Infective endocarditis: diagnostic algorithm and surgical perspectives

ABSTRACT

With the introduction of new subspecialty in the discipline of surgery in Sudan, such as open-heart surgery, renal transplantation and haemodialysis, infective endocarditis is changing its face. More cases are seen with different presentations, resistance to treatment and sometimes-poor outcomes. In this review, we tried to give an update on the current clinical guidelines for the diagnosis and management of this fatal disease. In particular, we tried to emphasize the importance of team- work approach and implementing clinical algorithms and pathway. Additionally, we highlight the experience at Ahmed-Gasim Hospital, Khartoum North, and stress the need for improvement particularly in the area of training, research and information systems