Changes in Patient Characteristics of Infective Endocarditis with Congenital Heart Disease: 25 Years Experience in a Single Institution

Overview

Journal Korean Circ J

Date 2014 Feb 6

PMID 24497888

Citations 2

Authors

Jae Eun Baek

Su Jin Park

Saet Byul Woo

Jae Young Choi

Jo Won Jung

Nam Kyun Kim

Affiliations

Soon will be listed here.

Abstract

Background And Objectives: The profile of infective endocarditis (IE) has changed and is now showing an increasing prevalence of IE among congenital heart disease (CHD) patients. We studied the change of clinical profiles of IE over the past 25 years in patients with CHD at a single institution.

Subjects And Methods: We reviewed medical records retrospectively for 325 patients diagnosed with IE between January 1, 1987, and March 31, 2012. We analyzed and compared the differences in patient characteristics and outcomes between 1987-2000 (group A) and 2001-2012 (group B).

Results: Over the 25-year period, 93 cases of IE in CHD patients were diagnosed (59 cases in group A and 34 cases in group B). Ventricular septal defect was the most common underlying cardiac disease observed during the entire period. The most common causative pathogen was Streptococcus in both groups. Group A contained 16 cases (27.1%) that had undergone cardiac surgery, whereas this number was 19 (55.8%) in group B. The number of patients who had undergone palliative care or surgery using prosthetic materials was higher among group B patients (p<0.001). Surgical procedures due to uncontrolled infection were performed in three cases in group A and 10 cases in group B.

Conclusion: Infective endocarditis and CHD show a close correlation, and the profile of IE patients can change in line with an increase in the survival rate of patients with complex CHD and the improvement of surgical techniques. Ongoing reassessment and the systematic management of these patients is crucial in the prevention and treatment of IE.

Citing Articles

Streptococcus viridans Endocarditis Affecting All Four Valves.

Kumar M, Anstadt E, Lia N, Siddiqi M Cureus. 2019; 11(5):e4635.

PMID: 31312561 PMC: 6623990. DOI: 10.7759/cureus.4635.

[Infective endocarditis in patients with ventricular septal defect: the role of echocardiography and prophylactic antibiotic therapy].

Boussir H, Ghalem A, Ismaili N, Ouafi N Pan Afr Med J. 2017; 25:154.

PMID: 28292116 PMC: 5326043. DOI: 10.11604/pamj.2016.25.154.10673.

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