Infective endocarditis: Clinical presentation, etiology, and early predictors of in-hospital case fatality

被引：5

作者：

Pilmis, B. ^{[1
]}

Mizrahi, A. ^{[2
]}

Laincer, A. ^{[2
]}

Couzigou, C. ^{[1
,3
]}

El Helali, N. ^{[2
]}

Nguyen Van, J. -C. ^{[2
]}

Abassade, P. ^{[4
]}

Cador, R. ^{[4
]}

Le Monnier, A. ^{[2
]}

机构：

[1] Grp Hosp Paris St Joseph, Equipe Mobile Microbiol Clin, 185 Rue Raymond Losserand, F-75014 Paris, France

[2] Grp Hosp Paris St Joseph, Lab Microbiol Clin & Dosage Antiinfect, 185 Rue Raymond Losserand, F-75014 Paris, France

[3] Grp Hosp Paris St Joseph, Equipe Operat Hyg, 185 Rue Raymond Losserand, F-75014 Paris, France

[4] Grp Hosp Paris St Joseph, Serv Cardiol, 185 Rue Raymond Losserand, F-75014 Paris, France

来源：

MEDECINE ET MALADIES INFECTIEUSES | 2016年 / 46卷 / 01期

关键词：

Infective endocarditis; Epidemiology; INTERNATIONAL-COLLABORATION; STAPHYLOCOCCUS-AUREUS; EMBOLIC EVENTS; DIAGNOSIS; SURGERY; IMPACT;

D O I：

10.1016/j.medmal.2015.12.012

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

Objective. - We aimed to assess the clinical presentation, microbial etiology and outcome of patients presenting with infective endocarditis (IE). Patients and methods. - We conducted a four-year retrospective study including all patients presenting with IE. Results. - We included 121 patients in the study. The median age was 74.8 years. Most patients had native valve M (57%). Staphylococcus aureus accounted for 24.8% of all IE. Surgery was indicated for 70 patients (57.9%) but actually performed in only 55 (44.7%). Factors associated with surgery were younger age (P = 0.002) and prosthetic valve IE (P = 0.001). Risk factors associated with in-hospital mortality were diabetes mellitus (OR = 3.17), chronic renal insufficiency (OR=6.62), and surgical indication (OR=3.49). Mortality of patients who underwent surgery was one sixth of that of patients with surgical indication who did not have the surgery (P < 0.001). (C) 2016 Published by Elsevier Masson SAS.

引用

页码：44 / 48

页数：5

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