Endocarditis due to coagulase-negative staphylococci. Microbiologic, epidemiologic, and clinical considerations

Infect Dis Clin North Am. 1993 Mar;7(1):81-96.

Abstract

Coagulase-negative staphylococci are the most frequently isolated pathogens in prosthetic valve endocarditis and cause 5% of infections involving native valves. Distinguishing contamination from bacteremia may be challenging. The presence of heteroresistance in many strains makes rigorous susceptibility testing a requirement for selecting appropriate antibiotic selection. Infection is frequently complicated by valvular insufficiency with congestive heart failure, local tissue invasion or synthetic embolization, making surgical intervention necessary in many cases.

Publication types

  • Review

MeSH terms

  • Coagulase / metabolism
  • Drug Resistance, Microbial
  • Endocarditis, Bacterial / drug therapy
  • Endocarditis, Bacterial / epidemiology
  • Endocarditis, Bacterial / microbiology*
  • Heart Valve Diseases / drug therapy
  • Heart Valve Diseases / epidemiology
  • Heart Valve Diseases / microbiology
  • Heart Valve Prosthesis / adverse effects
  • Humans
  • Microbial Sensitivity Tests
  • Prosthesis-Related Infections / drug therapy
  • Prosthesis-Related Infections / epidemiology
  • Prosthesis-Related Infections / microbiology
  • Staphylococcal Infections / drug therapy
  • Staphylococcal Infections / epidemiology
  • Staphylococcal Infections / microbiology*
  • Staphylococcus / drug effects
  • Staphylococcus / enzymology*

Substances

  • Coagulase