Non-valvular prostheses/device related infective endocarditis : (Record no. 170156)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 07239namaa22004451i 4500 |
| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | OSt |
| 005 - أخر تعامل مع التسجيلة | |
| control field | 20250223033409.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 250112s2023 |||a|||f m||| 000 0 eng d |
| 040 ## - CATALOGING SOURCE | |
| Original cataloguing agency | EG-GICUC |
| Language of cataloging | eng |
| Transcribing agency | EG-GICUC |
| Modifying agency | EG-GICUC |
| Description conventions | rda |
| 041 0# - LANGUAGE CODE | |
| Language code of text/sound track or separate title | eng |
| Language code of summary or abstract | eng |
| -- | ara |
| 049 ## - Acquisition Source | |
| Acquisition Source | Deposit |
| 082 04 - DEWEY DECIMAL CLASSIFICATION NUMBER | |
| Classification number | 616.11 |
| 092 ## - LOCALLY ASSIGNED DEWEY CALL NUMBER (OCLC) | |
| Classification number | 616.11 |
| Edition number | 21 |
| 097 ## - Degree | |
| Degree | Ph.D |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) | |
| Local Call Number | Cai01.11.05.Ph.D.2023.Ge.N |
| 100 0# - MAIN ENTRY--PERSONAL NAME | |
| Authority record control number or standard number | George Saber Hanna Youssef, |
| Preparation | preparation. |
| 245 10 - TITLE STATEMENT | |
| Title | Non-valvular prostheses/device related infective endocarditis : |
| Remainder of title | study of diagnosis, management and outcomes of surgery / |
| Statement of responsibility, etc. | by George Saber Hanna Youssef ; Supervision of: Prof Dr. Ehab Mohamed El Shihy, Prof. Dr. Hesham Mostafa Al Kady, Prof. Dr. Marwa Sayed Mashaal, Dr. Ashraf Mostafa Abd Raboh. |
| 246 15 - VARYING FORM OF TITLE | |
| Title proper/short title | : التهاب بطانة القلب الناتج عن الاجهزة الصناعية غير الصمامية |
| Remainder of title | / دراسة طرق التشخيص, و العلاج و النتائج الجراحية |
| 264 #0 - PRODUCTION, PUBLICATION, DISTRIBUTION, MANUFACTURE, AND COPYRIGHT NOTICE | |
| Date of production, publication, distribution, manufacture, or copyright notice | 2023. |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | 103 pages : |
| Other physical details | illustrations ; |
| Dimensions | 25 cm. + |
| Accompanying material | CD. |
| 336 ## - CONTENT TYPE | |
| Content type term | text |
| Source | rda content |
| 337 ## - MEDIA TYPE | |
| Media type term | Unmediated |
| Source | rdamedia |
| 338 ## - CARRIER TYPE | |
| Carrier type term | volume |
| Source | rdacarrier |
| 502 ## - DISSERTATION NOTE | |
| Dissertation note | Thesis (Ph.D)-Cairo University, 2023. |
| 504 ## - BIBLIOGRAPHY, ETC. NOTE | |
| Bibliography, etc. note | Bibliography: pages 89-101. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Objectives: Endocarditis that is caused by a foreign hardware is not a common phenomenon but its incidence is rising; it presents difficult management problems to the clinician. This infection is usually resistant to many antibiotics, and necessitates an extensive operation to remove the device if removal is delayed. We evaluated our experience as a tertiary referral center focusing on the management and the outcome, including both medical and surgical approaches. Focusing on the decision making about timing and techniques of surgeries.<br/> Methods: This was a case series analytical descriptive study that enrolled a total of 60 patients with infective endocarditis caused by an inserted hardware retrospectively and prospectively in the period between January 2016 till august 2023.<br/> Results: Our study was carried out on 60 patients with different culprit interventions including: 16 patients with CVL, 13 with pacemaker insertion, 16 CKD patients with dialysis shunt or catheter, 4 patients with Dacron tube graft for aorta replacement, 1 case of PDA occlude device , 4 patients with ASD or VSD occluder device and 6 patients with ASD or VSD Dacron patch. Mean age was 24.2 years old including 26 males and 34 females. 42 patients (70%) were diabetics and 43 patients (72%) had underlying cardiac disease. The main presentation was fever and chills in 71.6% of patients and a delay of diagnosis of 8.4 +/- 2.6 months from the onset of symptoms. The operation was done with mean timing of 32 +/- 2.9 days after the diagnosis. Surgery was by either percutaneous extraction in 13 patients versus intra-cardiac intervention in 37 patients. The latter with mean ischemia time of 68.1 +/- 12.43 min and mean bypass time 76.1 +/- 14.03 min. Culture of surgical specimen showed MRSA, MSSA and others in 72%, 12% and 16% of cases respectively. And mean post-operative ventilation time was 6.5 +/- 3.87 hours, mean ICU stay was 4 +/- 3.5 days. 7 cases of in-hopital mortalities (14%) for the surgical treatment while it was 20% for the medical management all mainly are due sepsis.