Healthcare-Associated Infective Endocarditis: a Case Series in a Referral Hospital from 2006 to 2011
Background: Healthcare-associated infective endocarditis (HCA-IE), a severe complication of medical care, shows a growing incidence in literature. Objective: To evaluate epidemiology, etiology, risk factors for acquisition, complications, surgical treatment, and outcome of HCA-IE. Methods: Obser...
Main Authors: | , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Sociedade Brasileira de Cardiologia (SBC)
2014-10-01
|
Series: | Arquivos Brasileiros de Cardiologia |
Subjects: | |
Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2014002200004&lng=en&tlng=en |
id |
doaj-7ac70d9c1344480483e12fdde480dcec |
---|---|
record_format |
Article |
spelling |
doaj-7ac70d9c1344480483e12fdde480dcec2020-11-24T23:36:19ZengSociedade Brasileira de Cardiologia (SBC)Arquivos Brasileiros de Cardiologia1678-41702014-10-01103429229810.5935/abc.20140126S0066-782X2014002200004Healthcare-Associated Infective Endocarditis: a Case Series in a Referral Hospital from 2006 to 2011Oslan FrancischettoLuciana Almenara Pereira da SilvaKatia Marie Simões e SennaMarcia Regina VasquesGiovanna Ferraiuoli BarbosaClara WekslerRosana Grandelle RamosWilma Felix GolebiovskiCristiane da Cruz LamasBackground: Healthcare-associated infective endocarditis (HCA-IE), a severe complication of medical care, shows a growing incidence in literature. Objective: To evaluate epidemiology, etiology, risk factors for acquisition, complications, surgical treatment, and outcome of HCA-IE. Methods: Observational prospective case series study (2006-2011) in a public hospital in Rio de Janeiro. Results: Fifty-three patients with HCA-IE from a total of 151 cases of infective endocarditis (IE) were included. There were 26 (49%) males (mean age of 47 ± 18.7 years), 27 (51%) females (mean age of 42 ± 20.1 years). IE was acute in 37 (70%) cases and subacute in 16 (30%) cases. The mitral valve was affected in 19 (36%) patients and the aortic valve in 12 (36%); prosthetic valves were affected in 23 (43%) patients and native valves in 30 (57%). Deep intravenous access was used in 43 (81%) cases. Negative blood cultures were observed in 11 (21%) patients, Enterococcus faecalis in 10 (19%), Staphylococcus aureus in 9 (17%), and Candida sp. in 7 (13%). Fever was present in 49 (92%) patients, splenomegaly in 12 (23%), new regurgitation murmur in 31 (58%), and elevated C-reactive protein in 44/53 (83%). Echocardiograms showed major criteria in 46 (87%) patients, and 34 (64%) patients were submitted to cardiac surgery. Overall mortality was 17/53 (32%). Conclusion: In Brazil HCA-IE affected young subjects. Patients with prosthetic and native valves were affected in a similar proportion, and non-cardiac surgery was an infrequent predisposing factor, whereas intravenous access was a common one. S. aureus was significantly frequent in native valve HCA-IE, and overall mortality was high.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2014002200004&lng=en&tlng=enEndocardite Bacteriana/mortalidadeEndocardite Bacteriana/etiologiaFatores de RiscoEpidemiologiaInfecção Hospitalar |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Oslan Francischetto Luciana Almenara Pereira da Silva Katia Marie Simões e Senna Marcia Regina Vasques Giovanna Ferraiuoli Barbosa Clara Weksler Rosana Grandelle Ramos Wilma Felix Golebiovski Cristiane da Cruz Lamas |
spellingShingle |
Oslan Francischetto Luciana Almenara Pereira da Silva Katia Marie Simões e Senna Marcia Regina Vasques Giovanna Ferraiuoli Barbosa Clara Weksler Rosana Grandelle Ramos Wilma Felix Golebiovski Cristiane da Cruz Lamas Healthcare-Associated Infective Endocarditis: a Case Series in a Referral Hospital from 2006 to 2011 Arquivos Brasileiros de Cardiologia Endocardite Bacteriana/mortalidade Endocardite Bacteriana/etiologia Fatores de Risco Epidemiologia Infecção Hospitalar |
author_facet |
