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Portraying infective endocarditis: results of multinational ID-IRI study

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Date
2019-09-01
Author
Florescu, Simin
Tasbakan, Meltem
Ajamieh, Oday Abu
Sirmatel, Fatma
Gulsun, Serda
Ozkaya, Hacer Deniz
Sari, Sema
Tosun, Selma
Avci, Meltem
Cag, Yasemin
Celebi, Guven
Sagmak-Tartar, Ayse
Karakus, Sumeyra
Sener, Alper
Dedej, Arjeta
Oncu, Serkan
Del Vecchio, Rosa Fontana
Ozturk-Engin, Derya
Agalar, Canan
Erdem, Hakan
Puca, Edmond
Ruch, Yvon
Santos, Lurdes
Ghanem-Zoubi, Nesrin
Argemi, Xavier
Hansmann, Yves
Guner, Rahmet
Tonziello, Gilda
Mazzucotelli, Jean-Philippe
Meric-Koc, Meliha
Como, Najada
Kose, Sukran
Batirel, Ayse
Inan, Asuman
Tulek, Necla
Pekok, Abdullah Umut
Khan, Ejaz Ahmed
Iyisoy, Atilla
Kaya-Kalem, Ayse
Martins, Pedro Palma
Hasanoglu, Imran
Silva-Pinto, Andre
Oztoprak, Nefise
Duro, Raquel
Almajid, Fahad
Dogan, Mustafa
Dauby, Nicolas
Gunst, Jesper Damsgaard
Tekin, Recep
Konopnicki, Deborah
Petrosillo, Nicola
Bozkurt, Ilkay
Wadi, Jamal
Popescu, Corneliu
Balkan, Ilker Inanc
Ozer-Balin, Safak
Zupanc, Tatjana Lejko
Cascio, Antonio
Dumitru, Irina Magdalena
Erdem, Aysegul
Ersoz, Gulden
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Type
Article
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Abstract
Infective endocarditis is a growing problem with many shifts due to ever-increasing comorbid illnesses, invasive procedures, and increase in the elderly. We performed this multinational study to depict definite infective endocarditis. Adult patients with definite endocarditis hospitalized between January 1, 2015, and October 1, 2018, were included from 41 hospitals in 13 countries. We included microbiological features, types and severity of the disease, complications, but excluded therapeutic parameters. A total of 867 patients were included. A total of 631 (72.8%) patients had native valve endocarditis (NVE), 214 (24.7%) patients had prosthetic valve endocarditis (PVE), 21 (2.4%) patients had pacemaker lead endocarditis, and 1 patient had catheter port endocarditis. Eighteen percent of NVE patients were hospital-acquired. PVE patients were classified as early-onset in 24.9%. A total of 385 (44.4%) patients had major embolic events, most frequently to the brain (n = 227, 26.3%). Blood cultures yielded pathogens in 766 (88.4%). In 101 (11.6%) patients, blood cultures were negative. Molecular testing of vegetations disclosed pathogens in 65 cases. Overall, 795 (91.7%) endocarditis patients had any identified pathogen. Leading pathogens (Staphylococcus aureus (n = 267, 33.6%), Streptococcus viridans (n = 149, 18.7%), enterococci (n = 128, 16.1%), coagulase-negative staphylococci (n = 92, 11.6%)) displayed substantial resistance profiles. A total of 132 (15.2%) patients had cardiac abscesses; 693 (79.9%) patients had left-sided endocarditis. Aortic (n = 394, 45.4%) and mitral valves (n = 369, 42.5%) were most frequently involved. Mortality was more common in PVE than NVE (NVE (n = 101, 16%), PVE (n = 49, 22.9%), p = 0.042).
Subject
Erdem H., Puca E., Ruch Y., Santos L., Ghanem-Zoubi N., Argemi X., Hansmann Y., Guner R., Tonziello G., Mazzucotelli J., et al., -Portraying infective endocarditis: results of multinational ID-IRI study-, EUROPEAN JOURNAL OF CLINICAL MICROBIOLOGY & INFECTIOUS DISEASES, cilt.38, ss.1753-1763, 2019
URI
https://openaccess.bezmialem.edu.tr/handle/20.500.12645/13212
Collections
  • PubMed İndeksli Yayın Koleksiyonu [3669]
  • Scopus İndeksli Yayınlar Koleksiyonu [4450]
  • WoS İndeksli Yayınlar Koleksiyonu [5147]
  • Yayınlar - Eserler [9994]

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BEZMIALEM VAKIF UNIVERSITY

About us |Policies | Library | Contact us | Send Feedback | Sitemap | Admin

Bezmialem Vakıf Üniversitesi, Adnan Menderes Bulvarı Vatan Caddesi 34093 Fatih, İstanbul / TURKEY
Copyright © Bezmialem Vakıf Üniversitesi

Creative Commons Lisansı
Bezmialem Institutional Repository, Creative Commons Alıntı-GayriTicari-Türetilemez 4.0 Uluslararası Lisansı ile lisanslanmıştır.

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Support by  UNIREPOS