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Infective endocarditis: call for education of adults with CHD: review of the evidence

Published online by Cambridge University Press:  02 November 2015

Laura H. Hays
Laura H. Hays*
Affiliation:
University of Arkansas for Medical Sciences, 4301 West Markham Street, Slot 529, Little Rock, Arkansas 72205, United States of America
*
Correspondence to: L. H. Hays, MNSc, APRN, CPNP-PC, 4301 West Markham Street, Slot 529, Little Rock, Arkansas 72205, United States of America. Tel: 501-827-2540; E-mail: lhays@uams.edu
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Abstract

Advanced surgical repair procedures have resulted in the increased survival rate to adulthood of patients with CHD. The resulting new chronic conditions population is greater than one million in the United States of America and >1.2 million in Europe. This review describes the risks and effects of infective endocarditis – a systemic infectious process with high morbidity and mortality – on this population and examines the evidence to determine whether greater patient education on recognition of symptoms and preventative measures is warranted. The literature search included the terms “infective endocarditis” and “adult congenital heart disease”. Search refinement, the addition of articles cited by included articles, as well as addition of supporting articles, resulted in utilisation of 24 articles. Infective endocarditis, defined by the modified Duke Criteria, occurs at a significantly higher rate in the CHD population due to congenitally or surgically altered cardiac anatomies and placement of prosthetic valves. This literature review returned no studies in the past five years assessing knowledge of the definition, recognition of symptoms, and preventative measures of infective endocarditis in the adult CHD population. Existing data are more than 15 years old and show significant knowledge deficits. Studies have consistently shown the need for improved CHD patient knowledge with regard to infective endocarditis, and there is no recent evidence that these knowledge deficits have decreased. It is important to address and decrease knowledge deficits in order to improve patient outcomes and decrease healthcare utilisation and costs.

Keywords

Infective endocarditisadultCHD
Type
Review Articles
Information
Cardiology in the Young , Volume 26 , Issue 3 , March 2016 , pp. 426 - 430
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Copyright
© Cambridge University Press 2015 

