{"id":620,"date":"2025-05-27T18:49:19","date_gmt":"2025-05-27T15:49:19","guid":{"rendered":"https:\/\/wiki.voka.io\/diseases\/uncategorized\/infektiose-endokarditis\/"},"modified":"2026-04-24T12:40:31","modified_gmt":"2026-04-24T09:40:31","slug":"infektiose-endokarditis","status":"publish","type":"diseases_post","link":"https:\/\/wiki.voka.io\/de\/krankheit\/kardiologie\/infektiose-endokarditis\/","title":{"rendered":"Infekti\u00f6se Endokarditis: \u00c4tiologie, Pathogenese, Klassifikation, Diagnostik, Behandlungsmethoden"},"content":{"rendered":"<p><?xml encoding=\"UTF-8\" ?><\/p>\n<p>\u0418\u043d\u0444\u0435\u043a\u0446\u0438\u043e\u043d\u043d\u044b\u0439 \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442 (\u0418\u042d) \u2014 \u044d\u0442\u043e \u043f\u043e\u0442\u0435\u043d\u0446\u0438\u0430\u043b\u044c\u043d\u043e \u0436\u0438\u0437\u043d\u0435\u0443\u0433\u0440\u043e\u0436\u0430\u044e\u0449\u0435\u0435 \u0437\u0430\u0431\u043e\u043b\u0435\u0432\u0430\u043d\u0438\u0435, \u0441\u0432\u044f\u0437\u0430\u043d\u043d\u043e\u0435 \u0441 \u0432\u043e\u0441\u043f\u0430\u043b\u0435\u043d\u0438\u0435\u043c \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0430, \u043f\u0440\u0435\u0438\u043c\u0443\u0449\u0435\u0441\u0442\u0432\u0435\u043d\u043d\u043e \u043a\u043b\u0430\u043f\u0430\u043d\u043d\u043e\u0433\u043e \u0430\u043f\u043f\u0430\u0440\u0430\u0442\u0430 \u0441\u0435\u0440\u0434\u0446\u0430, \u0432\u044b\u0437\u0432\u0430\u043d\u043d\u043e\u0435 \u043c\u0438\u043a\u0440\u043e\u0431\u043d\u043e\u0439 \u0438\u043d\u0432\u0430\u0437\u0438\u0435\u0439. \u041d\u0435\u0441\u043c\u043e\u0442\u0440\u044f \u043d\u0430 \u0440\u0430\u0437\u0432\u0438\u0442\u0438\u0435 \u0430\u043d\u0442\u0438\u0431\u0430\u043a\u0442\u0435\u0440\u0438\u0430\u043b\u044c\u043d\u043e\u0439 \u0442\u0435\u0440\u0430\u043f\u0438\u0438 \u0438 \u0441\u043e\u0432\u0440\u0435\u043c\u0435\u043d\u043d\u044b\u0445 \u043c\u0435\u0442\u043e\u0434\u043e\u0432 \u0432\u0438\u0437\u0443\u0430\u043b\u0438\u0437\u0430\u0446\u0438\u0438, \u043f\u0440\u043e\u0446\u0435\u043d\u0442 \u0441\u043c\u0435\u0440\u0442\u043d\u043e\u0441\u0442\u0438 \u043e\u0442 \u043e\u0431\u0449\u0435\u0433\u043e \u0447\u0438\u0441\u043b\u0430 \u0437\u0430\u0431\u043e\u043b\u0435\u0432\u0448\u0438\u0445 \u043e\u0441\u0442\u0430\u0435\u0442\u0441\u044f \u0432\u044b\u0441\u043e\u043a\u0438\u043c.<\/p>\n<div class=\"videos-carousel-block\">\n<div class=\"swiper video-carousel-swiper video-carousel-swiper-block_6a07bb5922408\">\n<div class=\"swiper-wrapper\">\n<div class=\"swiper-slide\"><video controls class=\"carousel-video\"><source data-src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Acquired%20Heart%20Diseases\/Infective%20endocarditis\/1-Infective%20endocarditis%20of%20the%20left%20heart%20(61)%20BG%2BPlashki%2BLogo%2Bsound_1.webm\" type=\"video\/webm\"><\/source><\/video><span class=\"small-text-article text-main-text-color\">3D-\u0430\u043d\u0438\u043c\u0430\u0446\u0438\u044f \u2013 \u0438\u043d\u0444\u0435\u043a\u0446\u0438\u043e\u043d\u043d\u044b\u0439 \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442 \u043b\u0435\u0432\u044b\u0445 \u043e\u0442\u0434\u0435\u043b\u043e\u0432 \u0441\u0435\u0440\u0434\u0446\u0430<\/span><\/div>\n<div class=\"swiper-slide\"><video controls class=\"carousel-video\"><source data-src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Acquired%20Heart%20Diseases\/Infective%20endocarditis\/2-Infective%20endocarditis%20of%20the%20right%20heart%20(62)%20BG%2BPlashki%2BLogo%2BSound_1.webm\" type=\"video\/webm\"><\/source><\/video><span class=\"small-text-article text-main-text-color\">3D-\u0430\u043d\u0438\u043c\u0430\u0446\u0438\u044f \u2013 \u0438\u043d\u0444\u0435\u043a\u0446\u0438\u043e\u043d\u043d\u044b\u0439 \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442 \u043f\u0440\u0430\u0432\u044b\u0445 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25.3656C23.5005 25.4818 23.5926 25.6196 23.6555 25.7714C23.7184 25.9231 23.7507 26.0858 23.7507 26.25C23.7507 26.4142 23.7184 26.5769 23.6555 26.7286C23.5926 26.8804 23.5005 27.0182 23.3844 27.1344C23.2682 27.2505 23.1304 27.3426 22.9786 27.4055C22.8269 27.4683 22.6643 27.5007 22.5 27.5007C22.3358 27.5007 22.1731 27.4683 22.0214 27.4055C21.8696 27.3426 21.7318 27.2505 21.6156 27.1344L15.3656 20.8844C15.2494 20.7683 15.1572 20.6304 15.0943 20.4787C15.0314 20.3269 14.999 20.1643 14.999 20C14.999 19.8357 15.0314 19.6731 15.0943 19.5213C15.1572 19.3696 15.2494 19.2317 15.3656 19.1156L21.6156 12.8656C21.7318 12.7495 21.8696 12.6574 22.0214 12.5945C22.1731 12.5317 22.3358 12.4993 22.5 12.4993C22.6643 12.4993 22.8269 12.5317 22.9786 12.5945C23.1304 12.6574 23.2682 12.7495 23.3844 12.8656C23.5005 12.9818 23.5926 13.1196 23.6555 13.2714C23.7184 13.4231 23.7507 13.5858 23.7507 13.75C23.7507 13.9142 23.7184 14.0769 23.6555 14.2286C23.5926 14.3804 23.5005 14.5182 23.3844 14.6344L18.0172 20L23.3844 25.3656Z\" fill=\"#B5C0CD\"><\/path><\/svg><\/button><\/div>\n<\/div>\n<\/div>\n<p><script defer>\n    document.addEventListener('DOMContentLoaded', function() {\n        const videosCarouselSwiper = new Swiper('.video-carousel-swiper-block_6a07bb5922408', {\n            slidesPerView: 1,\n            spaceBetween: 20,\n            loop: true,\n            pagination: {\n                el: '.swiper-article-video-carousel__pagination-container-block_6a07bb5922408',\n                clickable: true,\n            },\n            navigation: {\n                nextEl: '.video-carousel-swiper-button-next-block_6a07bb5922408',\n                prevEl: '.video-carousel-swiper-button-prev-block_6a07bb5922408',\n            },\n            on: {\n                slideChangeTransitionStart: function () {\n                    const videos = this.el.querySelectorAll('video');\n                    videos.forEach(video => {\n                        if (!video.paused) {\n                            video.pause();\n                            video.currentTime = 0;\n                        }\n                    });\n                },\n            }\n        })\n    })\n<\/script><\/p>\n<h2 class=\"wp-block-heading\" id=\"epidemiologie\">Epidemiologie<\/h2>\n<p>\u0427\u0430\u0441\u0442\u043e\u0442\u0430 \u0438\u043d\u0444\u0435\u043a\u0446\u0438\u043e\u043d\u043d\u043e\u0433\u043e \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442\u0430 \u0432\u0430\u0440\u044c\u0438\u0440\u0443\u0435\u0442 \u043e\u0442 3 \u0434\u043e 15 \u0441\u043b\u0443\u0447\u0430\u0435\u0432 \u043d\u0430 100 000 \u043d\u0430\u0441\u0435\u043b\u0435\u043d\u0438\u044f \u0432 \u0433\u043e\u0434. \u0417\u0430\u0431\u043e\u043b\u0435\u0432\u0430\u0435\u043c\u043e\u0441\u0442\u044c \u0432\u043e\u0437\u0440\u0430\u0441\u0442\u0430\u0435\u0442 \u0441 \u0432\u043e\u0437\u0440\u0430\u0441\u0442\u043e\u043c: \u043f\u0438\u043a \u043f\u0440\u0438\u0445\u043e\u0434\u0438\u0442\u0441\u044f \u043d\u0430 \u043b\u0438\u0446 \u0441\u0442\u0430\u0440\u0448\u0435 60 \u043b\u0435\u0442, \u0447\u0442\u043e \u0441\u0432\u044f\u0437\u0430\u043d\u043e \u0441 \u043d\u0430\u043a\u043e\u043f\u043b\u0435\u043d\u0438\u0435\u043c \u0444\u0430\u043a\u0442\u043e\u0440\u043e\u0432 \u0440\u0438\u0441\u043a\u0430, \u0442\u0430\u043a\u0438\u0445 \u043a\u0430\u043a \u043a\u043b\u0430\u043f\u0430\u043d\u043d\u044b\u0435 \u043f\u0440\u043e\u0442\u0435\u0437\u044b, \u0441\u0435\u0440\u0434\u0435\u0447\u043d\u044b\u0435 \u0438\u043c\u043f\u043b\u0430\u043d\u0442\u044b, \u0445\u0440\u043e\u043d\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u0437\u0430\u0431\u043e\u043b\u0435\u0432\u0430\u043d\u0438\u044f \u0438 \u0447\u0430\u0441\u0442\u044b\u0435 \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0441\u043a\u0438\u0435 \u0432\u043c\u0435\u0448\u0430\u0442\u0435\u043b\u044c\u0441\u0442\u0432\u0430. \u041c\u0443\u0436\u0447\u0438\u043d\u044b \u0431\u043e\u043b\u0435\u044e\u0442 \u043f\u0440\u0438\u043c\u0435\u0440\u043d\u043e \u0432 2 \u0440\u0430\u0437\u0430 \u0447\u0430\u0449\u0435, \u0447\u0435\u043c \u0436\u0435\u043d\u0449\u0438\u043d\u044b.