Portraying infective endocarditis: results of multinational ID-IRI study

Infective endocarditis is a growing problem with many shifts due to ever-increasing comorbid illnesses, invasive procedures, and increase in the elderly. We performed this multinational study to depict definite infective endocarditis. Adult patients with definite endocarditis hospitalized between Ja...

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Veröffentlicht in:European journal of clinical microbiology & infectious diseases 2019-09, Vol.38 (9), p.1753-1763
Hauptverfasser: Erdem, Hakan, Puca, Edmond, Ruch, Yvon, Santos, Lurdes, Ghanem-Zoubi, Nesrin, Argemi, Xavier, Hansmann, Yves, Guner, Rahmet, Tonziello, Gilda, Mazzucotelli, Jean-Philippe, Como, Najada, Kose, Sukran, Batirel, Ayse, Inan, Asuman, Tulek, Necla, Pekok, Abdullah Umut, Khan, Ejaz Ahmed, Iyisoy, Atilla, Meric-Koc, Meliha, Kaya-Kalem, Ayse, Martins, Pedro Palma, Hasanoglu, Imran, Silva-Pinto, André, Oztoprak, Nefise, Duro, Raquel, Almajid, Fahad, Dogan, Mustafa, Dauby, Nicolas, Gunst, Jesper Damsgaard, Tekin, Recep, Konopnicki, Deborah, Petrosillo, Nicola, Bozkurt, Ilkay, Wadi, Jamal, Popescu, Corneliu, Balkan, Ilker Inanc, Ozer-Balin, Safak, Zupanc, Tatjana Lejko, Cascio, Antonio, Dumitru, Irina Magdalena, Erdem, Aysegul, Ersoz, Gulden, Tasbakan, Meltem, Ajamieh, Oday Abu, Sirmatel, Fatma, Florescu, Simin, Gulsun, Serda, Ozkaya, Hacer Deniz, Sari, Sema, Tosun, Selma, Avci, Meltem, Cag, Yasemin, Celebi, Guven, Sagmak-Tartar, Ayse, Karakus, Sumeyra, Sener, Alper, Dedej, Arjeta, Oncu, Serkan, Del Vecchio, Rosa Fontana, Ozturk-Engin, Derya, Agalar, Canan
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container_issue 9
container_start_page 1753
container_title European journal of clinical microbiology & infectious diseases
container_volume 38
creator Erdem, Hakan
Puca, Edmond
Ruch, Yvon
Santos, Lurdes
Ghanem-Zoubi, Nesrin
Argemi, Xavier
Hansmann, Yves
Guner, Rahmet
Tonziello, Gilda
Mazzucotelli, Jean-Philippe
Como, Najada
Kose, Sukran
Batirel, Ayse
Inan, Asuman
Tulek, Necla
Pekok, Abdullah Umut
Khan, Ejaz Ahmed
Iyisoy, Atilla
Meric-Koc, Meliha
Kaya-Kalem, Ayse
Martins, Pedro Palma
Hasanoglu, Imran
Silva-Pinto, André
Oztoprak, Nefise
Duro, Raquel
Almajid, Fahad
Dogan, Mustafa
Dauby, Nicolas
Gunst, Jesper Damsgaard
Tekin, Recep
Konopnicki, Deborah
Petrosillo, Nicola
Bozkurt, Ilkay
Wadi, Jamal
Popescu, Corneliu
Balkan, Ilker Inanc
Ozer-Balin, Safak
Zupanc, Tatjana Lejko
Cascio, Antonio
Dumitru, Irina Magdalena
Erdem, Aysegul
Ersoz, Gulden
Tasbakan, Meltem
Ajamieh, Oday Abu
Sirmatel, Fatma
Florescu, Simin
Gulsun, Serda
Ozkaya, Hacer Deniz
Sari, Sema
Tosun, Selma
Avci, Meltem
Cag, Yasemin
Celebi, Guven
Sagmak-Tartar, Ayse
Karakus, Sumeyra
Sener, Alper
Dedej, Arjeta
Oncu, Serkan
Del Vecchio, Rosa Fontana
Ozturk-Engin, Derya
Agalar, Canan
description Infective endocarditis is a growing problem with many shifts due to ever-increasing comorbid illnesses, invasive procedures, and increase in the elderly. We performed this multinational study to depict definite infective endocarditis. Adult patients with definite endocarditis hospitalized between January 1, 2015, and October 1, 2018, were included from 41 hospitals in 13 countries. We included microbiological features, types and severity of the disease, complications, but excluded therapeutic parameters. A total of 867 patients were included. A total of 631 (72.8%) patients had native valve endocarditis (NVE), 214 (24.7%) patients had prosthetic valve endocarditis (PVE), 21 (2.4%) patients had pacemaker lead endocarditis, and 1 patient had catheter port endocarditis. Eighteen percent of NVE patients were hospital-acquired. PVE patients were classified as early-onset in 24.9%. A total of 385 (44.4%) patients had major embolic events, most frequently to the brain ( n  = 227, 26.3%). Blood cultures yielded pathogens in 766 (88.4%). In 101 (11.6%) patients, blood cultures were negative. Molecular testing of vegetations disclosed pathogens in 65 cases. Overall, 795 (91.7%) endocarditis patients had any identified pathogen. Leading pathogens ( Staphylococcus aureus ( n  = 267, 33.6%), Streptococcus viridans ( n  = 149, 18.7%), enterococci ( n  = 128, 16.1%), coagulase-negative staphylococci ( n  = 92, 11.6%)) displayed substantial resistance profiles. A total of 132 (15.2%) patients had cardiac abscesses; 693 (79.9%) patients had left-sided endocarditis. Aortic ( n  = 394, 45.4%) and mitral valves ( n  = 369, 42.5%) were most frequently involved. Mortality was more common in PVE than NVE (NVE ( n  = 101, 16%), PVE ( n  = 49, 22.9%), p  = 0.042).
