Language:

Temporal Trends in Infective Endocarditis in the Context of Prophylaxis Guideline Modifications: Three Successive Population-Based Surveys

Journal of the American College of Cardiology, 2012-05, Vol.59 (22), p.1968-1976 [Peer Reviewed Journal]

2015 INIST-CNRS ;Copyright © 2012 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved. ;Distributed under a Creative Commons Attribution 4.0 International License ;ISSN: 0735-1097 ;EISSN: 1558-3597 ;DOI: 10.1016/j.jacc.2012.02.029 ;PMID: 22624837 ;CODEN: JACCDI

Full text available

Citations Cited by

Actions
1. Add to My Research
2. Remove from My Research
3. E-mail
4. Print
5. Permalink
6. Citation
7. EasyBib
8. EndNote
9. RefWorks
10. Delicious
11. Export RIS
12. Export BibTeX

Title:
Temporal Trends in Infective Endocarditis in the Context of Prophylaxis Guideline Modifications: Three Successive Population-Based Surveys
Author: DUVAL, Xavier ; DELAHAYE, François ; CHIROUZE, Catherine ; BES, Michelle ; CAMBAU, Emmanuelle ; LUNG, Bernard ; SELTON-SUTY, Christine ; HOEN, Bruno ; ALIA, François ; TATTEVIN, Pierre ; OBADIA, Jean-François ; LE MOING, Vincent ; DOCO-LECOMPTE, Thanh ; CELARD, Marie ; POYART, Claire ; STRADY, Christophe
Subjects: Adult ; Age Distribution ; Antibiotic Prophylaxis ; Antibiotic Prophylaxis - standards ; Antibiotic Prophylaxis - trends ; Biological and medical sciences ; Cardiology. Vascular system ; Earth Sciences ; Endocardial and cardiac valvular diseases ; Endocarditis, Bacterial ; Endocarditis, Bacterial - epidemiology ; Endocarditis, Bacterial - microbiology ; Endocarditis, Bacterial - prevention & control ; Female ; Follow-Up Studies ; France ; France - epidemiology ; Guideline Adherence ; Guideline Adherence - trends ; Heart ; Humans ; Incidence ; Life Sciences ; Male ; Medical sciences ; Middle Aged ; Petrography ; Population Surveillance ; Population Surveillance - methods ; Practice Guidelines as Topic ; Prognosis ; Retrospective Studies ; Risk Factors ; Sciences of the Universe ; Sex Distribution ; Staphylococcal Infections ; Staphylococcal Infections - epidemiology ; Staphylococcal Infections - microbiology ; Staphylococcal Infections - prevention & control ; Staphylococcus aureus ; Staphylococcus aureus - isolation & purification ; Young Adult
Is Part Of: Journal of the American College of Cardiology, 2012-05, Vol.59 (22), p.1968-1976
Description: The goal of this study was to evaluate temporal trends in infective endocarditis (IE) incidence and clinical characteristics after 2002 French IE prophylaxis guideline modifications. There are limited data on changes in the epidemiology of IE since recent guidelines recommended restricting the indications of antibiotic prophylaxis of IE. Three 1-year population-based surveys were conducted in 1991, 1999, and 2008 in 3 French regions totaling 11 million inhabitants age ≥20 years. We prospectively collected IE cases from all medical centers and analyzed age- and sex-standardized IE annual incidence trends. Overall, 993 expert-validated IE cases were analyzed (323 in 1991; 331 in 1999; and 339 in 2008). IE incidence remained stable over time (95% confidence intervals given in parentheses/brackets): 35 (31 to 39), 33 (30 to 37), and 32 (28 to 35) cases per million in 1991, 1999, and 2008, respectively. Oral streptococci IE incidence did not increase either in the whole patient population (8.1 [6.4 to 10.1], 6.3 [4.8 to 8.1], and 6.3 [4.9 to 8.0] in 1991, 1999, and 2008, respectively) or in patients with pre-existing native valve disease. The increased incidence of Staphylococcus aureus IE (5.2 [3.9 to 6.8], 6.8 [5.3 to 8.6], and 8.2 [6.6 to 10.2]) was not significant in the whole patient population (p = 0.228) but was significant in the subgroup of patients without previously known native valve disease (1.6 [0.9 to 2.7], 3.7 [2.6 to 5.1], and 4.1 [3.0 to 5.6]; p = 0.012). Scaling down antibiotic prophylaxis indications was not associated with an increased incidence of oral streptococcal IE. A focus on avoidance of S. aureus bacteremia in all patients, including those with no previously known valve disease, will be required to improve IE prevention.
Publisher: New York, NY: Elsevier
Language: English
Identifier: ISSN: 0735-1097
EISSN: 1558-3597
DOI: 10.1016/j.jacc.2012.02.029
PMID: 22624837
CODEN: JACCDI
Source: GFMER Free Medical Journals
MEDLINE
Alma/SFX Local Collection

Back to results list


INSPIRE LIBRARY - TON DUC THANG UNIVERSITY	(84-028) 37 755 057	Feedback
19 Nguyen Huu Tho St. Dist.7, HCM	thuvien@tdtu.edu.vn	Feedback

Temporal Trends in Infective Endocarditis in the Context of Prophylaxis Guideline Modifications: Three Successive Population-Based Surveys

Searching Remote Databases, Please Wait