Zusammenfassung
Etwa 83 % der Endokarditiden im Kindesalter spielen sich bei Patienten mit angeborenen Herzfehlern ab, davon etwa 80 % nachdem der Herzfehler chirurgisch behandelt wurde. Streptococcus viridans ist der häufigste Erreger einer Endokarditis, gefolgt von Staphylokokken und gramnegativen Keimen. Bei zahnärztlichen Eingriffen und in der Oralchirurgie sollte eine Endokarditisprophylaxe durchgeführt werden nachdem die Patienten kardiologisch einer Risikogruppe zugeordnet wurden. Als Antibiotikum der ersten Wahl wird weiterhin Amoxicillin empfohlen.
Summary
83 % of all cases with infective endocarditis in childhood are based on structural congenital heart disease. 80 % of these cases were found in a state after cardiac surgery. Streptococcus viridans is the most common bacteria species found in endocarditis followed by streptococci and gramnegative bacteria species. In dental procedures antibiotic prophylaxis is recommended after stratifying the risk of the patients. The antibiotic agent of first choice is amoxicillin.
Schlüsselwörter
Endokarditis - Prophylaxe - zahnärztliche Eingriffe
Key Word
Infective Endocarditis - Prophylaxis - Dental Procedures
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Korrespondenzadresse
Dr. Rainer Kozlik-Feldmann
Abteilung Herzkatheter Interventionen, Kinderherzzentrum München
Universitätsklinikum Großhadern, Ludwig-Maximilians-Universität München
81366 München
eMail: kozlik-f@lrz.uni-muenchen.de
