Abstract
To analyse hospital acquired infective endocarditis cases with respect to age, sex, clinical, laboratory, and echocardiographic features, predisposition, complications, surgery, mortality, and diagnostic criteria. Prospective cohort study. Teaching hospital. A series of 200 patients with infective endocarditis presenting over 11 years, 168 with native valve infective endocarditis, of whom 22 acquired this infection in hospital. 22 (14%) of the 168 cases of native valve infection were hospital acquired. The most common pathogens were staphylococci (77%). Two thirds of patients had no cardiac predisposition; one third had end stage renal disease. The most common source of infection was vascular access sites (73%). Eleven patients died. In 11 cases, infective endocarditis was proven pathologically (six at necropsy, five during surgery) and analysis of these showed that 45% were classed as probable by the Beth Israel criteria, 73% as definite by the Duke criteria, and 91% as definite by our suggested modifications of the Duke criteria. Figures for the 11 cases not proven pathologically were 27%, 73%, and 91%, respectively. Five of the 22 cases (22%) were rejected by the Beth Israel criteria but none were rejected by the Duke criter...Continue Reading
Citations
Mar 13, 2014·Disaster Medicine and Public Health Preparedness·Joseph M PosidAli S Khan
Apr 17, 2001·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·L A MermelUNKNOWN Society for Healthcare Epidemiology of America
Sep 19, 2014·Current Infectious Disease Reports·Natividad BenitoJosé M Miró
Jul 27, 2001·Current Infectious Disease Reports·Margaret C. Fisher
Nov 30, 2000·Current Infectious Disease Reports·A L ChamisG R Corey
Feb 22, 2007·Journal of Cardiovascular Medicine·Enrico CecchiRita Trinchero
Sep 12, 2001·Medicine·E BouzaM A García Fernández
Apr 9, 2009·Medicine·Manuel L Fernández GuerreroMiguel de Górgolas
Nov 16, 2007·Medicine·Manuel L Fernández GuerreroMiguel de Górgolas
Apr 16, 2003·The American Journal of the Medical Sciences·Farrin A Manian
Jun 2, 2012·Enfermedades infecciosas y microbiología clínica·Raquel Núñez AragónMiquel Sabrià Leal
Aug 16, 2005·Chest·Pablo RivasManuel L Fernández Guerrero
Aug 16, 2005·Chest·Pilar Martín-DávilaSantiago Moreno
Nov 22, 2008·The Lancet Infectious Diseases·Anna L CaseyTom S J Elliott
Mar 26, 2008·Critical Care Clinics·Emilio BouzaPatricia Munoz
Dec 17, 2009·Clinical Cardiology·Michael P ChrissoherisThomas Donohue
May 10, 2007·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·E GiannitsiotiUNKNOWN Hellenic Endocarditis Study Group
Aug 1, 2015·PloS One·Elżbieta AbramczukTomasz Hryniewiecki
May 31, 2001·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·L A MermelUNKNOWN Society for Healthcare Epidemiology of America
Feb 3, 2000·Journal of Clinical Pathology·R D Start, S S Cross
Jul 24, 2020·Journal of the American Heart Association·Hezzy ShmueliRobert J Siegel
Jun 6, 2017·Critical Reviews in Microbiology·Agnes Marie Sá FigueiredoMarina Farrel Côrtes