<\/p>\n<p>\u0412 \u043f\u043e\u0441\u043b\u0435\u0434\u043d\u0438\u0435 \u0434\u0435\u0441\u044f\u0442\u0438\u043b\u0435\u0442\u0438\u044f \u043f\u0440\u043e\u0438\u0437\u043e\u0448\u0435\u043b \u0441\u0434\u0432\u0438\u0433 \u0432 \u044d\u043f\u0438\u0434\u0435\u043c\u0438\u043e\u043b\u043e\u0433\u0438\u0447\u0435\u0441\u043a\u043e\u043c \u043f\u0440\u043e\u0444\u0438\u043b\u0435: \u0432\u043c\u0435\u0441\u0442\u043e \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u043e\u0432 \u0441 \u0440\u0435\u0432\u043c\u0430\u0442\u0438\u0447\u0435\u0441\u043a\u0438\u043c\u0438 \u043f\u043e\u0440\u043e\u043a\u0430\u043c\u0438 \u0441\u0435\u0440\u0434\u0446\u0430 \u0438 \u043b\u0438\u0446, \u0443\u043f\u043e\u0442\u0440\u0435\u0431\u043b\u044f\u044e\u0449\u0438\u0445 \u0432\u043d\u0443\u0442\u0440\u0438\u0432\u0435\u043d\u043d\u044b\u0435 \u043d\u0430\u0440\u043a\u043e\u0442\u0438\u043a\u0438, \u0442\u0435\u043f\u0435\u0440\u044c \u043f\u0440\u0435\u043e\u0431\u043b\u0430\u0434\u0430\u044e\u0442 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u044b \u043f\u043e\u0436\u0438\u043b\u043e\u0433\u043e \u0432\u043e\u0437\u0440\u0430\u0441\u0442\u0430, \u0447\u0430\u0441\u0442\u043e \u0441 \u0438\u043c\u043f\u043b\u0430\u043d\u0442\u0438\u0440\u043e\u0432\u0430\u043d\u043d\u044b\u043c\u0438 \u043a\u043b\u0430\u043f\u0430\u043d\u0430\u043c\u0438, \u043f\u0440\u043e\u0442\u0435\u0437\u0430\u043c\u0438 \u0438 \u043a\u0430\u0440\u0434\u0438\u043e\u0441\u0442\u0438\u043c\u0443\u043b\u044f\u0442\u043e\u0440\u0430\u043c\u0438.<\/p>\n<h2 class=\"wp-block-heading\" id=\"aetiologie\">\u00c4tiologie<\/h2>\n<p>\u041f\u0440\u0438\u0447\u0438\u043d\u043e\u0439 \u0440\u0430\u0437\u0432\u0438\u0442\u0438\u044f \u0418\u042d \u043c\u043e\u0433\u0443\u0442 \u0431\u044b\u0442\u044c \u0440\u0430\u0437\u043b\u0438\u0447\u043d\u044b\u0435 \u043c\u0438\u043a\u0440\u043e\u043e\u0440\u0433\u0430\u043d\u0438\u0437\u043c\u044b.<\/p>\n<ul class=\"wp-block-list\">\n<li><em>Staphylococcus aureus<\/em> ist der h\u00e4ufigste Erreger, vor allem bei im Krankenhaus erworbenen Infektionen und bei Drogenabh\u00e4ngigen.<\/li>\n<li><em>Streptococcus viridans<\/em> \u2014 \u043a\u043b\u0430\u0441\u0441\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u0432\u043e\u0437\u0431\u0443\u0434\u0438\u0442\u0435\u043b\u0438 \u043f\u0440\u0438 \u043f\u043e\u0440\u0430\u0436\u0435\u043d\u0438\u0438 \u043d\u0430\u0442\u0438\u0432\u043d\u044b\u0445 \u043a\u043b\u0430\u043f\u0430\u043d\u043e\u0432 \u0443 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u043e\u0432 \u0431\u0435\u0437 \u043e\u0447\u0435\u0432\u0438\u0434\u043d\u044b\u0445 \u0444\u0430\u043a\u0442\u043e\u0440\u043e\u0432 \u0440\u0438\u0441\u043a\u0430.<\/li>\n<li><em>Enterococcus spp.<\/em> sind bei \u00e4lteren Patienten signifikant, oft in Verbindung mit urogenitalen Eingriffen.<\/li>\n<li>Koagulase-negative Staphylokokken (KNS) sind h\u00e4ufige Erreger bei Infektionen von Klappenprothesen.<\/li>\n<li>HACEK-\u0433\u0440\u0443\u043f\u043f\u0430, \u0433\u0440\u0438\u0431\u044b, \u0433\u0440\u0430\u043c\u043e\u0442\u0440\u0438\u0446\u0430\u0442\u0435\u043b\u044c\u043d\u044b\u0435 \u043f\u0430\u043b\u043e\u0447\u043a\u0438 \u0438 \u0434\u0440\u0443\u0433\u0438\u0435 \u2014 \u0432\u0441\u0442\u0440\u0435\u0447\u0430\u044e\u0442\u0441\u044f \u0440\u0435\u0436\u0435<\/li>\n<\/ul>\n<p>Zu den Risikofaktoren geh\u00f6ren k\u00fcnstliche Herzklappen, Herzschrittmacher, fr\u00fchere Herzinfarkte, Herzfehler, intraven\u00f6ser Drogenkonsum und chronische H\u00e4modialyse.<\/p>\n<h2 class=\"wp-block-heading\" id=\"pathogenese\">Pathogenese<\/h2>\n<p>Die Pathogenese der infekti\u00f6sen Endokarditis umfasst mehrere aufeinanderfolgende Glieder:<\/p>\n<ol class=\"wp-block-list\">\n<li><strong>\u041f\u043e\u0432\u0440\u0435\u0436\u0434\u0435\u043d\u0438\u0435 \u044d\u043d\u0434\u043e\u0442\u0435\u043b\u0438\u044f \u043a\u043b\u0430\u043f\u0430\u043d\u043e\u0432<\/strong> (\u043d\u0430\u043f\u0440\u0438\u043c\u0435\u0440, \u043f\u0440\u0438 \u0442\u0443\u0440\u0431\u0443\u043b\u0435\u043d\u0442\u043d\u043e\u043c \u043a\u0440\u043e\u0432\u043e\u0442\u043e\u043a\u0435) \u2192 \u044d\u043a\u0441\u043f\u043e\u043d\u0438\u0440\u043e\u0432\u0430\u043d\u0438\u0435 \u0432\u043d\u0435\u043a\u043b\u0435\u0442\u043e\u0447\u043d\u043e\u0433\u043e \u043c\u0430\u0442\u0440\u0438\u043a\u0441\u0430.<\/li>\n<li><strong>\u0410\u0434\u0433\u0435\u0437\u0438\u044f \u0442\u0440\u043e\u043c\u0431\u043e\u0446\u0438\u0442\u043e\u0432 \u0438 \u0444\u0438\u0431\u0440\u0438\u043d\u0430<\/strong> \u2192 \u0444\u043e\u0440\u043c\u0438\u0440\u043e\u0432\u0430\u043d\u0438\u0435 \u0441\u0442\u0435\u0440\u0438\u043b\u044c\u043d\u043e\u0433\u043e \u0442\u0440\u043e\u043c\u0431\u0430 (\u043d\u0435\u0431\u0430\u043a\u0442\u0435\u0440\u0438\u0430\u043b\u044c\u043d\u044b\u0439 \u0442\u0440\u043e\u043c\u0431\u043e\u0442\u0438\u0447\u0435\u0441\u043a\u0438\u0439 \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442).<\/li>\n<li><strong>\u041c\u0438\u043a\u0440\u043e\u0431\u043d\u0430\u044f \u0438\u043d\u0432\u0430\u0437\u0438\u044f<\/strong> \u2014 \u043f\u0440\u0438 \u0442\u0440\u0430\u043d\u0437\u0438\u0442\u043e\u0440\u043d\u043e\u0439 \u0431\u0430\u043a\u0442\u0435\u0440\u0438\u0435\u043c\u0438\u0438 \u043c\u0438\u043a\u0440\u043e\u043e\u0440\u0433\u0430\u043d\u0438\u0437\u043c\u044b \u043a\u043e\u043b\u043e\u043d\u0438\u0437\u0438\u0440\u0443\u044e\u0442 \u0442\u0440\u043e\u043c\u0431.<\/li>\n<li><strong>\u041e\u0431\u0440\u0430\u0437\u043e\u0432\u0430\u043d\u0438\u0435 \u0432\u0435\u0433\u0435\u0442\u0430\u0446\u0438\u0439<\/strong> \u2014 \u043f\u043b\u043e\u0442\u043d\u044b\u0435 \u0441\u043a\u043e\u043f\u043b\u0435\u043d\u0438\u044f \u0444\u0438\u0431\u0440\u0438\u043d\u0430, \u043a\u043b\u0435\u0442\u043e\u043a \u0432\u043e\u0441\u043f\u0430\u043b\u0435\u043d\u0438\u044f \u0438 \u0431\u0430\u043a\u0442\u0435\u0440\u0438\u0439, \u0437\u0430\u0449\u0438\u0449\u0435\u043d\u043d\u044b\u0435 \u043e\u0442 \u0438\u043c\u043c\u0443\u043d\u043d\u043e\u0433\u043e \u043e\u0442\u0432\u0435\u0442\u0430 \u0438 \u0430\u043d\u0442\u0438\u0431\u0438\u043e\u0442\u0438\u043a\u043e\u0432.<\/li>\n<li><strong>\u0414\u0435\u0441\u0442\u0440\u0443\u043a\u0446\u0438\u044f \u043a\u043b\u0430\u043f\u0430\u043d\u043d\u044b\u0445 \u0441\u0442\u0440\u0443\u043a\u0442\u0443\u0440 \u0438 \u0432\u043e\u0437\u043c\u043e\u0436\u043d\u0430\u044f \u044d\u043c\u0431\u043e\u043b\u0438\u0437\u0430\u0446\u0438\u044f<\/strong> \u2192 \u0441\u0438\u0441\u0442\u0435\u043c\u043d\u044b\u0435 \u043e\u0441\u043b\u043e\u0436\u043d\u0435\u043d\u0438\u044f, \u0441\u0435\u043f\u0441\u0438\u0441, \u043e\u0441\u0442\u0440\u0430\u044f \u0441\u0435\u0440\u0434\u0435\u0447\u043d\u0430\u044f \u043d\u0435\u0434\u043e\u0441\u0442\u0430\u0442\u043e\u0447\u043d\u043e\u0441\u0442\u044c.\u00a0<\/li>\n<\/ol>\n<p>\u0418\u043c\u043c\u0443\u043d\u043d\u044b\u0435 \u043c\u0435\u0445\u0430\u043d\u0438\u0437\u043c\u044b \u0442\u0430\u043a\u0436\u0435 \u0432\u043d\u043e\u0441\u044f\u0442 \u0432\u043a\u043b\u0430\u0434 \u0432 \u0440\u0430\u0437\u0432\u0438\u0442\u0438\u0435 \u043e\u0441\u043b\u043e\u0436\u043d\u0435\u043d\u0438\u0439, \u0442\u0430\u043a\u0438\u0445 \u043a\u0430\u043a \u0432\u0430\u0441\u043a\u0443\u043b\u0438\u0442\u044b \u0438 \u0433\u043b\u043e\u043c\u0435\u0440\u0443\u043b\u043e\u043d\u0435\u0444\u0440\u0438\u0442\u044b.<\/p>\n<p>Entscheidend ist die Bildung von Vegetationen, die die Aufrechterhaltung der Infektion und embolische Komplikationen beg\u00fcnstigen.<\/p>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Acquired%20Heart%20Diseases\/Infective%20endocarditis\/1-Vegetations_on_the_mitral_valve.webp\" alt=\"Vegetationen an der Mitralklappe\"><figcaption class=\"wp-element-caption\">Vegetationen an der Mitralklappe<\/figcaption><\/figure>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Acquired%20Heart%20Diseases\/Infective%20endocarditis\/2-Perforation_of_the_tricuspid_valve_leaflet.webp\" alt=\"Perforation des Trikuspidalklappensegels\"><figcaption class=\"wp-element-caption\">Perforation des Trikuspidalklappensegels<\/figcaption><\/figure>\n<h2 class=\"wp-block-heading\" id=\"klassifikation-der-infektioesen-endokarditis\">Klassifikation der infekti\u00f6sen Endokarditis<\/h2>\n<figure class=\"wp-block-table table-to-cards\">\n<table class=\"has-fixed-layout\">\n<tbody>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\" colspan=\"2\"><strong>\u041f\u043e \u043b\u043e\u043a\u0430\u043b\u0438\u0437\u0430\u0446\u0438\u0438 \u043f\u0440\u043e\u0446\u0435\u0441\u0441\u0430<\/strong><\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">\u041b\u0435\u0432\u043e\u0441\u0442\u043e\u0440\u043e\u043d\u043d\u0438\u0439 \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">L\u00e4sion der Mitral- und\/oder Aortenklappe (die h\u00e4ufigste Variante)<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Rechtsseitige Endokarditis<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">\u041f\u043e\u0440\u0430\u0436\u0435\u043d\u0438\u0435 \u0442\u0440\u0438\u043a\u0443\u0441\u043f\u0438\u0434\u0430\u043b\u044c\u043d\u043e\u0433\u043e \u0438\/\u0438\u043b\u0438 (\u0440\u0435\u0436\u0435) \u043b\u0435\u0433\u043e\u0447\u043d\u043e\u0433\u043e \u043a\u043b\u0430\u043f\u0430\u043d\u0430 (\u0447\u0430\u0449\u0435 \u0443 \u043f\u043e\u0442\u0440\u0435\u0431\u0438\u0442\u0435\u043b\u0435\u0439 \u0438\u043d\u044a\u0435\u043a\u0446\u0438\u043e\u043d\u043d\u044b\u0445 \u043d\u0430\u0440\u043a\u043e\u0442\u0438\u043a\u043e\u0432, \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u043e\u0432 \u0441 \u0446\u0435\u043d\u0442\u0440\u0430\u043b\u044c\u043d\u044b\u043c \u0432\u0435\u043d\u043e\u0437\u043d\u044b\u043c \u043a\u0430\u0442\u0435\u0442\u0435\u0440\u043e\u043c)<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">\u041a\u043e\u043c\u0431\u0438\u043d\u0438\u0440\u043e\u0432\u0430\u043d\u043d\u044b\u0439 \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">Gleichzeitige L\u00e4sion links und rechts<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Prothesenendokarditis (Prosthetic Valve Endocarditis, kurz PVE)<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">Entz\u00fcndung an der k\u00fcnstlichen (mechanischen oder biologischen) Herzklappe<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Device-assoziierte Endokarditis<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">\u0418\u043d\u0444\u0435\u043a\u0446\u0438\u044f, \u0441\u0432\u044f\u0437\u0430\u043d\u043d\u0430\u044f \u0441 \u044d\u043b\u0435\u043a\u0442\u0440\u043e\u0434\u0430\u043c\u0438 \u043a\u0430\u0440\u0434\u0438\u043e\u0441\u0442\u0438\u043c\u0443\u043b\u044f\u0442\u043e\u0440\u043e\u0432, \u0438\u043c\u043f\u043b\u0430\u043d\u0442\u0438\u0440\u0443\u0435\u043c\u044b\u0445 \u043a\u0430\u0440\u0434\u0438\u043e\u0432\u0435\u0440\u0442\u0435\u0440\u043e\u0432-\u0434\u0435\u0444\u0438\u0431\u0440\u0438\u043b\u043b\u044f\u0442\u043e\u0440\u043e\u0432 \u0438 \u0442.\u0434.<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\" colspan=\"2\"><strong>\u041f\u043e \u044d\u0442\u0438\u043e\u043b\u043e\u0433\u0438\u0438 (\u0432\u043e\u0437\u0431\u0443\u0434\u0438\u0442\u0435\u043b\u044e)<\/strong><\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">\u0413\u0440\u0430\u043c\u043f\u043e\u043b\u043e\u0436\u0438\u0442\u0435\u043b\u044c\u043d\u044b\u0435 \u043a\u043e\u043a\u043a\u0438<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\"><em> Staphylococcus aureus<\/em>, koagulase-negative Staphylokokken, <em>Streptococcus viridans<\/em>, <em>Enterococcus spp<\/em>.<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Gramnegative Bakterien<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">HACEK-Gruppe, andere Enterobakterien<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">\u0410\u0442\u0438\u043f\u0438\u0447\u043d\u044b\u0435 \/ \u043e\u0431\u043b\u0438\u0433\u0430\u0442\u043d\u043e \u0432\u043d\u0443\u0442\u0440\u0438\u043a\u043b\u0435\u0442\u043e\u0447\u043d\u044b\u0435<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\"><em> Coxiella burnetii<\/em>, <em>Bartonella spp<\/em>., <em>Tropheryma whipplei<\/em><\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Pilze<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\"><em>Candida spp<\/em>., <em>Aspergillus spp<\/em>. (selten, eher bei immunkompromittierten Patienten)<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\" colspan=\"2\"><strong>\u041f\u043e \u043a\u043b\u0438\u043d\u0438\u0447\u0435\u0441\u043a\u043e\u043c\u0443 \u0442\u0435\u0447\u0435\u043d\u0438\u044e<\/strong><\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">\u041e\u0441\u0442\u0440\u044b\u0439 \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">\u041d\u0430\u0447\u0430\u043b\u043e: \u0432\u043d\u0435\u0437\u0430\u043f\u043d\u043e\u0435<br \/>\u0422\u0435\u0447\u0435\u043d\u0438\u0435: \u0431\u044b\u0441\u0442\u0440\u043e\u0435, \u0430\u0433\u0440\u0435\u0441\u0441\u0438\u0432\u043d\u043e\u0435<br \/>\u041f\u0430\u0442\u043e\u0433\u0435\u043d\u044b (\u0447\u0430\u0449\u0435): <em>Staphylococcus aureus<\/em>, \u03b2-\u0433\u0435\u043c\u043e\u043b\u0438\u0442\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u0441\u0442\u0440\u0435\u043f\u0442\u043e\u043a\u043e\u043a\u043a\u0438<br \/>\u041e\u0441\u043e\u0431\u0435\u043d\u043d\u043e\u0441\u0442\u0438: \u0431\u044b\u0441\u0442\u0440\u043e\u0435 \u0440\u0430\u0437\u0440\u0443\u0448\u0435\u043d\u0438\u0435 \u043a\u043b\u0430\u043f\u0430\u043d\u043e\u0432, \u0441\u0435\u043f\u0441\u0438\u0441, \u0432\u044b\u0441\u043e\u043a\u0430\u044f \u0441\u043c\u0435\u0440\u0442\u043d\u043e\u0441\u0442\u044c<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">\u041f\u043e\u0434\u043e\u0441\u0442\u0440\u044b\u0439 \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">\u041d\u0430\u0447\u0430\u043b\u043e: \u043f\u043e\u0441\u0442\u0435\u043f\u0435\u043d\u043d\u043e\u0435 (\u043d\u0435\u0434\u0435\u043b\u0438)<br \/>\u0422\u0435\u0447\u0435\u043d\u0438\u0435: \u0432\u044f\u043b\u043e\u0435, \u0441 \u043d\u0435\u044f\u0441\u043d\u043e\u0439 \u0441\u0438\u043c\u043f\u0442\u043e\u043c\u0430\u0442\u0438\u043a\u043e\u0439<br \/>\u041f\u0430\u0442\u043e\u0433\u0435\u043d\u044b (\u0447\u0430\u0449\u0435): <em>Streptococcus viridans<\/em>, <em>Enterococcus spp<\/em>. <br \/>\u041e\u0441\u043e\u0431\u0435\u043d\u043d\u043e\u0441\u0442\u0438: \u0430\u043d\u0435\u043c\u0438\u044f, \u0441\u0443\u0431\u0444\u0435\u0431\u0440\u0438\u043b\u0438\u0442\u0435\u0442, \u0438\u043c\u043c\u0443\u043d\u043d\u044b\u0435 \u043f\u0440\u043e\u044f\u0432\u043b\u0435\u043d\u0438\u044f<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">\u0425\u0440\u043e\u043d\u0438\u0447\u0435\u0441\u043a\u0438\u0439 \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">\u041d\u0430\u0447\u0430\u043b\u043e: \u0434\u043b\u0438\u0442\u0435\u043b\u044c\u043d\u043e\u0435 (\u043c\u0435\u0441\u044f\u0446\u044b)<br \/>\u0422\u0435\u0447\u0435\u043d\u0438\u0435: \u0441\u043a\u0440\u044b\u0442\u043e\u0435 \u0438\u043b\u0438 \u0440\u0435\u0446\u0438\u0434\u0438\u0432\u0438\u0440\u0443\u044e\u0449\u0435\u0435<br \/>\u041f\u0430\u0442\u043e\u0433\u0435\u043d\u044b (\u0447\u0430\u0449\u0435): \u043d\u0438\u0437\u043a\u043e\u0432\u0438\u0440\u0443\u043b\u0435\u043d\u0442\u043d\u044b\u0435 \u0431\u0430\u043a\u0442\u0435\u0440\u0438\u0438, \u043a\u0443\u043b\u044c\u0442\u0443\u0440\u0430-\u043e\u0442\u0440\u0438\u0446\u0430\u0442\u0435\u043b\u044c\u043d\u044b\u0435 \u0444\u043e\u0440\u043c\u044b<br \/>\u041e\u0441\u043e\u0431\u0435\u043d\u043d\u043e\u0441\u0442\u0438: \u0437\u0430\u0442\u044f\u0436\u043d\u043e\u0435 \u0432\u043e\u0441\u043f\u0430\u043b\u0435\u043d\u0438\u0435, \u0441\u0442\u043e\u0439\u043a\u0438\u0435 \u0438\u0437\u043c\u0435\u043d\u0435\u043d\u0438\u044f \u043a\u043b\u0430\u043f\u0430\u043d\u043e\u0432, \u0432\u043e\u0437\u043c\u043e\u0436\u0435\u043d \u0440\u0435\u0446\u0438\u0434\u0438\u0432 \u043f\u043e\u0441\u043b\u0435 \u0442\u0435\u0440\u0430\u043f\u0438\u0438<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/figure>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Acquired%20Heart%20Diseases\/Infective%20endocarditis\/3-Infective_endocarditis_of_the_left_ventricles_(vegetations_on_the_valves-and_mitro-aortic_junction).webp\" alt=\"Linksseitige infekti\u00f6se Endokarditis (Vegetationen an den Klappen und dem Mitra-Aorta-\u00dcbergang)\"><figcaption class=\"wp-element-caption\">Linksseitige infekti\u00f6se Endokarditis (Vegetationen an den Klappen und dem Mitra-Aorta-\u00dcbergang): <a href=\"https:\/\/catalog.voka.io\/de\/models\/d1df170c-51ef-4d23-93b5-0380d03866e5\/982d1394-9046-49c1-a896-2da7012969bf\/7546a2f1-29a9-499f-b40d-862a113b087e\/088c7cec-04a4-48ca-a769-a9fe47ff8aa1\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">3D-Modell<\/a><\/figcaption><\/figure>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Acquired%20Heart%20Diseases\/Infective%20endocarditis\/4-Infective_endocarditis_of_the_right_(vegetations_and_perforation_on_the_tricuspid_valve).webp\" alt=\"Rechtsseitige infekti\u00f6se Endokarditis (Vegetation und Perforation an der Trikuspidalklappe)\"><figcaption class=\"wp-element-caption\">Rechtsseitige infekti\u00f6se Endokarditis (Vegetation und Perforation an der Trikuspidalklappe): <a href=\"https:\/\/catalog.voka.io\/de\/models\/d1df170c-51ef-4d23-93b5-0380d03866e5\/982d1394-9046-49c1-a896-2da7012969bf\/7546a2f1-29a9-499f-b40d-862a113b087e\/68b9782f-6c85-4ffa-812f-7f53628e0416\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">3D-Modell<\/a><\/figcaption><\/figure>\n<h2 class=\"wp-block-heading\" id=\"symptome\">Symptome<\/h2>\n<p>\u0421\u0438\u043c\u043f\u0442\u043e\u043c\u0430\u0442\u0438\u043a\u0430 \u0418\u042d \u0432\u0430\u0440\u0438\u0430\u0431\u0435\u043b\u044c\u043d\u0430 \u0438 \u043c\u043e\u0436\u0435\u0442 \u0432\u043a\u043b\u044e\u0447\u0430\u0442\u044c \u043a\u0430\u043a \u043d\u0435\u0441\u043f\u0435\u0446\u0438\u0444\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u0441\u0438\u043c\u043f\u0442\u043e\u043c\u044b, \u0442\u0430\u043a \u0438 \u0436\u0438\u0437\u043d\u0435\u0443\u0433\u0440\u043e\u0436\u0430\u044e\u0449\u0438\u0435 \u0441\u043e\u0441\u0442\u043e\u044f\u043d\u0438\u044f.