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Trends in incidence of infective endocarditis at the Medical Center of Alkmaar.

Krul MM, Vonk AB, Cornel JH - Neth Heart J (2015)

Bottom Line: This increase was not seen in patients with CDIE.In the MCA we have observed an increase in patients with IE since 2010.This increase was in part attributable to prosthetic valve IE.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiology, Medical Center Alkmaar, Wilhelminalaan 12, 1815 JD, Alkmaar, The Netherlands. marijekrul@hotmail.com.

ABSTRACT

Introduction: Infective endocarditis (IE) is a life-threatening illness with a high morbidity and mortality, and with a rise in incidence in patients with prosthetic valves and cardiac devices. Recently the Dutch guidelines of IE prophylaxis have been revised, limiting IE prophylaxis to the highest-risk population. The aim of the present study was to investigate the incidence of IE and its trend between 2008-2013 in a regional hospital in the Netherlands.

Methods: This is an observational descriptive study of all patients who were admitted with IE to the Medical Center of Alkmaar (MCA) from 1 January 2008 to 31 December 2013.

Results: A total of 89 patients with IE, including 7 patients (7.9 %) with a cardiac device IE (CDIE), were identified. In 2008 there were 8 patients with IE, this increased to 26 patients in 2013. Patients with a prosthetic valve IE increased from 25 % in 2008 to 34.6 % in 2013. This increase was not seen in patients with CDIE.

Conclusion: In the MCA we have observed an increase in patients with IE since 2010. This increase was in part attributable to prosthetic valve IE. A larger observational study is needed to investigate the increase of IE in the Netherlands.

No MeSH data available.


Related in: MedlinePlus

Number of patients with infective endocarditis, prosthetic valve endocarditis and CDIE between 2008–2013
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Fig1: Number of patients with infective endocarditis, prosthetic valve endocarditis and CDIE between 2008–2013

Mentions: The number of patients with IE between 2008 and 2013 is shown in Fig. 1. We observed an increase in incidence of IE especially in the last 3 years. This increase is in part attributable to patients with a prosthetic valve. A prosthetic valve infection occurred in almost 25 % of IE cases per year and increased from 25 % (2 out of 8) patients in 2008–38.9 % (7 out of 18) in 2012. The number of patients with CDIE in the years between 2008 and 2013 is also displayed in Fig. 1. The number of patients with CDIE is limited.Fig. 1


Trends in incidence of infective endocarditis at the Medical Center of Alkmaar.

Krul MM, Vonk AB, Cornel JH - Neth Heart J (2015)

Number of patients with infective endocarditis, prosthetic valve endocarditis and CDIE between 2008–2013
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4608930&req=5

Fig1: Number of patients with infective endocarditis, prosthetic valve endocarditis and CDIE between 2008–2013
Mentions: The number of patients with IE between 2008 and 2013 is shown in Fig. 1. We observed an increase in incidence of IE especially in the last 3 years. This increase is in part attributable to patients with a prosthetic valve. A prosthetic valve infection occurred in almost 25 % of IE cases per year and increased from 25 % (2 out of 8) patients in 2008–38.9 % (7 out of 18) in 2012. The number of patients with CDIE in the years between 2008 and 2013 is also displayed in Fig. 1. The number of patients with CDIE is limited.Fig. 1

Bottom Line: This increase was not seen in patients with CDIE.In the MCA we have observed an increase in patients with IE since 2010.This increase was in part attributable to prosthetic valve IE.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiology, Medical Center Alkmaar, Wilhelminalaan 12, 1815 JD, Alkmaar, The Netherlands. marijekrul@hotmail.com.

ABSTRACT

Introduction: Infective endocarditis (IE) is a life-threatening illness with a high morbidity and mortality, and with a rise in incidence in patients with prosthetic valves and cardiac devices. Recently the Dutch guidelines of IE prophylaxis have been revised, limiting IE prophylaxis to the highest-risk population. The aim of the present study was to investigate the incidence of IE and its trend between 2008-2013 in a regional hospital in the Netherlands.

Methods: This is an observational descriptive study of all patients who were admitted with IE to the Medical Center of Alkmaar (MCA) from 1 January 2008 to 31 December 2013.

Results: A total of 89 patients with IE, including 7 patients (7.9 %) with a cardiac device IE (CDIE), were identified. In 2008 there were 8 patients with IE, this increased to 26 patients in 2013. Patients with a prosthetic valve IE increased from 25 % in 2008 to 34.6 % in 2013. This increase was not seen in patients with CDIE.

Conclusion: In the MCA we have observed an increase in patients with IE since 2010. This increase was in part attributable to prosthetic valve IE. A larger observational study is needed to investigate the increase of IE in the Netherlands.

No MeSH data available.


Related in: MedlinePlus