Comparative Evaluation of Cases with Community-Acquired Infective Endocarditis and Health Care-Associated Infective Endocarditis
Göster/ Aç
Tarih
2015Yazar
Kursun, Ebru
Turunc, Tuba
Demiroglu, Yusuf Ziya
Togan, Turhan
Tekin, Goknur
Arslan, Hande
Üst veri
Tüm öğe kaydını gösterÖzet
Purpose: The present study aimed to comparatively evaluate the cases with health care-associated infective endocarditis and the cases with community-acquired infective endocarditis.
Material and Methods: Of the cases followed for infective endocarditis (IE), 21 (40 %) had health care-associated infective endocarditis and 31 (60 %) community-acquired infective endocarditis.
Results: Comparing the cases with community acquired infective endocarditis and the cases with health care-associated infective endocarditis, it was determined that advanced age (58.0 +/- 15.1 years vs. 41.3 +/- 14.4 years, P=0.000), presence of chronic renal insufficiency (P=0.001) and diabetes mellitus (P=0.016) as concomitant diseases, being previously hospitalized (P=0.0001), hemodialysis in terms of diagnostic and therapeutic interventions (P=0.022), presence of central venous catheter (P=0.022), and undergone intervention for gastrointestinal system (P=0.060), as well as laboratory results including positive blood culture growth for S. aureus and Enterococcus (P=0.037), and complications such as development of embolic event (P=0.008), spondylodiscitis (P=0.034) and stroke (P=0.007) were statistically significantly more common in health care-associated infective endocarditis cases. Whilst mortality was higher in health care-associated infective endocarditis cases (28.6 %), it was determined that there was no statistically significant difference between the groups.
Conclusion: Health care-associated infective endocarditis is a disease that is more common in the patients at advanced age, with concomitant disease and the history of exposing invasive procedures in the past for diagnostic and therapeutic purpose, and it is a disease with high morbidity and mortality that courses with serious complications.
Koleksiyonlar
İlgili Öğeler
Başlık, yazar, küratör ve konuya göre gösterilen ilgili öğeler.
-
Endocarditis-TR: Diagnosis, Treatment and Prognosis of the Infective Endocarditis Patients Admitting Tertiary Centers of Turkey
Calik, A. N.; Ozluk, O. A.; Karatas, M. B.; Canga, Y.; Eren, S.; Ayhan, G.; Akdeniz, A.; Palice, A.; Candemir, A.; Akyuz, S.; Zoghi, M.; Kozan, O. (2022) -
Endocarditis-TR: Diagnosis, treatment, and prognosis of the infective endocarditispatients admitting tertiary centres of Turkey
Calik, Ali Nazmi; Ozluk, Fatma Ozlem Arican; Karatas, Mehmet Baran; Canga, Yigit; Eren, Semih; Ayhan, Gorkem; Sunbul, Ayse; Palice, Ali; Candemir, Aytac; Akyuz, Sukru; Zoghi, Mehdi; Kozan, Omer (2022)Background/aim: Infective endocarditis (IE) is still a significant cause of morbidity and mortality among cardiovascular diseases. ENDOCARDITIS-TR study aims to evaluate the compliance of the diagnostic and therapeutic ... -
Adequacy of Infective Endocarditis Prophylaxis Before Dental Procedures among Solid Organ Transplant Recipients
Karacaglar, Emir; Akgun, Arzu; Ciftci, Orcun; Altiparmak, Nur; Muderrisoglu, Haldun; Haberal, Mehmet (2019)Infective endocarditis (IE) is a life-threatening condition with high morbidity and mortality. The current IE guidelines recommend antibiotic prophylaxis only in patients with certain cardiac conditions and before certain ...