A 27-year experience with infective endocarditis in Lebanon
Although rare, infective endocarditis (IE) continues to cause significant morbidity and mortality. Previous data from the American University of Beirut Medical Center (AUBMC) had shown predominance of streptococcal infection. As worldwide studies in developed countries show increasing trends in Stap...
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doaj-48b61e5250c745b5a6bad3b2a64c9ade2020-11-24T21:34:18ZengElsevierJournal of Infection and Public Health1876-03412017-11-01106734739A 27-year experience with infective endocarditis in LebanonNadim El-Chakhtoura0Mohamad Yasmin1Souha S. Kanj2Tania Baban3Jad Sfeir4Zeina A. Kanafani5University Hospitals Case Medical Center, Cleveland, OH, United StatesStaten Island University Hospital, Staten Island, New York, United StatesAmerican University of Beirut Medical Center, Beirut, LebanonUniversity of Balamand, Beirut, LebanonMayo Clinic, Rochester, MN, United StatesAmerican University of Beirut Medical Center, Beirut, Lebanon; Corresponding author at: American University of Beirut Medical Center, Cairo Street PO Box 11 0236/11D Riad El Solh 1107 2020, Beirut, Lebanon. Fax: +961 1 370814.Although rare, infective endocarditis (IE) continues to cause significant morbidity and mortality. Previous data from the American University of Beirut Medical Center (AUBMC) had shown predominance of streptococcal infection. As worldwide studies in developed countries show increasing trends in Staphylococcus aureus endocarditis, it becomes vital to continually inspect local data for epidemiological variations. We reviewed all IE cases between 2001 and 2014, and we performed a comparison to a historical cohort of 86 IE cases from 1987 to 2001.A total of 80 patients were diagnosed with IE between 2001 and 2014. The mean age was 61 years. The most commonly isolated organisms were streptococci (37%), compared to 51% in the previous cohort. S. aureus accounted for 11%. Only one S. aureus isolate was methicillin-resistant. In the historical cohort, 26% of cases were caused by S. aureus. Enterococci ranked behind staphylococci with 22% of total cases, while in the previous cohort, enterococcal IE was only 4%.Compared to previous data from AUBMC, the rates of streptococcal and staphylococcal endocarditis have decreased while enterococcal endocarditis has increased. This study reconfirms that in Lebanon, a developing country, we continue to have a low predominance of staphylococci as etiologic agents in IE. Keywords: Endocarditis, Streptococcus, Enterococcus, Staphylococcus, Lebanonhttp://www.sciencedirect.com/science/article/pii/S1876034117300321 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Nadim El-Chakhtoura Mohamad Yasmin Souha S. Kanj Tania Baban Jad Sfeir Zeina A. Kanafani |
spellingShingle |
Nadim El-Chakhtoura Mohamad Yasmin Souha S. Kanj Tania Baban Jad Sfeir Zeina A. Kanafani A 27-year experience with infective endocarditis in Lebanon Journal of Infection and Public Health |
author_facet |
Nadim El-Chakhtoura Mohamad Yasmin Souha S. Kanj Tania Baban Jad Sfeir Zeina A. Kanafani |
author_sort |
Nadim El-Chakhtoura |
title |
A 27-year experience with infective endocarditis in Lebanon |
title_short |
A 27-year experience with infective endocarditis in Lebanon |
title_full |
A 27-year experience with infective endocarditis in Lebanon |
title_fullStr |
A 27-year experience with infective endocarditis in Lebanon |
title_full_unstemmed |
A 27-year experience with infective endocarditis in Lebanon |
title_sort |
27-year experience with infective endocarditis in lebanon |
publisher |
Elsevier |
series |
Journal of Infection and Public Health |
issn |
1876-0341 |
publishDate |
2017-11-01 |
description |
Although rare, infective endocarditis (IE) continues to cause significant morbidity and mortality. Previous data from the American University of Beirut Medical Center (AUBMC) had shown predominance of streptococcal infection. As worldwide studies in developed countries show increasing trends in Staphylococcus aureus endocarditis, it becomes vital to continually inspect local data for epidemiological variations. We reviewed all IE cases between 2001 and 2014, and we performed a comparison to a historical cohort of 86 IE cases from 1987 to 2001.A total of 80 patients were diagnosed with IE between 2001 and 2014. The mean age was 61 years. The most commonly isolated organisms were streptococci (37%), compared to 51% in the previous cohort. S. aureus accounted for 11%. Only one S. aureus isolate was methicillin-resistant. In the historical cohort, 26% of cases were caused by S. aureus. Enterococci ranked behind staphylococci with 22% of total cases, while in the previous cohort, enterococcal IE was only 4%.Compared to previous data from AUBMC, the rates of streptococcal and staphylococcal endocarditis have decreased while enterococcal endocarditis has increased. This study reconfirms that in Lebanon, a developing country, we continue to have a low predominance of staphylococci as etiologic agents in IE. Keywords: Endocarditis, Streptococcus, Enterococcus, Staphylococcus, Lebanon |
url |
http://www.sciencedirect.com/science/article/pii/S1876034117300321 |
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