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References

1. Verheugt, CL, Uiterwaal, CS, van der Velde, ET, et al. Turning 18 with congenital heart disease: prediction of infective endocarditis based on a large population. Eur Heart J 2011; 32: 1926–1934.CrossRefGoogle ScholarPubMed
2. Ma, XZ, Li, XY, Que, CL, Lv, Y. Underlying heart disease and microbiological spectrum of adult infective endocarditis in one Chinese university hospital: a 10-year retrospective study. Intern Med J 2013; 43: 1303–1309.CrossRefGoogle ScholarPubMed
3. Lee, MR, Chang, SA, Choi, SH, et al. Clinical features of right-sided infective endocarditis occurring in non-drug users. J Korean Med Sci 2014; 29: 776–781.CrossRefGoogle ScholarPubMed
4. Malekzadeh-Milani, S, Ladouceur, M, Iserin, L, Bonnet, D, Boudjemline, Y. Incidence and outcomes of right-sided endocarditis in patients with congenital heart disease after surgical or transcatheter pulmonary valve implantation. J Thorac Cardiovasc Surg 2014; 148: 2253–2259.CrossRefGoogle ScholarPubMed
5. Ming Wang, TK, Oh, T, Voss, J, Pemberton, J. Characteristics and outcomes for right heart endocarditis: six-year cohort study. Heart Lung Circ 2014; 23: 625–627.CrossRefGoogle Scholar
6. Habib, G, Hoen, B, Tornos, P, et al. Guidelines on the prevention, diagnosis, and treatment of infective endocarditis (new version 2009). Eur Heart J 2009; 30: 2369–2413.Google ScholarPubMed
7. Wilson, W, Taubert, K, Gewitz, M, et al. Prevention of infective endocarditis: guidelines from the American Heart Association. Circulation 2007; 116: 1736–1754.CrossRefGoogle ScholarPubMed
8. Ferlie, E, Shortell, S. Improving the quality of health care in the United Kingdom and the United States: a framework for change. Milbank Q 2001; 79: 281–315.CrossRefGoogle ScholarPubMed
9. Knirsch, W, Nadal, D. Infective endocarditis in congenital heart disease. Eur J Pediatr 2011; 170: 1111–1127.CrossRefGoogle ScholarPubMed
10. Li, JS, Sexton, DJ, Mick, N, et al. Proposed modifications to the Duke Criteria for the diagnosis of infective endocarditis. Clin Infect Dis 2000; 30: 633–638.CrossRefGoogle Scholar
11. McManus, B. Adult congenital heart disease – challenges and opportunities for pathologists. Cardiovasc Pathol 2010; 19: 281–285.CrossRefGoogle ScholarPubMed
12. Rushani, D, Kaufman, JS, Ionescu-Ittu, R, et al. Infective endocarditis in children with congenital heart disease: cumulative incidence and predictors. Circulation 2013; 128: 1412–1419.CrossRefGoogle ScholarPubMed
13. Johnson, JA, Boyce, TG, Cetta, F, et al. Infective endocarditis in the pediatric patient: a 60-year single-institution review. Mayo Clin Proc 2012; 87: 629–635.CrossRefGoogle Scholar
14. Fortun, J, Centella, T, Martin-Davila, P, et al. Infective endocarditis in congenital heart disease: a frequent community-acquired complication. Infection 2013; 41: 167–174.CrossRefGoogle ScholarPubMed
15. Verheugt, CL, Uiterwaal, CS, van der Velde, ET, et al. Mortality in adult congenital heart disease. Eur Heart J 2010; 31: 1220–1229.CrossRefGoogle ScholarPubMed
16. Rosenthal, LB, Feja, KN, Levasseur, SM, Alba, LR, Gersony, W, Saiman, L. The changing edipemiology of pediatric endocarditis at a children’s hospital over seven decades. Pediatr Cardiol 2010; 31: 813–820.CrossRefGoogle Scholar
17. Pharis, CS, Conway, J, Warren, AE, Bullock, A, Mackie, AS. The impact of 2007 infective endocarditis prophylaxis guidelines on the practice of congenital heart disease specialists. Am Heart J 2011; 161: 123–129.CrossRefGoogle ScholarPubMed
18. Valente, AM, Landzberg, MJ, Gianola, A, et al. Improving heart disease knowledge and research participation in adults with congenital heart disease (the health, education and access research trial: HEART-ACHD). Int J Cardiol 2013; 168: 3236–3240.CrossRefGoogle ScholarPubMed
19. Ronning, H, Arestedt, K, Nielsen, NE, Swahn, E, Stromberg, A. Development and psychometric evaluation of the knowledge scale for adults with congenitally malformed hearts. J Cardiovasc Nurs 2013; 28: 228–237.CrossRefGoogle ScholarPubMed
20. Moons, P, De Volder, E, Budts, W, et al. What do adult patients with congenital heart disease know about their disease, treatment, and prevention of complications? A call for structured patient education. Heart 2001; 86: 74–80.Google Scholar
21. Kantoch, MJ, Collins-Nakai, RL, Medwid, S, Ungstad, E, Taylor, DA. Adult patients’ knowledge about their congenital heart disease. Can J Cardiol 1997; 13: 641–645.Google ScholarPubMed
22. Cetta, F, Warnes, CA. Adults with congenital heart disease: patient knowledge of endocarditis prophylaxis. Mayo Clin Proc 1995; 70: 50–54.CrossRefGoogle ScholarPubMed
23. Skorton, D, Garson, A, Allen, H, et al. Task force 5: adults with congenital heart disease: access to care. JACC 2001; 35: 1193–1198.CrossRefGoogle Scholar
24. Hays, L. Transition to adult congenital heart disease care: a review. J Pediatr Nurs 2015; 30: e63–e69.CrossRefGoogle ScholarPubMed