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2007, Number 1

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Enf Infec Microbiol 2007; 27 (1)

Clinic and epidemiological characteristics of patients with infectious endocarditis attended in a Pediatric Hospital

Peña HP, López EJ, Huerta GG, Solórzano SF

Language: Spanish
References: 37
Page: 11-15
PDF size: 82.08 Kb.


ABSTRACT

Objective. To describe clinic and epidemiological characteristics of patients with infectious endocarditis attended since 1991 to 1995 in a third care Pediatric Hospital.
Material and Methods. We search and evaluated pediatric patients files (NB- 15 years) with diagnosis on infectious endocarditis.
Results. 18 patients with confirmed diagnosis of IE were included, there was male predominance (3.5:1), 44% infants (n=18), 28% scholars, 22% toddlers y 5% new born. Of the total of patients, 39% had some cardiac defect, IVD (intraventricular communication) was the most frequent (57%) followed by CAP (22%). Twelve patients had central venous line before or during diagnosis. Staphylococcus genera was the most frequent organisms identified (6 Staphylococcus coagulasa negative & 3 S. aureus), Gram negative bacteria was isolated in three patients, and fungi in two patients (Candida sp & Aspergillus), 27.7% of the blood cultures were negative. Fever, murmurs and gastro-intestinal (94, 94, and 55.5% respectively) were the most frequent manifestations found. 50% of the patients died, and cardiac failure was the first cause of dead. None of the patients need surgery.
Conclusions. This study shows the predominance of infants as the most frequent group affected, and the high frequency of Staphylococcus. The incidence of this pathology is increasing due to the advances in surgery for congenital cardiovascular defects and the common use of intravascular devices in the last decades.


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