Oslan Francischetto Luciana Almenara Pereira da Silva Katia Marie Simões e Senna Marcia Regina Vasques Giovanna Ferraiuoli Barbosa Clara Weksler Rosana Grandelle Ramos Wilma Felix Golebiovski Cristiane da Cruz Lamas |
author_sort |
Oslan Francischetto |
title |
Healthcare-Associated Infective Endocarditis: a Case Series in a Referral Hospital from 2006 to 2011 |
title_short |
Healthcare-Associated Infective Endocarditis: a Case Series in a Referral Hospital from 2006 to 2011 |
title_full |
Healthcare-Associated Infective Endocarditis: a Case Series in a Referral Hospital from 2006 to 2011 |
title_fullStr |
Healthcare-Associated Infective Endocarditis: a Case Series in a Referral Hospital from 2006 to 2011 |
title_full_unstemmed |
Healthcare-Associated Infective Endocarditis: a Case Series in a Referral Hospital from 2006 to 2011 |
title_sort |
healthcare-associated infective endocarditis: a case series in a referral hospital from 2006 to 2011 |
publisher |
Sociedade Brasileira de Cardiologia (SBC) |
series |
Arquivos Brasileiros de Cardiologia |
issn |
1678-4170 |
publishDate |
2014-10-01 |
description |
Background: Healthcare-associated infective endocarditis (HCA-IE), a severe complication of medical care, shows a growing incidence in literature. Objective: To evaluate epidemiology, etiology, risk factors for acquisition, complications, surgical treatment, and outcome of HCA-IE. Methods: Observational prospective case series study (2006-2011) in a public hospital in Rio de Janeiro. Results: Fifty-three patients with HCA-IE from a total of 151 cases of infective endocarditis (IE) were included. There were 26 (49%) males (mean age of 47 ± 18.7 years), 27 (51%) females (mean age of 42 ± 20.1 years). IE was acute in 37 (70%) cases and subacute in 16 (30%) cases. The mitral valve was affected in 19 (36%) patients and the aortic valve in 12 (36%); prosthetic valves were affected in 23 (43%) patients and native valves in 30 (57%). Deep intravenous access was used in 43 (81%) cases. Negative blood cultures were observed in 11 (21%) patients, Enterococcus faecalis in 10 (19%), Staphylococcus aureus in 9 (17%), and Candida sp. in 7 (13%). Fever was present in 49 (92%) patients, splenomegaly in 12 (23%), new regurgitation murmur in 31 (58%), and elevated C-reactive protein in 44/53 (83%). Echocardiograms showed major criteria in 46 (87%) patients, and 34 (64%) patients were submitted to cardiac surgery. Overall mortality was 17/53 (32%). Conclusion: In Brazil HCA-IE affected young subjects. Patients with prosthetic and native valves were affected in a similar proportion, and non-cardiac surgery was an infrequent predisposing factor, whereas intravenous access was a common one. S. aureus was significantly frequent in native valve HCA-IE, and overall mortality was high. |
topic |
Endocardite Bacteriana/mortalidade Endocardite Bacteriana/etiologia Fatores de Risco Epidemiologia Infecção Hospitalar |
url |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2014002200004&lng=en&tlng=en |
work_keys_str_mv |
AT oslanfrancischetto healthcareassociatedinfectiveendocarditisacaseseriesinareferralhospitalfrom2006to2011 AT lucianaalmenarapereiradasilva healthcareassociatedinfectiveendocarditisacaseseriesinareferralhospitalfrom2006to2011 AT katiamariesimoesesenna healthcareassociatedinfectiveendocarditisacaseseriesinareferralhospitalfrom2006to2011 AT marciareginavasques healthcareassociatedinfectiveendocarditisacaseseriesinareferralhospitalfrom2006to2011 AT giovannaferraiuolibarbosa healthcareassociatedinfectiveendocarditisacaseseriesinareferralhospitalfrom2006to2011 AT claraweksler healthcareassociatedinfectiveendocarditisacaseseriesinareferralhospitalfrom2006to2011 AT rosanagrandelleramos healthcareassociatedinfectiveendocarditisacaseseriesinareferralhospitalfrom2006to2011 AT wilmafelixgolebiovski healthcareassociatedinfectiveendocarditisacaseseriesinareferralhospitalfrom2006to2011 AT cristianedacruzlamas healthcareassociatedinfectiveendocarditisacaseseriesinareferralhospitalfrom2006to2011 |
_version_ |
1725524181658894336 |