EDUCATION IN HEART
Valve disease
Epidemiology and antibiotic treatment of infective endocarditis: an update
Correspondence to:
Correspondence to:
Dr Bruno Hoen
Service de Maladies Infectieuses et Tropicales, University of Besançon Medical Center, F-25030 Besançon Cedex, France; bruno.hoen@univ-fcomte.fr
Keywords: antibiotics; infective endocarditis
| The first 150 words of the full text of this article appear below. |
The epidemiological profile of infective endocarditis (IE) has changed dramatically over the last few years.1 Once a disease affecting young adults with previously well-identified valve disease—mostly rheumatic disease—IE is now affecting older patients, a significant proportion of whom has no previously known valve disease and develop IE as the result of healthcare associated procedures.2
A CHANGING EPIDEMIOLOGY
Until the end of the 1970s, rheumatic valvulopathies and congenital cyanotic cardiopathies were the two most frequent predisposing factors for IE. Then, a few years after the effective eradication of rheumatic fever, post-rheumatic valvulopathies gradually disappeared. However, other predisposing factors emerged, such as intravenous drug use, valve prostheses, degenerative valve sclerosis, and invasive procedures at risk for bacteraemia, which resulted in nosocomial and health care-associated endocarditis.3 These changes had at least two consequences: (1) the absence of a reduction in the incidence of IE; and (2) major changes in the microbiological profile of IE.
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
Relevant Articles
-
WEB TOP 10
Heart 2007 93: 257.[Extract] [Full Text] [PDF]
-
Web Top 10
Heart 2007 93: 116.[Extract] [Full Text] [PDF]
- Childhood risk factors for adult cardiovascular disease and primary prevention in childhood
- D S Celermajer and Julian G J Ayer
Heart 2006 92: 1701-1706.[Extract] [Full Text] [PDF]
- Treating patients with ventricular ectopic beats
- G André Ng
Heart 2006 92: 1707-1712.[Extract] [Full Text] [PDF]
This article has been cited by other articles:
-
Martinez-Selles, M., Munoz, P., Estevez, A., del Castillo, R., Garcia-Fernandez, M. A., Rodriguez-Creixems, M., Moreno, M., Bouza, E., GAME Study Group,
(2008). Long-term Outcome of Infective Endocarditis in Non-Intravenous Drug Users. Mayo Clin Proc.
83: 1213-1217
[Abstract] [Full Text] -
Prendergast, B D, Harrison, J L, Naber, C K
(2008). Commentary on endocarditis prophylaxis: a quaint custom or medical necessity?. Heart
94: 931-934
[Full Text]
- Full Text
- Full Text (PDF)
- Submit a response
- Alert me when this article is cited
- Alert me when eLetters are posted
- Alert me if a correction is posted
- Citation Map
Services
- Email this link to a friend
- Similar articles in this journal
- Similar articles in PubMed
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
PubMed
BMJ Learning
Topic Collections
-
Epidemiology
-
Drugs: cardiovascular system
-
Diabetes
-
Metabolic disorders
- Education in Heart
- Relevant Articles
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