<\/p>\n<ul class=\"wp-block-list\">\n<li><strong>\u041e\u0431\u0449\u0438\u0435 \u0441\u0438\u043c\u043f\u0442\u043e\u043c\u044b<\/strong>: \u043b\u0438\u0445\u043e\u0440\u0430\u0434\u043a\u0430, \u043f\u043e\u0442\u043b\u0438\u0432\u043e\u0441\u0442\u044c, \u0443\u0442\u043e\u043c\u043b\u044f\u0435\u043c\u043e\u0441\u0442\u044c, \u043f\u043e\u0445\u0443\u0434\u0430\u043d\u0438\u0435.<\/li>\n<li><strong>\u0421\u0435\u0440\u0434\u0435\u0447\u043d\u044b\u0435 \u043f\u0440\u0438\u0437\u043d\u0430\u043a\u0438<\/strong>: \u043d\u043e\u0432\u044b\u0439 \u0438\u043b\u0438 \u0438\u0437\u043c\u0435\u043d\u0435\u043d\u043d\u044b\u0439 \u0448\u0443\u043c, \u043f\u0440\u0438\u0437\u043d\u0430\u043a\u0438 \u0441\u0435\u0440\u0434\u0435\u0447\u043d\u043e\u0439 \u043d\u0435\u0434\u043e\u0441\u0442\u0430\u0442\u043e\u0447\u043d\u043e\u0441\u0442\u0438.<\/li>\n<li><strong>\u042d\u043c\u0431\u043e\u043b\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u043e\u0441\u043b\u043e\u0436\u043d\u0435\u043d\u0438\u044f<\/strong>: \u0438\u043d\u0441\u0443\u043b\u044c\u0442, \u0438\u0448\u0435\u043c\u0438\u044f \u043a\u043e\u043d\u0435\u0447\u043d\u043e\u0441\u0442\u0435\u0439, \u0438\u043d\u0444\u0430\u0440\u043a\u0442\u044b \u0432\u043d\u0443\u0442\u0440\u0435\u043d\u043d\u0438\u0445 \u043e\u0440\u0433\u0430\u043d\u043e\u0432.<\/li>\n<li><strong>\u0418\u043c\u043c\u0443\u043d\u043d\u044b\u0435 \u043f\u0440\u043e\u044f\u0432\u043b\u0435\u043d\u0438\u044f<\/strong>: \u043f\u0443\u0440\u043f\u0443\u0440\u0430, \u0443\u0437\u0435\u043b\u043a\u0438 \u041e\u0441\u043b\u0435\u0440\u0430, \u043f\u044f\u0442\u043d\u0430 \u0414\u0436\u0435\u0439\u043d\u0443\u044d\u044f, \u0433\u043b\u043e\u043c\u0435\u0440\u0443\u043b\u043e\u043d\u0435\u0444\u0440\u0438\u0442.<\/li>\n<li><strong>\u041f\u043e\u0440\u0430\u0436\u0435\u043d\u0438\u0435 \u043f\u0440\u043e\u0432\u043e\u0434\u044f\u0449\u0435\u0439 \u0441\u0438\u0441\u0442\u0435\u043c\u044b<\/strong>: \u0431\u043b\u043e\u043a\u0430\u0434\u044b, \u0430\u0440\u0438\u0442\u043c\u0438\u0438.<\/li>\n<li><strong>\u041f\u0440\u0438 \u0442\u044f\u0436\u0435\u043b\u043e\u043c \u0442\u0435\u0447\u0435\u043d\u0438\u0438 \u0418\u042d<\/strong> \u0432\u043e\u0437\u043c\u043e\u0436\u043d\u043e \u0440\u0430\u0437\u0432\u0438\u0442\u0438\u0435 \u0441\u0435\u043f\u0442\u0438\u0447\u0435\u0441\u043a\u043e\u0433\u043e \u0448\u043e\u043a\u0430 \u0438 \u043f\u043e\u043b\u0438\u043e\u0440\u0433\u0430\u043d\u043d\u043e\u0439 \u043d\u0435\u0434\u043e\u0441\u0442\u0430\u0442\u043e\u0447\u043d\u043e\u0441\u0442\u0438.<\/li>\n<li><strong>\u041f\u0440\u0438 \u043f\u0440\u043e\u0442\u0435\u0437\u043d\u043e\u043c \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442\u0435<\/strong> \u0430\u0443\u0441\u043a\u0443\u043b\u044c\u0442\u0430\u0442\u0438\u0432\u043d\u044b\u0435 \u0448\u0443\u043c\u044b \u043c\u043e\u0433\u0443\u0442 \u0431\u044b\u0442\u044c \u043c\u0435\u043d\u0435\u0435 \u0432\u044b\u0440\u0430\u0436\u0435\u043d\u044b, \u0447\u0430\u0449\u0435 \u0440\u0430\u0437\u0432\u0438\u0432\u0430\u0435\u0442\u0441\u044f \u043f\u0435\u0440\u0438\u0430\u043d\u043d\u0443\u043b\u044f\u0440\u043d\u0430\u044f \u0438\u043d\u0444\u0435\u043a\u0446\u0438\u044f \u2014 \u0430\u0431\u0441\u0446\u0435\u0441\u0441\u044b, \u043f\u0441\u0435\u0432\u0434\u043e\u0430\u043d\u0435\u0432\u0440\u0438\u0437\u043c\u044b, \u0444\u0438\u0441\u0442\u0443\u043b\u044b.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\" id=\"diagnostik-der-infektioesen-endokarditis\">Diagnostik der infekti\u00f6sen Endokarditis<\/h2>\n<h3 class=\"wp-block-heading\" id=\"labordiagnostik\">Labordiagnostik<\/h3>\n<ul class=\"wp-block-list\">\n<li><strong>\u041e\u0431\u0449\u0438\u0439 \u0430\u043d\u0430\u043b\u0438\u0437 \u043a\u0440\u043e\u0432\u0438: <\/strong>\u0430\u043d\u0435\u043c\u0438\u044f \u043d\u043e\u0440\u043c\u043e\u0446\u0438\u0442\u0430\u0440\u043d\u0430\u044f, \u043b\u0435\u0439\u043a\u043e\u0446\u0438\u0442\u043e\u0437, \u0442\u0440\u043e\u043c\u0431\u043e\u0446\u0438\u0442\u043e\u043f\u0435\u043d\u0438\u044f.<\/li>\n<li><strong>\u0421\u041e\u042d, CRP<\/strong>: \u0437\u043d\u0430\u0447\u0438\u0442\u0435\u043b\u044c\u043d\u043e\u0435 \u043f\u043e\u0432\u044b\u0448\u0435\u043d\u0438\u0435.<\/li>\n<li><strong>\u041f\u0440\u043e\u043a\u0430\u043b\u044c\u0446\u0438\u0442\u043e\u043d\u0438\u043d<\/strong>: \u043c\u043e\u0436\u0435\u0442 \u0431\u044b\u0442\u044c \u0443\u043c\u0435\u0440\u0435\u043d\u043d\u043e \u043f\u043e\u0432\u044b\u0448\u0435\u043d.<\/li>\n<li><strong>\u041f\u043e\u0447\u0435\u0447\u043d\u044b\u0435 \u043f\u043e\u043a\u0430\u0437\u0430\u0442\u0435\u043b\u0438<\/strong>: \u043f\u043e\u0432\u044b\u0448\u0435\u043d\u0438\u0435 \u043a\u0440\u0435\u0430\u0442\u0438\u043d\u0438\u043d\u0430 (\u0433\u043b\u043e\u043c\u0435\u0440\u0443\u043b\u043e\u043d\u0435\u0444\u0440\u0438\u0442, \u044d\u043c\u0431\u043e\u043b\u0438\u044f).<\/li>\n<li><strong>\u0413\u0435\u043c\u043e\u043a\u0443\u043b\u044c\u0442\u0443\u0440\u044b<\/strong>: \u043d\u0435 \u043c\u0435\u043d\u0435\u0435 \u0442\u0440\u0435\u0445 \u043f\u0440\u043e\u0431 \u0441 \u0438\u043d\u0442\u0435\u0440\u0432\u0430\u043b\u043e\u043c \u043d\u0435 \u043c\u0435\u043d\u0435\u0435 30 \u043c\u0438\u043d \u0434\u043e \u043d\u0430\u0447\u0430\u043b\u0430 \u0430\u043d\u0442\u0438\u0431\u0438\u043e\u0442\u0438\u043a\u043e\u0432 (\u0434\u043e 95 % \u0447\u0443\u0432\u0441\u0442\u0432\u0438\u0442\u0435\u043b\u044c\u043d\u043e\u0441\u0442\u0438).<\/li>\n<li><strong>\u0421\u0435\u0440\u043e\u043b\u043e\u0433\u0438\u044f\/\u041f\u0426\u0420<\/strong>: \u043f\u0440\u0438 \u043a\u0443\u043b\u044c\u0442\u0443\u0440\u0430-\u043e\u0442\u0440\u0438\u0446\u0430\u0442\u0435\u043b\u044c\u043d\u043e\u043c \u0418\u042d (<em>Bartonella<\/em>, <em>Coxiella<\/em>, <em>Brucella<\/em> \u0438 \u0434\u0440.).<\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\" id=\"instrumentelle-untersuchungsmethoden\">Instrumentelle Untersuchungsmethoden<\/h3>\n<ul class=\"wp-block-list\">\n<li><strong>\u042d\u0445\u043e\u041a\u0413 <\/strong>(\u0447\u0440\u0435\u0441\u043f\u0438\u0449\u0435\u0432\u043e\u0434\u043d\u0430\u044f \u042d\u0445\u043e\u041a\u0413 \u043f\u0440\u0435\u0434\u043f\u043e\u0447\u0442\u0438\u0442\u0435\u043b\u044c\u043d\u0435\u0435, \u0447\u0435\u043c \u0442\u0440\u0430\u043d\u0441\u0442\u043e\u0440\u0430\u043a\u0430\u043b\u044c\u043d\u0430\u044f): \u0432\u044b\u044f\u0432\u043b\u044f\u0435\u0442 \u0432\u0435\u0433\u0435\u0442\u0430\u0446\u0438\u0438, \u0430\u0431\u0441\u0446\u0435\u0441\u0441\u044b, \u043f\u0441\u0435\u0432\u0434\u043e\u0430\u043d\u0435\u0432\u0440\u0438\u0437\u043c\u044b, \u043f\u0435\u0440\u0444\u043e\u0440\u0430\u0446\u0438\u0438, \u043f\u0440\u043e\u0442\u0435\u0437\u043d\u0443\u044e \u0434\u0438\u0441\u0444\u0443\u043d\u043a\u0446\u0438\u044e. \u0427\u0443\u0432\u0441\u0442\u0432\u0438\u0442\u0435\u043b\u044c\u043d\u043e\u0441\u0442\u044c \u0447\u0440\u0435\u0441\u043f\u0438\u0449\u0435\u0432\u043e\u0434\u043d\u043e\u0439 \u042d\u0445\u043e\u041a\u0413 \u0441\u043e\u0441\u0442\u0430\u0432\u043b\u044f\u0435\u0442 \u0431\u043e\u043b\u0435\u0435 90 %.<\/li>\n<li><strong>\u041a\u0422:<\/strong> \u043f\u043e\u0437\u0432\u043e\u043b\u044f\u0435\u0442 \u0432\u044b\u044f\u0432\u0438\u0442\u044c \u0430\u0431\u0441\u0446\u0435\u0441\u0441\u044b, \u043f\u0441\u0435\u0432\u0434\u043e\u0430\u043d\u0435\u0432\u0440\u0438\u0437\u043c\u044b, \u044d\u043c\u0431\u043e\u043b\u0438\u0438 \u0438 \u043e\u0441\u043b\u043e\u0436\u043d\u0435\u043d\u0438\u044f \u0438\u043d\u0444\u0435\u043a\u0446\u0438\u043e\u043d\u043d\u043e\u0433\u043e \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442\u0430.