Preview

Clinical Medicine (Russian Journal)

Advanced search
Open Access Open Access  Restricted Access Subscription Access

The significance of the phenomenon of arterial bacteremia exceeding venous bacteremia in the etiological diagnosis of intracardiac infection

https://doi.org/10.30629/0023-2149-2024-102-8-616-623

Abstract

This article analyzes the potential for enhancing the effectiveness of cultural bacteriological testing in patients with infectious endocarditis through the cultivation of arterial and venous blood. Experimental data are presented, based on which the concept of the phenomenon of arterial bacteremia surpassing venous bacteremia is formulated, alongside the results of its clinical application. 

About the Author

Yu. L. Shevchenko
National Medical and Surgical Center named after N.I. Pirogov of the Ministry of Health of Russia, St. George Clinic of Thoracic and Cardiovascular Surgery
Russian Federation

Yury L. Shevchenko — Doctor of Medical Sciences, Professor, Academician of RAS, President of National Medical and Surgical Center named after N.I. Pirogov 

Moscow



References

1. Demin A.A., Kobalava Zh.D., Skopin I.I. et al. Infective endocarditis and infection of intracardiac devices. Clinical recommendations 2021. Russian Journal of Cardiology. 2022;27(10):5233. (In Russian)]. DOI: 10.15829/1560-4071-2022-5233

2. Shevchenko Yu.L. Surgical treatment of infective endocarditis and the basics of purulent-septic cardiac surgery. Moscow: Dynasty, 2020:424. (In Russian)].

3. Habib G., Erba P.A., Iung B. et al. Clinical presentation, aetiology and outcome of infective endocarditis. Results of the ESC-EORP EURO-ENDO (European infective endocarditis) registry: a prospective cohort study. Eur. Heart J. 2019;14;40(39):3222–3232. DOI: 10.1093/eurheartj/ehz620

4. Scully P.R., Woldman S., Prendergast B.D. Infective endocarditis: we could (and should) do better. Heart. 2021;107(2):96–98. DOI: 10.1136/heartjnl-2020-317671

5. Shevchenko Yu. L. Surgery of infective endocarditis (40 years of treatment experience). Klinicheskaya meditsina. 2020;98(8):600– 605. (In Russian)].

6. Abdelgawad H., Azab S., Abdel-Hay M. A., Almaghraby A. Clinical features and outcomes of infective endocarditis: a single-centre experience. Cardiovasc. J. Afr. 2022;33:1–7.

7. Danilov A. I., Alekseeva I. V., Asner T. V. et al. Real practice of treatment of infective endocarditis in the Russian Federation: interim results of the MAESTRO study. Clinical microbiology and antimicrobial chemotherapy. 2013;15(2):18–19. (In Russian)].

8. El-Kholy A., Gamal El-din ElRachidi, N., El-Enany M. et al. Impact of serology and molecular methods on improving the microbiologic diagnosis of infective endocarditis in Egypt. Infection. 2015;43(5):523–529.

9. Fournier P. E., Gouriet F., Casalta J.P. et al. Blood culture-negative endocarditis: Improving the diagnostic yield using new diagnostic tools. Medicine (Baltimore). 2017;96(47):e8392.

10. Li L., Mendis N., Trigui H. et al. The importance of the viable but non-culturable state in human bacterial pathogens. Frontiers in Microbiology. 2014;5:1 –20.

11. Sadaka S.M., El Ghazzawy I.F., Hassanen M.M. et al. Molecular and serological techniques for the diagnosis of culture negative infective endocarditis in Alexandria Main University Hospital. The Egyptian Heart Journal. 2013;65:145–152.

12. Kobalava Zh.D., Kotova E.O. Global and national trends in the evolution of infective endocarditis. Cardiology. 2023;63(1):3–11. (In Russian)].

13. Shevchenko Yu.L. Surgical treatment of infective endocarditis. SPb. Science. 1995:230. (In Russian)].

14. Baranov A.A., Mayansky A.N., Chebotarev I.V., Mayansky N.A. New era in medical microbiology. Bulletin of the Russian Academy of Sciences. 2015;85(11):1011–1018. (In Russian)]. DOI: 10:7868/S086958731511002X

15. Halavaara M., Martelius T., Jarvinen A. et al. Impact of pre-operative antimicrobial treatment on microbiological fi ndings from endocardial specimens in infective endocarditis Eur. J. Clin. Microbiol. Infect. 2019;(3):497–503.

16. Yang X., Chen H., Zhang D., Shen L., An G., Zhao S. Global magnitude and temporal trend of infective endocarditis, 1990–2019: results from the Global Burden of Disease Study. European Journal of Preventive Cardiology. 2022;29(8):1277–86. DOI: 10.1093/eurjpc/zwab184

17. Kotova E.O., Pisaryuk A.S., Domonova E.A. et al. Infectious endocarditis: etiology and the role of modern methods in microbiological diagnostics. Clinical pharmacology and therapy. 2016;25(2):28–31. (In Russian)].

18. Danilov A.I., Osipenkova T.A., Kozlov R.S. Modern features of infective endocarditis in the Russian Federation. Attending physician. 2018;11:54. (In Russian)].

19. Schizas N., Michailidis T., Samiotis I., Patris V., Papakonstantinou K., Argiriou M. et al. Delayed Diagnosis and Treatment of a Critically Ill Patient with Infective Endocarditis Due to a False-Positive Molecular Diagnostic Test for SARS-CoV-2. American Journal of Case Reports. 2020;21:e925931. DOI: 10.12659/AJCR.925931

20. Bosshard P.P., Kronenberg A., Zbinden R. et al. Etiologic Diagnosis of Infective Endocarditis by Broad-Range Polymerase Chain Reaction: A 3-Year Experience. Clinical Infectious Diseases. 2003;37:167–172.


Review

For citations:


Shevchenko Yu.L. The significance of the phenomenon of arterial bacteremia exceeding venous bacteremia in the etiological diagnosis of intracardiac infection. Clinical Medicine (Russian Journal). 2024;102(8):616-623. (In Russ.) https://doi.org/10.30629/0023-2149-2024-102-8-616-623

Views: 114


ISSN 0023-2149 (Print)
ISSN 2412-1339 (Online)