Estudio retrospectivo de la endocarditis infecciosa en diferentes grupos de riesgo

Background: Due to the increasing number of intravenous drug users, subjects with immune deficiencies or with prosthetic valves, infective endocarditis (IE) continues to be prevalent and to have a high mortality. Aim: To review all cases of infective endocarditis diagnosed in an Internal Medicine Se...

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Autores principales:	Hermida Ameijeiras,Álvaro, López Rodríguez,Raimundo, Rodríguez Framil,Montserrat, Lado Lado,Francisco
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2007
Materias:	Endocarditis, bacterial Substance abuse, intravenous Thromboembolism
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872007000100002
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spelling	oai:scielo:S0034-988720070001000022014-01-06Estudio retrospectivo de la endocarditis infecciosa en diferentes grupos de riesgoHermida Ameijeiras,ÁlvaroLópez Rodríguez,RaimundoRodríguez Framil,MontserratLado Lado,Francisco Endocarditis, bacterial Substance abuse, intravenous Thromboembolism Background: Due to the increasing number of intravenous drug users, subjects with immune deficiencies or with prosthetic valves, infective endocarditis (IE) continues to be prevalent and to have a high mortality. Aim: To review all cases of infective endocarditis diagnosed in an Internal Medicine Service. Material and methods: Retrospective review of medical records of all patients with infective endocarditis, hospitalized in an Internal Medicine ward, between 1989 and 2003. Dukes criteria were used to define definitive, possible and less probable cases of IE. Results: Eighty seven patients with definite IE were identified (66 males, age range 19-84 years), with a mean incidence of 5.3 per 1000 hospitalizations. IE in intravenous drugs users was usually caused by Staphylococcus aureus and presented high risk of embolism (RR: 3,21). Subjects aged over 70 years had a relative risk of mortality of 5.5. Hospital acquired IE was associated with advanced age and IV catheters appeared as the only predisposing factor. Patients with prosthetic valves were also older, their main complication was abscess formation and their mortality was higher. Conclusions: A closer approach to differential conditions of patients, according to age, intravenous drug use or the presence of prosthetic valves, is necessaryinfo:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.135 n.1 20072007-01-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872007000100002es10.4067/S0034-98872007000100002
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Endocarditis, bacterial Substance abuse, intravenous Thromboembolism
spellingShingle	Endocarditis, bacterial Substance abuse, intravenous Thromboembolism Hermida Ameijeiras,Álvaro López Rodríguez,Raimundo Rodríguez Framil,Montserrat Lado Lado,Francisco Estudio retrospectivo de la endocarditis infecciosa en diferentes grupos de riesgo
description	Background: Due to the increasing number of intravenous drug users, subjects with immune deficiencies or with prosthetic valves, infective endocarditis (IE) continues to be prevalent and to have a high mortality. Aim: To review all cases of infective endocarditis diagnosed in an Internal Medicine Service. Material and methods: Retrospective review of medical records of all patients with infective endocarditis, hospitalized in an Internal Medicine ward, between 1989 and 2003. Dukes criteria were used to define definitive, possible and less probable cases of IE. Results: Eighty seven patients with definite IE were identified (66 males, age range 19-84 years), with a mean incidence of 5.3 per 1000 hospitalizations. IE in intravenous drugs users was usually caused by Staphylococcus aureus and presented high risk of embolism (RR: 3,21). Subjects aged over 70 years had a relative risk of mortality of 5.5. Hospital acquired IE was associated with advanced age and IV catheters appeared as the only predisposing factor. Patients with prosthetic valves were also older, their main complication was abscess formation and their mortality was higher. Conclusions: A closer approach to differential conditions of patients, according to age, intravenous drug use or the presence of prosthetic valves, is necessary
author	Hermida Ameijeiras,Álvaro López Rodríguez,Raimundo Rodríguez Framil,Montserrat Lado Lado,Francisco
author_facet	Hermida Ameijeiras,Álvaro López Rodríguez,Raimundo Rodríguez Framil,Montserrat Lado Lado,Francisco
author_sort	Hermida Ameijeiras,Álvaro
title	Estudio retrospectivo de la endocarditis infecciosa en diferentes grupos de riesgo
title_short	Estudio retrospectivo de la endocarditis infecciosa en diferentes grupos de riesgo
title_full	Estudio retrospectivo de la endocarditis infecciosa en diferentes grupos de riesgo
title_fullStr	Estudio retrospectivo de la endocarditis infecciosa en diferentes grupos de riesgo
title_full_unstemmed	Estudio retrospectivo de la endocarditis infecciosa en diferentes grupos de riesgo
title_sort	estudio retrospectivo de la endocarditis infecciosa en diferentes grupos de riesgo
publisher	Sociedad Médica de Santiago
publishDate	2007
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872007000100002
work_keys_str_mv	AT hermidaameijeirasalvaro estudioretrospectivodelaendocarditisinfecciosaendiferentesgruposderiesgo AT lopezrodriguezraimundo estudioretrospectivodelaendocarditisinfecciosaendiferentesgruposderiesgo AT rodriguezframilmontserrat estudioretrospectivodelaendocarditisinfecciosaendiferentesgruposderiesgo AT ladoladofrancisco estudioretrospectivodelaendocarditisinfecciosaendiferentesgruposderiesgo
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Estudio retrospectivo de la endocarditis infecciosa en diferentes grupos de riesgo

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