<\/li>\n<li><strong>\u041f\u042d\u0422-\u041a\u0422:<\/strong> \u043e\u0431\u043d\u0430\u0440\u0443\u0436\u0438\u0432\u0430\u0435\u0442 \u0443\u0447\u0430\u0441\u0442\u043a\u0438 \u0430\u043a\u0442\u0438\u0432\u043d\u043e\u0433\u043e \u0432\u043e\u0441\u043f\u0430\u043b\u0435\u043d\u0438\u044f \u0438 \u0438\u043d\u0444\u0435\u043a\u0446\u0438\u0438; \u043e\u0441\u043e\u0431\u0435\u043d\u043d\u043e \u0446\u0435\u043d\u0435\u043d \u043f\u0440\u0438 \u043f\u0440\u043e\u0442\u0435\u0437\u043d\u043e\u043c \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442\u0435 \u0438 \u043d\u0430\u043b\u0438\u0447\u0438\u0438 \u0443\u0441\u0442\u0440\u043e\u0439\u0441\u0442\u0432.<\/li>\n<li><strong>\u041c\u0420\u0422 \u0433\u043e\u043b\u043e\u0432\u043d\u043e\u0433\u043e \u043c\u043e\u0437\u0433\u0430:<\/strong> \u0447\u0430\u0441\u0442\u043e \u0432\u044b\u044f\u0432\u043b\u044f\u0435\u0442 \u043c\u043d\u043e\u0436\u0435\u0441\u0442\u0432\u0435\u043d\u043d\u044b\u0435 \u044d\u043c\u0431\u043e\u043b\u044b, \u0434\u0430\u0436\u0435 \u043f\u0440\u0438 \u043e\u0442\u0441\u0443\u0442\u0441\u0442\u0432\u0438\u0438 \u043d\u0435\u0432\u0440\u043e\u043b\u043e\u0433\u0438\u0447\u0435\u0441\u043a\u043e\u0439 \u0441\u0438\u043c\u043f\u0442\u043e\u043c\u0430\u0442\u0438\u043a\u0438.<\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\" id=\"duke-kriterien\">Duke-Kriterien<\/h3>\n<p>\u041a\u0440\u0438\u0442\u0435\u0440\u0438\u0438 \u0414\u044c\u044e\u043a\u0430 \u2014 \u043c\u0435\u0436\u0434\u0443\u043d\u0430\u0440\u043e\u0434\u043d\u043e \u043f\u0440\u0438\u0437\u043d\u0430\u043d\u043d\u0430\u044f \u0441\u0445\u0435\u043c\u0430 \u0434\u0438\u0430\u0433\u043d\u043e\u0441\u0442\u0438\u043a\u0438 \u0438\u043d\u0444\u0435\u043a\u0446\u0438\u043e\u043d\u043d\u043e\u0433\u043e \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442\u0430 , \u043e\u0431\u044a\u0435\u0434\u0438\u043d\u044f\u044e\u0449\u0430\u044f \u043a\u043b\u0438\u043d\u0438\u0447\u0435\u0441\u043a\u0438\u0435, \u043c\u0438\u043a\u0440\u043e\u0431\u0438\u043e\u043b\u043e\u0433\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u0438 \u0432\u0438\u0437\u0443\u0430\u043b\u0438\u0437\u0430\u0446\u0438\u043e\u043d\u043d\u044b\u0435 \u0434\u0430\u043d\u043d\u044b\u0435.<\/p>\n<p><strong>\u0412\u0435\u0440\u043e\u044f\u0442\u043d\u043e\u0441\u0442\u044c \u043d\u0430\u043b\u0438\u0447\u0438\u044f \u0418\u042d<\/strong><\/p>\n<ul class=\"wp-block-list\">\n<li>\u0414\u043e\u0441\u0442\u043e\u0432\u0435\u0440\u043d\u043e \u2014 \u0434\u0432\u0430 \u043e\u0441\u043d\u043e\u0432\u043d\u044b\u0445 \u043a\u0440\u0438\u0442\u0435\u0440\u0438\u044f \u0414\u044c\u044e\u043a\u0430; \u0438\u043b\u0438 \u043e\u0434\u0438\u043d \u043e\u0441\u043d\u043e\u0432\u043d\u043e\u0439 \u0438 \u0442\u0440\u0438 \u043c\u0430\u043b\u044b\u0445; \u0438\u043b\u0438 \u043f\u044f\u0442\u044c \u043c\u0430\u043b\u044b\u0445.<\/li>\n<li>\u0412\u043e\u0437\u043c\u043e\u0436\u043d\u043e \u2014 \u043e\u0434\u0438\u043d \u043e\u0441\u043d\u043e\u0432\u043d\u043e\u0439 \u0438 \u043e\u0434\u0438\u043d\u2013\u0434\u0432\u0430 \u043c\u0430\u043b\u044b\u0445; \u0438\u043b\u0438 \u0442\u0440\u0438 \u043c\u0430\u043b\u044b\u0445.<\/li>\n<li>\u0418\u0441\u043a\u043b\u044e\u0447\u0435\u043d\u043e \u2014 \u043d\u0430\u043b\u0438\u0447\u0438\u0435 \u0430\u043b\u044c\u0442\u0435\u0440\u043d\u0430\u0442\u0438\u0432\u043d\u043e\u0433\u043e \u0434\u0438\u0430\u0433\u043d\u043e\u0437\u0430; \u043e\u0442\u0441\u0443\u0442\u0441\u0442\u0432\u0438\u0435 \u043f\u043e\u0434\u0442\u0432\u0435\u0440\u0436\u0434\u0435\u043d\u0438\u044f \u043f\u0440\u0438 \u0430\u0443\u0442\u043e\u043f\u0441\u0438\u0438; \u0438\u043b\u0438 \u043f\u043e\u043b\u043d\u043e\u0435 \u0440\u0430\u0437\u0440\u0435\u0448\u0435\u043d\u0438\u0435 \u0441\u0438\u043c\u043f\u0442\u043e\u043c\u043e\u0432 \u0431\u0435\u0437 \u0442\u0435\u0440\u0430\u043f\u0438\u0438.<\/li>\n<\/ul>\n<p><strong>\u041e\u0441\u043d\u043e\u0432\u043d\u044b\u0435 \u043a\u0440\u0438\u0442\u0435\u0440\u0438\u0438 (major criteria)<\/strong><strong>\u00a0<\/strong><\/p>\n<ol class=\"wp-block-list\">\n<li>Positiver Blutkultur-Nachweis (eine der folgenden Varianten): <\/li>\n<\/ol>\n<ul class=\"wp-block-list\">\n<li>\u0434\u0432\u0430 \u0438 \u0431\u043e\u043b\u0435\u0435 \u043f\u043e\u043b\u043e\u0436\u0438\u0442\u0435\u043b\u044c\u043d\u044b\u0445 \u043a\u0440\u043e\u0432\u044f\u043d\u044b\u0445 \u043f\u043e\u0441\u0435\u0432\u0430 \u0442\u0438\u043f\u0438\u0447\u043d\u044b\u0445 \u043c\u0438\u043a\u0440\u043e\u043e\u0440\u0433\u0430\u043d\u0438\u0437\u043c\u043e\u0432 (\u043d\u0430\u043f\u0440\u0438\u043c\u0435\u0440, <em>S. aureus<\/em>, <em>S. viridans<\/em>, <em>Enterococcus spp<\/em>.) \u0438\u0437 \u0440\u0430\u0437\u043d\u044b\u0445 \u043f\u0440\u043e\u0431;<\/li>\n<li>\u0443\u0441\u0442\u043e\u0439\u0447\u0438\u0432\u043e \u043f\u043e\u043b\u043e\u0436\u0438\u0442\u0435\u043b\u044c\u043d\u0430\u044f \u0433\u0435\u043c\u043e\u043a\u0443\u043b\u044c\u0442\u0443\u0440\u0430: \u0434\u0432\u0430 \u0438 \u0431\u043e\u043b\u0435\u0435 \u043f\u043e\u043b\u043e\u0436\u0438\u0442\u0435\u043b\u044c\u043d\u044b\u0445 \u043e\u0431\u0440\u0430\u0437\u0446\u0430 \u0441 \u0438\u043d\u0442\u0435\u0440\u0432\u0430\u043b\u043e\u043c \u043d\u0435 \u043c\u0435\u043d\u0435\u0435 12 \u0447\u0430\u0441\u043e\u0432;<\/li>\n<li>\u0442\u0440\u0438 \u0438 \u0431\u043e\u043b\u0435\u0435 \u043f\u043e\u043b\u043e\u0436\u0438\u0442\u0435\u043b\u044c\u043d\u044b\u0445 \u0433\u0435\u043c\u043e\u043a\u0443\u043b\u044c\u0442\u0443\u0440 \u0438\u0437 \u0447\u0435\u0442\u044b\u0440\u0435\u0445, \u0432\u0437\u044f\u0442\u044b\u0445 \u0432 \u0442\u0435\u0447\u0435\u043d\u0438\u0435 \u043e\u0434\u043d\u043e\u0433\u043e \u0447\u0430\u0441\u0430.<\/li>\n<\/ul>\n<ol start=\"2\" class=\"wp-block-list\">\n<li>Nachweis einer endokardialen Beteiligung:<\/li>\n<\/ol>\n<ul class=\"wp-block-list\">\n<li>\u043f\u043e\u043b\u043e\u0436\u0438\u0442\u0435\u043b\u044c\u043d\u044b\u0435 \u0434\u0430\u043d\u043d\u044b\u0435 \u042d\u0445\u043e\u041a\u0413 (\u0447\u0440\u0435\u0441\u043f\u0438\u0449\u0435\u0432\u043e\u0434\u043d\u043e\u0439 \u0438\u043b\u0438 \u0442\u0440\u0430\u043d\u0441\u0442\u043e\u0440\u0430\u043a\u0430\u043b\u044c\u043d\u043e\u0439): \u0432\u0435\u0433\u0435\u0442\u0430\u0446\u0438\u044f, \u0430\u0431\u0441\u0446\u0435\u0441\u0441, \u043f\u0441\u0435\u0432\u0434\u043e\u0430\u043d\u0435\u0432\u0440\u0438\u0437\u043c\u0430, \u043f\u0435\u0440\u0444\u043e\u0440\u0430\u0446\u0438\u044f;<\/li>\n<li>\u043d\u043e\u0432\u043e\u0435 \u0432\u043e\u0437\u043d\u0438\u043a\u043d\u043e\u0432\u0435\u043d\u0438\u0435 \u043a\u043b\u0430\u043f\u0430\u043d\u043d\u043e\u0439 \u043d\u0435\u0441\u043e\u0441\u0442\u043e\u044f\u0442\u0435\u043b\u044c\u043d\u043e\u0441\u0442\u0438 (\u043d\u0435\u0434\u043e\u0441\u0442\u0430\u0442\u043e\u0447\u043d\u043e\u0441\u0442\u0438).<\/li>\n<\/ul>\n<ol start=\"3\" class=\"wp-block-list\">\n<li>\u0410\u043b\u044c\u0442\u0435\u0440\u043d\u0430\u0442\u0438\u0432\u043d\u044b\u0435 \u043a\u0440\u0438\u0442\u0435\u0440\u0438\u0438 (ESC 2023):<\/li>\n<\/ol>\n<ul class=\"wp-block-list\">\n<li>\u043f\u043e\u0437\u0438\u0442\u0438\u0432\u043d\u044b\u0439 \u041f\u042d\u0422-\u041a\u0422 \u0438\u043b\u0438 SPECT \u043f\u0440\u0438 \u043f\u043e\u0434\u043e\u0437\u0440\u0435\u043d\u0438\u0438 \u043d\u0430 \u043f\u0440\u043e\u0442\u0435\u0437\u043d\u044b\u0439 \u0418\u042d;<\/li>\n<li>\u043f\u043e\u0437\u0438\u0442\u0438\u0432\u043d\u0430\u044f \u043a\u0443\u043b\u044c\u0442\u0443\u0440\u0430 \u0438\u0437 \u0438\u043d\u0442\u0440\u0430\u043e\u043f\u0435\u0440\u0430\u0446\u0438\u043e\u043d\u043d\u043e\u0433\u043e \u043c\u0430\u0442\u0435\u0440\u0438\u0430\u043b\u0430 \u043a\u043b\u0430\u043f\u0430\u043d\u0430.<\/li>\n<\/ul>\n<p><strong>\u041c\u0430\u043b\u044b\u0435 \u043a\u0440\u0438\u0442\u0435\u0440\u0438\u0438 (minor criteria)<\/strong><\/p>\n<ol class=\"wp-block-list\">\n<li>pr\u00e4disponierende Herzerkrankung oder intraven\u00f6ser Drogenabusus<\/li>\n<li>\u041b\u0438\u0445\u043e\u0440\u0430\u0434\u043a\u0430 38 \u00b0C \u0438 \u0432\u044b\u0448\u0435.<\/li>\n<li>Gef\u00e4\u00dfbefunde: Embolien, Infarkte, H\u00e4morrhagien, Janeway-L\u00e4sionen<\/li>\n<li>Immunologische Ph\u00e4nomene: Osler-Kn\u00f6tchen, Roth-Flecken, Glomerulonephritis, Rheumafaktor<\/li>\n<li>Mikrobiologische Befunde, die die Hauptkriterien nicht erf\u00fcllen: eine einmalige positive Blutkultur oder ein serologischer Nachweis einer f\u00fcr IE typischen Infektion<\/li>\n<\/ol>\n<div class=\"social-banner-block\">\n<div class=\"social-banner-content\">\n<p class=\"h5-title text-black\">Weitere wissenschaftlich korrekte Inhalte finden Sie in unseren sozialen Medien<\/p>\n<p><span class=\"social-banner-text text-grey\">Abonnieren Sie und verpassen Sie nicht die neuesten Ressourcen<\/span><\/p>\n<div class=\"social-links-wrapper\"><a class=\"social-icon-link\" href=\"https:\/\/www.facebook.com\/VOKA3DAnatomyAndPathology\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/facebook.