации аортального клапана.

Инфекционный эндокардит, профилактика, антибиотики, антибактериальная профилактика, международные рекомендации, стоматологические процедуры, имплантируемые кардиальные устройства, транскатетерная имплантация аортального клапана

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