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Experience of treatment of prosthetic valve endocarditis: a retrospective single-center cross-sectional study
Andrade, Matheus de Oliveira; Raffoul, Gabriel Elias Salmen; Macedo, Murilo Teixeira; Silva, Claudia Neto Gonçalves Neves da; Teixeira, Maria Aparecida Santos; Pontes, Sônia Jaciara Neto; Daher, Mauricio; Cunha, Claudio Ribeiro da; Atik, Fernando Antibas.
Afiliação
  • Andrade, Matheus de Oliveira; Universidade de Brasília (UnB). Brasília. BR
  • Raffoul, Gabriel Elias Salmen; Universidade de Brasília (UnB). Brasília. BR
  • Macedo, Murilo Teixeira; Instituto de Cardiologia do Distrito Federal. Department of Cardiovascular Surgery. Brasília. BR
  • Silva, Claudia Neto Gonçalves Neves da; Instituto de Cardiologia do Distrito Federal. Department of Infection Control. Brasília. BR
  • Teixeira, Maria Aparecida Santos; Instituto de Cardiologia do Distrito Federal. Department of Infection Control. Brasília. BR
  • Pontes, Sônia Jaciara Neto; Instituto de Cardiologia do Distrito Federal. Department of Infection Control. Brasília. BR
  • Daher, Mauricio; Instituto de Cardiologia do Distrito Federal. Department of Cardiovascular Surgery. Brasília. BR
  • Cunha, Claudio Ribeiro da; Instituto de Cardiologia do Distrito Federal. Department of Cardiovascular Surgery. Brasília. BR
  • Atik, Fernando Antibas; Instituto de Cardiologia do Distrito Federal. Department of Cardiovascular Surgery. Brasília. BR
São Paulo med. j ; 136(4): 287-291, July-Aug. 2018. tab
Artigo em Inglês | LILACS | ID: biblio-962738
Biblioteca responsável: BR1.1
ABSTRACT
ABSTRACT

BACKGROUND:

The aim of this study was to describe the experience of treatment of early prosthetic valve endocarditis at a heart center. DESIGN AND

SETTING:

Retrospective single-center study on data collected from electronic medical records covering the period from January 2009 to December 2015.

METHODS:

Over the study period, 1,557 consecutive valve operations were performed on adult patients. The study population comprised 32 patients (2%) who were diagnosed with prosthetic valve endocarditis within 12 months after the index surgery. Medical records were retrieved from electronic hospital records, retrospectively. Descriptive clinical, echocardiographic, microbiological and treatment-type data were used. Risk factors for early mortality were studied through univariate and multivariate analyses.

RESULTS:

The main clinical manifestation of infective endocarditis was fever, and this was present in all patients. Most of the prostheses were affected in the aortic position (40.6% of cases). The most commonly cultured microorganisms were Staphylococcus epidermidis and Staphylococcus aureus. Twenty-six patients (81.3%) underwent surgical treatment and six (18.7%) underwent exclusive clinical treatment. The prevalence of postoperative complications was 31.3% and hospital mortality occurred in seven cases (21.9%). The mortality rate was 50% among the patients who underwent medical treatment and 15.4% among those who underwent surgery. There were no independent risk factors for mortality.

CONCLUSION:

Prosthetic valve endocarditis is an infrequent complication of valve replacement. Surgical treatment has mortality rates compatible with the severity of patients' conditions. Surgical indication should not be delayed when clinical treatment has been ineffective
Assuntos


Texto completo: Disponível Coleções: Bases de dados internacionais Contexto em Saúde: Agenda de Saúde Sustentável para as Américas Problema de saúde: Objetivo 6: Sistemas de informação em saúde Base de dados: LILACS Assunto principal: Próteses Valvulares Cardíacas / Endocardite Bacteriana Tipo de estudo: Estudo de etiologia / Estudo observacional / Estudo de prevalência / Fatores de risco Limite: Adulto / Feminino / Humanos / Masculino Idioma: Inglês Revista: São Paulo med. j Assunto da revista: Cirurgia Geral / Ciˆncia / Ginecologia / Medicina / Medicina Interna / Obstetr¡cia / Pediatria / Sa£de Mental / Sa£de P£blica Ano de publicação: 2018 Tipo de documento: Artigo País de afiliação: Brasil Instituição/País de afiliação: Instituto de Cardiologia do Distrito Federal/BR / Universidade de Brasília (UnB)/BR

Texto completo: Disponível Coleções: Bases de dados internacionais Contexto em Saúde: Agenda de Saúde Sustentável para as Américas Problema de saúde: Objetivo 6: Sistemas de informação em saúde Base de dados: LILACS Assunto principal: Próteses Valvulares Cardíacas / Endocardite Bacteriana Tipo de estudo: Estudo de etiologia / Estudo observacional / Estudo de prevalência / Fatores de risco Limite: Adulto / Feminino / Humanos / Masculino Idioma: Inglês Revista: São Paulo med. j Assunto da revista: Cirurgia Geral / Ciˆncia / Ginecologia / Medicina / Medicina Interna / Obstetr¡cia / Pediatria / Sa£de Mental / Sa£de P£blica Ano de publicação: 2018 Tipo de documento: Artigo País de afiliação: Brasil Instituição/País de afiliação: Instituto de Cardiologia do Distrito Federal/BR / Universidade de Brasília (UnB)/BR
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