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.instagram.com\/voka.io\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/insta.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.linkedin.com\/company\/voka-io\/posts\/?feedView=all\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/linkedin.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.youtube.com\/@vokaio\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/youtube.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.pinterest.com\/voka3danatomyandpathology\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/pinterest.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.tiktok.com\/@voka.io\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/tiktok.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/discord.gg\/7ejUpq8DRR\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/discord.svg\" alt=\"social link\"><\/a><\/div>\n<\/div>\n<p><img decoding=\"async\" class=\"social-banner-image\" loading=\"lazy\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/social-media-banner-mobile-image.webp\" alt=\"Banner background\"><\/div>\n<h2 class=\"wp-block-heading\" id=\"therapie-der-infektioesen-endokarditis\">Therapie der infekti\u00f6sen Endokarditis<\/h2>\n<h3 class=\"wp-block-heading\" id=\"%d0%9c%d0%be%d0%b4%d0%b8%d1%84%d0%b8%d0%ba%d0%b0%d1%86%d0%b8%d1%8f-%d1%84%d0%b0%d0%ba%d1%82%d0%be%d1%80%d0%be%d0%b2-%d1%80%d0%b8%d1%81%d0%ba%d0%b0\">\u041c\u043e\u0434\u0438\u0444\u0438\u043a\u0430\u0446\u0438\u044f \u0444\u0430\u043a\u0442\u043e\u0440\u043e\u0432 \u0440\u0438\u0441\u043a\u0430<\/h3>\n<ul class=\"wp-block-list\">\n<li>Entfernung\/Ersatz infizierter Ger\u00e4te und Katheter<\/li>\n<li>Behandlung von Infektionsherden (Z\u00e4hne, Haut)<\/li>\n<li>Vermeidung unn\u00f6tiger invasiver Eingriffe<\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\" id=\"medikamentoese-therapie\">Medikament\u00f6se Therapie<\/h3>\n<p>\u041f\u0440\u0438\u043d\u0446\u0438\u043f\u044b:<\/p>\n<ul class=\"wp-block-list\">\n<li>\u0432\u044b\u0441\u043e\u043a\u0438\u0435 \u0434\u043e\u0437\u044b \u0431\u0430\u043a\u0442\u0435\u0440\u0438\u0446\u0438\u0434\u043d\u044b\u0445 \u0430\u043d\u0442\u0438\u0431\u0438\u043e\u0442\u0438\u043a\u043e\u0432;<\/li>\n<li>\u0434\u043b\u0438\u0442\u0435\u043b\u044c\u043d\u0430\u044f \u0442\u0435\u0440\u0430\u043f\u0438\u044f (\u043e\u0431\u044b\u0447\u043d\u043e 4\u20136 \u043d\u0435\u0434\u0435\u043b\u044c);<\/li>\n<li>\u0443\u0447\u0435\u0442 MIC (\u043c\u0438\u043d\u0438\u043c\u0430\u043b\u044c\u043d\u043e\u0439 \u0438\u043d\u0433\u0438\u0431\u0438\u0440\u0443\u044e\u0449\u0435\u0439 \u043a\u043e\u043d\u0446\u0435\u043d\u0442\u0440\u0430\u0446\u0438\u0438);<\/li>\n<li>\u0438\u043d\u0434\u0438\u0432\u0438\u0434\u0443\u0430\u043b\u0438\u0437\u0438\u0440\u043e\u0432\u0430\u043d\u043d\u044b\u0439 \u043f\u043e\u0434\u0445\u043e\u0434 \u043f\u0440\u0438 \u043f\u0440\u043e\u0442\u0435\u0437\u0430\u0445, \u0430\u0431\u0441\u0446\u0435\u0441\u0441\u0430\u0445 \u0438 \u0440\u0435\u0437\u0438\u0441\u0442\u0435\u043d\u0442\u043d\u044b\u0445 \u0448\u0442\u0430\u043c\u043c\u0430\u0445.<\/li>\n<\/ul>\n<p>\u041f\u0440\u0438\u043c\u0435\u0440\u044b \u0441\u0445\u0435\u043c (\u043f\u043e ESC 2023):<\/p>\n<ul class=\"wp-block-list\">\n<li><em>Staphylococcus aureus<\/em> (\u043c\u0435\u0442\u0438\u0446\u0438\u043b\u043b\u0438\u043d-\u0447\u0443\u0432\u0441\u0442\u0432\u0438\u0442\u0435\u043b\u044c\u043d\u044b\u0439, MSSA): \u043e\u043a\u0441\u0430\u0446\u0438\u043b\u043b\u0438\u043d \/ \u043d\u0430\u0444\u0446\u0438\u043b\u043b\u0438\u043d + \u0433\u0435\u043d\u0442\u0430\u043c\u0438\u0446\u0438\u043d (\u043f\u0435\u0440\u0432\u0430\u044f \u043d\u0435\u0434\u0435\u043b\u044f); \u043f\u0440\u0438 \u043f\u0440\u043e\u0442\u0435\u0437\u043d\u043e\u043c \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442\u0435 \u2014 \u0434\u043e\u0431\u0430\u0432\u043b\u044f\u044e\u0442 \u0440\u0438\u0444\u0430\u043c\u043f\u0438\u0446\u0438\u043d;<\/li>\n<li><em>Staphylococcus aureus<\/em> (\u043c\u0435\u0442\u0438\u0446\u0438\u043b\u043b\u0438\u043d-\u0440\u0435\u0437\u0438\u0441\u0442\u0435\u043d\u0442\u043d\u044b\u0439, MRSA): \u0432\u0430\u043d\u043a\u043e\u043c\u0438\u0446\u0438\u043d; \u043f\u0440\u0438 \u043f\u0440\u043e\u0442\u0435\u0437\u043d\u043e\u043c \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442\u0435 \u2014 \u0434\u043e\u0431\u0430\u0432\u043b\u044f\u044e\u0442 \u0440\u0438\u0444\u0430\u043c\u043f\u0438\u0446\u0438\u043d;<\/li>\n<li><em>Streptococcus spp<\/em>.: Penicillin G oder Ceftriaxon \u00b1 Gentamicin<\/li>\n<li><em>Enterococcus spp<\/em>.: \u0430\u043c\u043f\u0438\u0446\u0438\u043b\u043b\u0438\u043d + \u0433\u0435\u043d\u0442\u0430\u043c\u0438\u0446\u0438\u043d \u0438\u043b\u0438 \u0430\u043c\u043f\u0438\u0446\u0438\u043b\u043b\u0438\u043d + \u0446\u0435\u0444\u0442\u0440\u0438\u0430\u043a\u0441\u043e\u043d (\u043f\u0440\u0438 \u0432\u044b\u0441\u043e\u043a\u043e\u043c \u0443\u0440\u043e\u0432\u043d\u0435 \u0440\u0435\u0437\u0438\u0441\u0442\u0435\u043d\u0442\u043d\u043e\u0441\u0442\u0438 \u043a \u0433\u0435\u043d\u0442\u0430\u043c\u0438\u0446\u0438\u043d\u0443).<\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\" id=\"chirurgische-behandlung\">Chirurgische Behandlung<\/h3>\n<p><strong>\u041f\u043e\u043a\u0430\u0437\u0430\u043d\u0438\u044f<\/strong>:<\/p>\n<ul class=\"wp-block-list\">\n<li>\u0441\u0435\u0440\u0434\u0435\u0447\u043d\u0430\u044f \u043d\u0435\u0434\u043e\u0441\u0442\u0430\u0442\u043e\u0447\u043d\u043e\u0441\u0442\u044c \u0432\u0441\u043b\u0435\u0434\u0441\u0442\u0432\u0438\u0435 \u043a\u043b\u0430\u043f\u0430\u043d\u043d\u043e\u0439 \u0434\u0438\u0441\u0444\u0443\u043d\u043a\u0446\u0438\u0438 (\u043e\u0441\u0442\u0440\u0430\u044f \u0442\u044f\u0436\u0435\u043b\u0430\u044f \u043a\u043b\u0430\u043f\u0430\u043d\u043d\u0430\u044f \u0440\u0435\u0433\u0443\u0440\u0433\u0438\u0442\u0430\u0446\u0438\u044f);<\/li>\n<li>\u043d\u0435\u043a\u043e\u043d\u0442\u0440\u043e\u043b\u0438\u0440\u0443\u0435\u043c\u0430\u044f \u0438\u043d\u0444\u0435\u043a\u0446\u0438\u044f (\u0430\u0431\u0441\u0446\u0435\u0441\u0441, \u043f\u0435\u0440\u0444\u043e\u0440\u0430\u0446\u0438\u044f, \u043f\u0441\u0435\u0432\u0434\u043e\u0430\u043d\u0435\u0432\u0440\u0438\u0437\u043c\u0430, \u043f\u0440\u043e\u0434\u043e\u043b\u0436\u0430\u044e\u0449\u0430\u044f\u0441\u044f \u0431\u0430\u043a\u0442\u0435\u0440\u0438\u0435\u043c\u0438\u044f \u0431\u043e\u043b\u0435\u0435 7 \u0434\u043d\u0435\u0439, \u043d\u0435\u0441\u043c\u043e\u0442\u0440\u044f \u043d\u0430 \u0430\u0434\u0435\u043a\u0432\u0430\u0442\u043d\u0443\u044e \u0430\u043d\u0442\u0438\u0431\u0438\u043e\u0442\u0438\u043a\u043e\u0442\u0435\u0440\u0430\u043f\u0438\u044e);<\/li>\n<li>\u043f\u043e\u0432\u0442\u043e\u0440\u043d\u044b\u0435 \u044d\u043c\u0431\u043e\u043b\u0438\u0438 \u0438\u043b\u0438 \u0431\u043e\u043b\u044c\u0448\u0438\u0435 \u0432\u0435\u0433\u0435\u0442\u0430\u0446\u0438\u0438 c \u044d\u043f\u0438\u0437\u043e\u0434\u043e\u043c \u044d\u043c\u0431\u043e\u043b\u0438\u0438 (>10 \u043c\u043c), \u0432\u0435\u0433\u0435\u0442\u0430\u0446\u0438\u0438 \u0431\u043e\u043b\u0435\u0435 15 \u043c\u043c, \u043e\u0441\u043e\u0431\u0435\u043d\u043d\u043e \u043f\u0440\u0438 \u043b\u0435\u0432\u043e\u0441\u0442\u043e\u0440\u043e\u043d\u043d\u0435\u043c \u0418\u042d, \u0434\u0430\u0436\u0435 \u0431\u0435\u0437 \u044d\u043c\u0431\u043e\u043b\u0438\u0439;<\/li>\n<li>\u043f\u0440\u043e\u0442\u0435\u0437\u043d\u044b\u0439 \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442;<\/li>\n<li>\u0433\u0440\u0438\u0431\u043a\u043e\u0432\u044b\u0439 \u0418\u042d, \u0430 \u0442\u0430\u043a\u0436\u0435 \u0418\u042d,\u00a0 \u0432\u044b\u0437\u0432\u0430\u043d\u043d\u044b\u0439 \u0432\u044b\u0441\u043e\u043a\u043e\u0440\u0435\u0437\u0438\u0441\u0442\u0435\u043d\u0442\u043d\u044b\u043c\u0438 \u043c\u0438\u043a\u0440\u043e\u043e\u0440\u0433\u0430\u043d\u0438\u0437\u043c\u0430\u043c\u0438.