<br/> Conclusion: The clinician should be aware of any sign or symptom develops in a patient who previously underwent a hardware insertion, taking cultures before starting antibiotics and apply a management plan by heart team coordination. Generally, complete device removal is the most important protective factor and re-evaluation of the need of a new hardware with or without valve replacement. Further studies with larger sample size and longer follow up period will be necessary to obtain a clear decision about timing and extent of surgical intervention. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | ان التهاب بطانة القلب الناجم عن استخدام أجهزة طبية ليس بظاهرة شائعة و لكن حدوثه اّخذ في الازدياد. أنه يمثل معضلة صعبة بالنسبة للاطباء, فعادة تكون هذه العدوي مقاومة للعديد من المضادات الحيوية, و تتطلب عملية جراحية خطرة لازالة الجسم مصدر العدوي.<br/> يمكن الاصابة بهذه العدوي أثناء تركيب الجهاز الطبي, أو نتيجة التهاب الأنسجة المحيطة به, أو نتيجة انتقال العدوي عن طريق الدم من مكان أخر بالجسم.<br/> هناك تأخير كبير في تشخيص مثل هذه العدوي بحيث يجب أن يكون الطبيب متنبها لأي أعراض التهاب تظهر علي المريض الذي خضع سابقا لتركيب أي جهاز طبي. كما يجب سحب المسحات و عمل مزارع البكتيريا من الانسجة المشتبه فيها المتعلقة بالاجهزة الطبية قبل بدأ العلاج بالمضادات الحيوية. علما بأن اكثر البكتيريا شيوعا المسببة لمثل هذه العدوي هي المكورات العنقودية.<br/> و تتمحور خطة العلاج اساسا علي شقين: العلاج الدوائي بالمضادات الحيوية تبعا لنتيجة تحليل مزرعة الدم, و عادة ما يستمر العلاج الدوائي لفترة ما بين أربع الي ستة اسابيع. و قد يستلزم العلاج اللجوء الي تدخل جراحي من اجل استئصال الجهاز المسبب للالتهاب مع استئصال الأنسجة المصابة, و قد يحتاج اضافة اصلاح أو استبدال اي من صمامات القلب حسب حالة الضرر الذي لحق بها.<br/> ان المنهج الموصي به هو تواجد فريق متكامل من أطباء القلب و جراحة القلب لحالات التهاب بطانة القلب و الذين يقومون بتخصيص خطة العلاج المناسبة لكل حالة علي حدا. و بشكل عام, تعتبر الازالة الكاملة للجهاز الطبي المسبب للالتهاب هي أهم عامل وقائي لهذه العدويٍ كما هو موضح في هذه الدراسة و العديد من الدراسات الأخري. |
| 530 ## - ADDITIONAL PHYSICAL FORM AVAILABLE NOTE | |
| Issues CD | Issues also as CD. |
| 546 ## - LANGUAGE NOTE | |
| Text Language | Text in English and abstract in Arabic & English. |
| 650 #7 - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | Endocarditis |
| Source of heading or term | qrmak |
| 653 #0 - INDEX TERM--UNCONTROLLED | |
| Uncontrolled term | infective |
| -- | endocarditits |
| -- | prostheses |
| -- | cardiac surgery |
| -- | non-valvular |
| -- | device |
| -- | valve replacement |
| 700 0# - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Ehab Mohamed El Shihy |
| Relator term | thesis advisor. |
| 700 0# - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Hesham Mostafa Al Kady |
| Relator term | thesis advisor. |
| 700 0# - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Marwa Sayed Mashaal |
| Relator term | thesis advisor. |
| 700 0# - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Ashraf Mostafa Abd Raboh |
| Relator term | thesis advisor. |
| 900 ## - Thesis Information | |
| Grant date | 01-01-2023 |
| Supervisory body | Ehab Mohamed El Shihy |
| -- | Hesham Mostafa Al Kady |
| -- | Marwa Sayed Mashaal |
| -- | Ashraf Mostafa Abd Raboh |
| Universities | Cairo University |
| Faculties | Faculty of Medicine |
| Department | Department of Cardiothoracic Surgery |
| 905 ## - Cataloger and Reviser Names | |
| Cataloger Name | Shimaa |
| Reviser Names | Huda |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Source of classification or shelving scheme | Dewey Decimal Classification |
| Koha item type | Thesis |
| Edition | 21 |
| Suppress in OPAC | No |
| Source of classification or shelving scheme | Home library | Current library | Date acquired | Inventory number | Full call number | Barcode | Date last seen | Effective from | Koha item type |
|---|---|---|---|---|---|---|---|---|---|
| Dewey Decimal Classification | المكتبة المركزبة الجديدة - جامعة القاهرة | قاعة الرسائل الجامعية - الدور الاول | 12.01.2025 | 90209 | Cai01.11.05.Ph.D.2023.Ge.N | 01010110090209000 | 12.01.2025 | 12.01.2025 | Thesis |