doi_str_mv 10.1007/s10096-019-03607-x
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We performed this multinational study to depict definite infective endocarditis. Adult patients with definite endocarditis hospitalized between January 1, 2015, and October 1, 2018, were included from 41 hospitals in 13 countries. We included microbiological features, types and severity of the disease, complications, but excluded therapeutic parameters. A total of 867 patients were included. A total of 631 (72.8%) patients had native valve endocarditis (NVE), 214 (24.7%) patients had prosthetic valve endocarditis (PVE), 21 (2.4%) patients had pacemaker lead endocarditis, and 1 patient had catheter port endocarditis. Eighteen percent of NVE patients were hospital-acquired. PVE patients were classified as early-onset in 24.9%. A total of 385 (44.4%) patients had major embolic events, most frequently to the brain ( n  = 227, 26.3%). Blood cultures yielded pathogens in 766 (88.4%). In 101 (11.6%) patients, blood cultures were negative. Molecular testing of vegetations disclosed pathogens in 65 cases. Overall, 795 (91.7%) endocarditis patients had any identified pathogen. Leading pathogens ( Staphylococcus aureus ( n  = 267, 33.6%), Streptococcus viridans ( n  = 149, 18.7%), enterococci ( n  = 128, 16.1%), coagulase-negative staphylococci ( n  = 92, 11.6%)) displayed substantial resistance profiles. A total of 132 (15.2%) patients had cardiac abscesses; 693 (79.9%) patients had left-sided endocarditis. Aortic ( n  = 394, 45.4%) and mitral valves ( n  = 369, 42.5%) were most frequently involved. Mortality was more common in PVE than NVE (NVE ( n  = 101, 16%), PVE ( n  = 49, 22.9%), p  = 0.042).</description><identifier>ISSN: 0934-9723</identifier><identifier>EISSN: 1435-4373</identifier><identifier>DOI: 10.1007/s10096-019-03607-x</identifier><identifier>PMID: 31187307</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Abscesses ; Adolescent ; Adult ; Age ; Aged ; Aged, 80 and over ; Aorta ; Aortic Valve - microbiology ; Bacteria - isolation &amp; purification ; Biomedical and Life Sciences ; Biomedicine ; Blood ; Brain ; Catheters ; Coagulase ; Endocarditis ; Endocarditis - epidemiology ; Endocarditis - microbiology ; Endocarditis - mortality ; Endocarditis, Bacterial ; Female ; Geriatrics ; Hospital Mortality ; Humans ; Illnesses ; Internal Medicine ; Internationality ; Life Sciences ; Male ; Medical instruments ; Medical Microbiology ; Microbiology and Parasitology ; Middle Aged ; Mitral Valve - microbiology ; Older people ; Original Article ; Pathogens ; Patients ; Prostheses ; Prosthesis-Related Infections - epidemiology ; Prosthesis-Related Infections - microbiology ; Staphylococcal Infections ; Viridans Streptococci ; Young Adult</subject><ispartof>European journal of clinical microbiology &amp; infectious diseases, 2019-09, Vol.38 (9), p.1753-1763</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2019</rights><rights>European Journal of Clinical Microbiology &amp; Infectious Diseases is a copyright of Springer, (2019). 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We performed this multinational study to depict definite infective endocarditis. Adult patients with definite endocarditis hospitalized between January 1, 2015, and October 1, 2018, were included from 41 hospitals in 13 countries. We included microbiological features, types and severity of the disease, complications, but excluded therapeutic parameters. A total of 867 patients were included. A total of 631 (72.8%) patients had native valve endocarditis (NVE), 214 (24.7%) patients had prosthetic valve endocarditis (PVE), 21 (2.4%) patients had pacemaker lead endocarditis, and 1 patient had catheter port endocarditis. Eighteen percent of NVE patients were hospital-acquired. PVE patients were classified as early-onset in 24.9%. A total of 385 (44.4%) patients had major embolic events, most frequently to the brain ( n  = 227, 26.3%). Blood cultures yielded pathogens in 766 (88.4%). In 101 (11.6%) patients, blood cultures were negative. Molecular testing of vegetations disclosed pathogens in 65 cases. Overall, 795 (91.7%) endocarditis patients had any identified pathogen. Leading pathogens ( Staphylococcus aureus ( n  = 267, 33.6%), Streptococcus viridans ( n  = 149, 18.7%), enterococci ( n  = 128, 16.1%), coagulase-negative staphylococci ( n  = 92, 11.6%)) displayed substantial resistance profiles. A total of 132 (15.2%) patients had cardiac abscesses; 693 (79.9%) patients had left-sided endocarditis. Aortic ( n  = 394, 45.4%) and mitral valves ( n  = 369, 42.5%) were most frequently involved. Mortality was more common in PVE than NVE (NVE ( n  = 101, 16%), PVE ( n  = 49, 22.9%), p  = 0.042).