<\/li>\n<\/ul>\n<p><strong>\u041f\u0440\u043e\u0442\u0438\u0432\u043e\u043f\u043e\u043a\u0430\u0437\u0430\u043d\u0438\u044f<\/strong>:<\/p>\n<ul class=\"wp-block-list\">\n<li>\u0434\u0435\u043a\u043e\u043c\u043f\u0435\u043d\u0441\u0438\u0440\u043e\u0432\u0430\u043d\u043d\u043e\u0435 \u043e\u0431\u0449\u0435\u0435 \u0441\u043e\u0441\u0442\u043e\u044f\u043d\u0438\u0435, \u043c\u0443\u043b\u044c\u0442\u0438\u043e\u0440\u0433\u0430\u043d\u043d\u0430\u044f \u043d\u0435\u0434\u043e\u0441\u0442\u0430\u0442\u043e\u0447\u043d\u043e\u0441\u0442\u044c;<\/li>\n<li>\u043d\u0435\u0434\u0430\u0432\u043d\u0438\u0439 \u043e\u0431\u0448\u0438\u0440\u043d\u044b\u0439 \u0438\u043d\u0441\u0443\u043b\u044c\u0442 \u0441 \u0433\u0435\u043c\u043e\u0440\u0440\u0430\u0433\u0438\u0447\u0435\u0441\u043a\u0438\u043c \u043a\u043e\u043c\u043f\u043e\u043d\u0435\u043d\u0442\u043e\u043c.<\/li>\n<\/ul>\n<p><strong>\u0412\u0438\u0434\u044b \u043e\u043f\u0435\u0440\u0430\u0446\u0438\u0439 <\/strong>(\u0432 \u043f\u043e\u0434\u0430\u0432\u043b\u044f\u044e\u0449\u0435\u043c \u0431\u043e\u043b\u044c\u0448\u0438\u043d\u0441\u0442\u0432\u0435 \u0441\u043b\u0443\u0447\u0430\u0435\u0432 \u043e\u043f\u0435\u0440\u0430\u0446\u0438\u0438 \u0432\u044b\u043f\u043e\u043b\u043d\u044f\u044e\u0442\u0441\u044f \u0432 \u0443\u0441\u043b\u043e\u0432\u0438\u044f\u0445 \u0438\u0441\u043a\u0443\u0441\u0441\u0442\u0432\u0435\u043d\u043d\u043e\u0433\u043e \u043a\u0440\u043e\u0432\u043e\u043e\u0431\u0440\u0430\u0449\u0435\u043d\u0438\u044f):<\/p>\n<ul class=\"wp-block-list\">\n<li>\u0437\u0430\u043c\u0435\u043d\u0430 (\u043f\u0440\u043e\u0442\u0435\u0437\u0438\u0440\u043e\u0432\u0430\u043d\u0438\u0435) \u043f\u043e\u0440\u0430\u0436\u0435\u043d\u043d\u043e\u0433\u043e \u043a\u043b\u0430\u043f\u0430\u043d\u0430;<\/li>\n<li>\u0443\u0434\u0430\u043b\u0435\u043d\u0438\u0435 \u0432\u0435\u0433\u0435\u0442\u0430\u0446\u0438\u0439, \u0441\u0430\u043d\u0430\u0446\u0438\u044f \u0430\u0431\u0441\u0446\u0435\u0441\u0441\u043e\u0432;<\/li>\n<li>\u0440\u0435\u043a\u043e\u043d\u0441\u0442\u0440\u0443\u043a\u0442\u0438\u0432\u043d\u044b\u0435 \u0432\u043c\u0435\u0448\u0430\u0442\u0435\u043b\u044c\u0441\u0442\u0432\u0430 (\u043f\u043b\u0430\u0441\u0442\u0438\u043a\u0430 \u043a\u043b\u0430\u043f\u0430\u043d\u043e\u0432, \u043a\u043e\u043b\u0435\u0446 \u043a\u043b\u0430\u043f\u0430\u043d\u043e\u0432, \u043a\u043e\u0440\u043d\u044f \u0430\u043e\u0440\u0442\u044b); \u043f\u0440\u0438 \u0432\u043e\u0432\u043b\u0435\u0447\u0435\u043d\u0438\u0438 \u043a\u043e\u0440\u043d\u044f \u0430\u043e\u0440\u0442\u044b \u043c\u043e\u0436\u0435\u0442 \u043f\u043e\u043d\u0430\u0434\u043e\u0431\u0438\u0442\u044c\u0441\u044f \u0437\u0430\u043c\u0435\u043d\u0430 \u043a\u043e\u043d\u0434\u0443\u0438\u0442\u043e\u043c (\u0438\u0441\u043a\u0443\u0441\u0441\u0442\u0432\u0435\u043d\u043d\u044b\u0439 \u0441\u043e\u0441\u0443\u0434\u0438\u0441\u0442\u044b\u0439 \u043f\u0440\u043e\u0442\u0435\u0437 \u0441 \u0438\u0441\u043a\u0443\u0441\u0441\u0442\u0432\u0435\u043d\u043d\u044b\u043c \u043a\u043b\u0430\u043f\u0430\u043d\u043e\u043c) \u0438\u043b\u0438 \u0433\u043e\u043c\u043e\u0433\u0440\u0430\u0444\u0442\u043e\u043c (\u0447\u0435\u043b\u043e\u0432\u0435\u0447\u0435\u0441\u043a\u0438\u0439 \u0434\u043e\u043d\u043e\u0440\u0441\u043a\u0438\u0439 \u043a\u043b\u0430\u043f\u0430\u043d \u0441 \u0443\u0447\u0430\u0441\u0442\u043a\u043e\u043c \u0432\u043e\u0441\u0445\u043e\u0434\u044f\u0449\u0435\u0439 \u0430\u043e\u0440\u0442\u044b);<\/li>\n<li>\u0443\u0434\u0430\u043b\u0435\u043d\u0438\u0435 \u0438\u043d\u0444\u0438\u0446\u0438\u0440\u043e\u0432\u0430\u043d\u043d\u044b\u0445 \u0443\u0441\u0442\u0440\u043e\u0439\u0441\u0442\u0432: \u043f\u0440\u0438 \u0432\u043e\u0432\u043b\u0435\u0447\u0435\u043d\u0438\u0438 \u044d\u043b\u0435\u043a\u0442\u0440\u043e\u0434\u043e\u0432 \u0438\u043b\u0438 \u043a\u0430\u0440\u0434\u0438\u043e\u0441\u0442\u0438\u043c\u0443\u043b\u044f\u0442\u043e\u0440\u0430 \u043f\u043e\u043a\u0430\u0437\u0430\u043d\u043e \u0443\u0434\u0430\u043b\u0435\u043d\u0438\u0435 \u0432\u0441\u0435\u0439 \u0441\u0438\u0441\u0442\u0435\u043c\u044b; \u043f\u0440\u0438 TAVI-\u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442\u0435 \u043e\u043f\u0435\u0440\u0430\u0446\u0438\u044f \u0447\u0430\u0441\u0442\u043e \u0441\u043e\u043f\u0440\u044f\u0436\u0435\u043d\u0430 \u0441 \u0432\u044b\u0441\u043e\u043a\u043e\u0439 \u043b\u0435\u0442\u0430\u043b\u044c\u043d\u043e\u0441\u0442\u044c\u044e, \u043d\u043e \u043f\u043e\u043a\u0430\u0437\u0430\u043d\u0430 \u043f\u0440\u0438 \u043d\u0435\u044d\u0444\u0444\u0435\u043a\u0442\u0438\u0432\u043d\u043e\u0441\u0442\u0438 \u0442\u0435\u0440\u0430\u043f\u0438\u0438.<\/li>\n<\/ul>\n<div>\n<h2 class=\"faq-title h2-article\" id=\"faq\">FAQ<\/h2>\n<div class=\"faq-section\">\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">1. Was ist eine infekti\u00f6se Endokarditis?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Die infekti\u00f6se Endokarditis ist eine entz\u00fcndliche Erkrankung der Herzinnenhaut (Endokard), die meist die Herzklappen miteinbezieht und durch eine bakterielle oder mykotische Infektion verursacht wird.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">2. Was sind die typischen Symptome einer IE?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Die h\u00e4ufigsten Symptome sind Fieber, Sch\u00fcttelfrost, Schw\u00e4che, Herzger\u00e4usche und Gewichtsverlust. M\u00f6gliche Komplikationen: Schlaganfall, Embolien, Herzversagen.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">3. Welche Bakterien sind die h\u00e4ufigsten Erreger von IE?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">\u041d\u0430\u0438\u0431\u043e\u043b\u0435\u0435 \u0447\u0430\u0441\u0442\u044b\u0435 \u0432\u043e\u0437\u0431\u0443\u0434\u0438\u0442\u0435\u043b\u0438: <em>Staphylococcus aureus, Streptococcus viridans, Enterococcus spp.<\/em>. \u0423 \u043b\u0438\u0446 \u0441 \u043f\u0440\u043e\u0442\u0435\u0437\u0430\u043c\u0438 \u0438\u043b\u0438 \u0432\u043d\u0443\u0442\u0440\u0438\u0441\u043e\u0441\u0443\u0434\u0438\u0441\u0442\u044b\u043c\u0438 \u0443\u0441\u0442\u0440\u043e\u0439\u0441\u0442\u0432\u0430\u043c\u0438 \u0447\u0430\u0441\u0442\u043e \u0432\u0441\u0442\u0440\u0435\u0447\u0430\u0435\u0442\u0441\u044f <em>Staphylococcus epidermidis<\/em>.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">4. Was sind die Gefahren einer infekti\u00f6sen Endokarditis?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">\u0418\u042d \u043c\u043e\u0436\u0435\u0442 \u043f\u0440\u0438\u0432\u0435\u0441\u0442\u0438 \u043a \u0440\u0430\u0437\u0440\u0443\u0448\u0435\u043d\u0438\u044e \u043a\u043b\u0430\u043f\u0430\u043d\u043e\u0432, \u0441\u0435\u0440\u0434\u0435\u0447\u043d\u043e\u0439 \u043d\u0435\u0434\u043e\u0441\u0442\u0430\u0442\u043e\u0447\u043d\u043e\u0441\u0442\u0438, \u044d\u043c\u0431\u043e\u043b\u0438\u0447\u0435\u0441\u043a\u0438\u043c \u043e\u0441\u043b\u043e\u0436\u043d\u0435\u043d\u0438\u044f\u043c (\u0438\u043d\u0441\u0443\u043b\u044c\u0442\u044b, \u0438\u043d\u0444\u0430\u0440\u043a\u0442\u044b \u043e\u0440\u0433\u0430\u043d\u043e\u0432), \u0430\u0431\u0441\u0446\u0435\u0441\u0441\u0430\u043c \u0438 \u0441\u0435\u043f\u0441\u0438\u0441\u0443. \u041b\u0435\u0442\u0430\u043b\u044c\u043d\u043e\u0441\u0442\u044c \u0434\u043e\u0441\u0442\u0438\u0433\u0430\u0435\u0442 20\u201330 %.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">5. Kann IE ohne Operation geheilt werden?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Ja, in einigen F\u00e4llen \u2013 insbesondere bei nativen Klappen und empfindlichen Mikroorganismen \u2013 ist eine vollst\u00e4ndige Heilung mit Antibiotika m\u00f6glich. Treten jedoch Komplikationen auf, kann eine Operation erforderlich sein.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">6. Wann ist ein chirurgischer Eingriff bei IE notwendig?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">\u041e\u043f\u0435\u0440\u0430\u0446\u0438\u044f \u043f\u043e\u043a\u0430\u0437\u0430\u043d\u0430 \u043f\u0440\u0438: <br \/>\u2022 \u0441\u0435\u0440\u0434\u0435\u0447\u043d\u043e\u0439 \u043d\u0435\u0434\u043e\u0441\u0442\u0430\u0442\u043e\u0447\u043d\u043e\u0441\u0442\u0438 \u0438\u0437-\u0437\u0430 \u043a\u043b\u0430\u043f\u0430\u043d\u043d\u043e\u0439 \u0434\u0438\u0441\u0444\u0443\u043d\u043a\u0446\u0438\u0438; <br \/>\u2022 \u0430\u0431\u0441\u0446\u0435\u0441\u0441\u0430\u0445, \u0440\u0430\u0437\u0440\u044b\u0432\u0430\u0445, \u043f\u0435\u0440\u0444\u043e\u0440\u0430\u0446\u0438\u044f\u0445; <br \/>\u2022 \u043d\u0435\u044d\u0444\u0444\u0435\u043a\u0442\u0438\u0432\u043d\u043e\u0439 \u0430\u043d\u0442\u0438\u0431\u0438\u043e\u0442\u0438\u043a\u043e\u0442\u0435\u0440\u0430\u043f\u0438\u0438; <br \/>\u2022 \u0433\u0440\u0438\u0431\u043a\u043e\u0432\u043e\u0439 \u0438\u043d\u0444\u0435\u043a\u0446\u0438\u0438; <br \/>\u2022 \u0440\u0435\u0446\u0438\u0434\u0438\u0432\u0438\u0440\u0443\u044e\u0449\u0438\u0445 \u044d\u043c\u0431\u043e\u043b\u0438\u044f\u0445.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">7. Wie lange dauert die antibiotische Therapie?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Die Dauer der Therapie betr\u00e4gt in der Regel 4 bis 6 Wochen, je nach Erreger, Art der Klappe (nativ oder prothetisch) und Komplikationen.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">8. Kann eine infekti\u00f6se Endokarditis verhindert werden?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">\u0414\u0430, \u0443 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u043e\u0432 \u0438\u0437 \u0433\u0440\u0443\u043f\u043f\u044b \u0440\u0438\u0441\u043a\u0430 (\u043d\u0430\u043f\u0440\u0438\u043c\u0435\u0440, \u0441 \u043f\u0440\u043e\u0442\u0435\u0437\u0430\u043c\u0438 \u043a\u043b\u0430\u043f\u0430\u043d\u043e\u0432) \u0440\u0435\u043a\u043e\u043c\u0435\u043d\u0434\u0443\u0435\u0442\u0441\u044f \u0430\u043d\u0442\u0438\u0431\u0438\u043e\u0442\u0438\u043a\u043e\u043f\u0440\u043e\u0444\u0438\u043b\u0430\u043a\u0442\u0438\u043a\u0430 \u043f\u0435\u0440\u0435\u0434 \u043e\u043f\u0440\u0435\u0434\u0435\u043b\u0435\u043d\u043d\u044b\u043c\u0438 \u0441\u0442\u043e\u043c\u0430\u0442\u043e\u043b\u043e\u0433\u0438\u0447\u0435\u0441\u043a\u0438\u043c\u0438 \u0438\u043b\u0438 \u0445\u0438\u0440\u0443\u0440\u0433\u0438\u0447\u0435\u0441\u043a\u0438\u043c\u0438 \u043f\u0440\u043e\u0446\u0435\u0434\u0443\u0440\u0430\u043c\u0438.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">9. Wer hat ein erh\u00f6htes Risiko f\u00fcr IE?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Patienten mit Herzklappenprothesen, Herzschrittmachern, fr\u00fcheren IE, angeborenen Herzerkrankungen, H\u00e4modialysepatienten und Drogenkonsumenten.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-block sources-list-hidden\" id=\"quellenverzeichnis\">\n<div class=\"sources-list-content\">\n<div class=\"sources-list-title\">\n<p class=\"small-text-bold text-black sources-list-title-text\">Quellenverzeichnis<\/p>\n<div class=\"sources-expand-button-wrapper-mobile\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-items\">\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">1.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>VOKA 3D Anatomy & Pathology \u2013 Complete Anatomy and Pathology 3D Atlas [Internet]. VOKA 3D Anatomy & Pathology. <\/cite><\/p>\n<p><span class=\"small-text-medium text-grey\">Available from: https:\/\/catalog.voka.io\/<\/span><\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">2.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Delgado V, Ajmone Marsan N, de Waha S, Bonaros N, Brida M, Burri H, et al.; ESC Scientific Document Group. 2023 ESC guidelines for the management of endocarditis. Eur Heart J. 2023 Oct 14;44(39):3948\u20134042. doi:10.1093\/eurheartj\/ehad193. <\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">3.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Li M, Kim JB, Sastry BKS, Chen M. Infective endocarditis. Lancet. 2024 Jul 27;404(10450):377\u2013392. doi:10.1016\/S0140-6736(24)01098-5.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">4.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Rajani R, Klein JL. Infective endocarditis: a contemporary update. Clin Med (Lond). 2020 Jan;20(1):31\u201335. doi:10.7861\/clinmed.cme.20.1.1. <\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">5.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Wang A, Gaca JG, Chu VH. Management considerations in infective endocarditis: a review. JAMA. 2018 Jul 3;320(1):72\u201383. doi:10.1001\/jama.2018.7596. <\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">6.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Baddour LM, Wilson WR, Bayer AS, Fowler VG Jr, Tleyjeh IM, Rybak MJ, et al.; American Heart Association Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease of the Council on Cardiovascular Disease in the Young, Council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, and Stroke Council. Infective endocarditis in adults: diagnosis, antimicrobial therapy, and management of complications: a scientific statement for healthcare professionals from the American Heart Association. Circulation. 2015 Oct 13;132(15):1435\u20131486. doi:10.1161\/CIR.0000000000000296. <\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">7.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Iung B. Infective endocarditis: epidemiology, pathophysiology and histopathology. Presse Med. 2019 May;48(5):513\u2013521. doi:10.1016\/j.lpm.2019.04.009. <\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">8.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Chambers HF, Bayer AS. Native-valve infective endocarditis. N Engl J Med. 2020 Aug 6;383(6):567\u2013576. doi:10.1056\/NEJMcp2000400. <\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">9.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Jain A, Subramani S, Gebhardt B, Hauser J, Bailey C, Ramakrishna H. Infective endocarditis\u2014update for the perioperative clinician. J Cardiothorac Vasc Anesth. 2023 Apr;37(4):637\u2013649. doi:10.1053\/j.jvca.2022.12.030. <\/cite><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-expand-button-wrapper\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u0418\u043d\u0444\u0435\u043a\u0446\u0438\u043e\u043d\u043d\u044b\u0439 \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442 (\u0418\u042d) \u2014 \u044d\u0442\u043e \u043f\u043e\u0442\u0435\u043d\u0446\u0438\u0430\u043b\u044c\u043d\u043e \u0436\u0438\u0437\u043d\u0435\u0443\u0433\u0440\u043e\u0436\u0430\u044e\u0449\u0435\u0435 \u0437\u0430\u0431\u043e\u043b\u0435\u0432\u0430\u043d\u0438\u0435, \u0441\u0432\u044f\u0437\u0430\u043d\u043d\u043e\u0435 \u0441 \u0432\u043e\u0441\u043f\u0430\u043b\u0435\u043d\u0438\u0435\u043c \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0430, \u043f\u0440\u0435\u0438\u043c\u0443\u0449\u0435\u0441\u0442\u0432\u0435\u043d\u043d\u043e \u043a\u043b\u0430\u043f\u0430\u043d\u043d\u043e\u0433\u043e \u0430\u043f\u043f\u0430\u0440\u0430\u0442\u0430 \u0441\u0435\u0440\u0434\u0446\u0430, \u0432\u044b\u0437\u0432\u0430\u043d\u043d\u043e\u0435 \u043c\u0438\u043a\u0440\u043e\u0431\u043d\u043e\u0439 \u0438\u043d\u0432\u0430\u0437\u0438\u0435\u0439. \u041d\u0435\u0441\u043c\u043e\u0442\u0440\u044f \u043d\u0430 \u0440\u0430\u0437\u0432\u0438\u0442\u0438\u0435 \u0430\u043d\u0442\u0438\u0431\u0430\u043a\u0442\u0435\u0440\u0438\u0430\u043b\u044c\u043d\u043e\u0439 \u0442\u0435\u0440\u0430\u043f\u0438\u0438 \u0438 \u0441\u043e\u0432\u0440\u0435\u043c\u0435\u043d\u043d\u044b\u0445 \u043c\u0435\u0442\u043e\u0434\u043e\u0432 \u0432\u0438\u0437\u0443\u0430\u043b\u0438\u0437\u0430\u0446\u0438\u0438, \u043f\u0440\u043e\u0446\u0435\u043d\u0442 \u0441\u043c\u0435\u0440\u0442\u043d\u043e\u0441\u0442\u0438 \u043e\u0442 \u043e\u0431\u0449\u0435\u0433\u043e \u0447\u0438\u0441\u043b\u0430 \u0437\u0430\u0431\u043e\u043b\u0435\u0432\u0448\u0438\u0445 \u043e\u0441\u0442\u0430\u0435\u0442\u0441\u044f \u0432\u044b\u0441\u043e\u043a\u0438\u043c. Epidemiologie \u0427\u0430\u0441\u0442\u043e\u0442\u0430 \u0438\u043d\u0444\u0435\u043a\u0446\u0438\u043e\u043d\u043d\u043e\u0433\u043e \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442\u0430 \u0432\u0430\u0440\u044c\u0438\u0440\u0443\u0435\u0442 \u043e\u0442 3 \u0434\u043e 15 \u0441\u043b\u0443\u0447\u0430\u0435\u0432 \u043d\u0430 100 000 \u043d\u0430\u0441\u0435\u043b\u0435\u043d\u0438\u044f \u0432 \u0433\u043e\u0434. \u0417\u0430\u0431\u043e\u043b\u0435\u0432\u0430\u0435\u043c\u043e\u0441\u0442\u044c \u0432\u043e\u0437\u0440\u0430\u0441\u0442\u0430\u0435\u0442 \u0441 [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"template":"","diseases_category":[213],"class_list":["post-620","diseases_post","type-diseases_post","status-publish","hentry","diseases_category-kardiologie"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.0 (Yoast SEO v26.5) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Infekti\u00f6se Endokarditis: Symptome, Ursachen, Klassifikation, Therapie<\/title>\n<meta name=\"description\" content=\"Bei der infekti\u00f6sen Endokarditis handelt es sich um eine gef\u00e4hrliche Entz\u00fcndung der Innenauskleidung des Herzens mit Sch\u00e4digung der Herzklappen. 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