</description><subject>Abscesses</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Age</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aorta</subject><subject>Aortic Valve - microbiology</subject><subject>Bacteria - isolation &amp; purification</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Blood</subject><subject>Brain</subject><subject>Catheters</subject><subject>Coagulase</subject><subject>Endocarditis</subject><subject>Endocarditis - epidemiology</subject><subject>Endocarditis - microbiology</subject><subject>Endocarditis - mortality</subject><subject>Endocarditis, Bacterial</subject><subject>Female</subject><subject>Geriatrics</subject><subject>Hospital Mortality</subject><subject>Humans</subject><subject>Illnesses</subject><subject>Internal Medicine</subject><subject>Internationality</subject><subject>Life Sciences</subject><subject>Male</subject><subject>Medical instruments</subject><subject>Medical Microbiology</subject><subject>Microbiology and Parasitology</subject><subject>Middle Aged</subject><subject>Mitral Valve - microbiology</subject><subject>Older people</subject><subject>Original Article</subject><subject>Pathogens</subject><subject>Patients</subject><subject>Prostheses</subject><subject>Prosthesis-Related Infections - epidemiology</subject><subject>Prosthesis-Related Infections - microbiology</subject><subject>Staphylococcal Infections</subject><subject>Viridans Streptococci</subject><subject>Young 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Verlag</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88A</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>1XC</scope><orcidid>https://orcid.org/0000-0002-6265-5227</orcidid><orcidid>https://orcid.org/0000-0002-7697-6849</orcidid></search><sort><creationdate>20190901</creationdate><title>Portraying infective endocarditis: results of multinational ID-IRI study</title><author>Erdem, Hakan ; Puca, Edmond ; Ruch, Yvon ; Santos, Lurdes ; Ghanem-Zoubi, Nesrin ; Argemi, Xavier ; Hansmann, Yves ; Guner, Rahmet ; Tonziello, Gilda ; Mazzucotelli, Jean-Philippe ; Como, Najada ; Kose, Sukran ; Batirel, Ayse ; Inan, Asuman ; Tulek, Necla ; Pekok, Abdullah Umut ; Khan, Ejaz Ahmed ; Iyisoy, Atilla ; Meric-Koc, Meliha ; Kaya-Kalem, Ayse ; Martins, Pedro Palma ; Hasanoglu, Imran ; Silva-Pinto, André ; Oztoprak, Nefise ; Duro, Raquel ; Almajid, Fahad ; Dogan, Mustafa ; Dauby, Nicolas ; Gunst, Jesper Damsgaard ; Tekin, Recep ; Konopnicki, Deborah ; Petrosillo, Nicola ; Bozkurt, Ilkay ; Wadi, Jamal ; Popescu, Corneliu ; Balkan, Ilker Inanc ; Ozer-Balin, Safak ; Zupanc, Tatjana Lejko ; Cascio, Antonio ; Dumitru, Irina Magdalena ; Erdem, Aysegul ; Ersoz, Gulden ; Tasbakan, Meltem ; Ajamieh, Oday Abu ; Sirmatel, Fatma ; Florescu, Simin ; Gulsun, Serda ; Ozkaya, Hacer Deniz ; Sari, Sema ; Tosun, Selma ; Avci, Meltem ; Cag, Yasemin ; Celebi, Guven ; Sagmak-Tartar, Ayse ; Karakus, Sumeyra ; Sener, Alper ; Dedej, Arjeta ; Oncu, Serkan ; Del Vecchio, Rosa Fontana ; Ozturk-Engin, Derya ; Agalar, Canan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c409t-2da88a7930ac035f39387a11fbbd6562cdc83ee0ce3f40203b5e77113484a97e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Abscesses</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Age</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aorta</topic><topic>Aortic Valve - microbiology</topic><topic>Bacteria - isolation &amp; purification</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Blood</topic><topic>Brain</topic><topic>Catheters</topic><topic>Coagulase</topic><topic>Endocarditis</topic><topic>Endocarditis - epidemiology</topic><topic>Endocarditis - microbiology</topic><topic>Endocarditis - mortality</topic><topic>Endocarditis, Bacterial</topic><topic>Female</topic><topic>Geriatrics</topic><topic>Hospital Mortality</topic><topic>Humans</topic><topic>Illnesses</topic><topic>Internal Medicine</topic><topic>Internationality</topic><topic>Life Sciences</topic><topic>Male</topic><topic>Medical instruments</topic><topic>Medical Microbiology</topic><topic>Microbiology and Parasitology</topic><topic>Middle Aged</topic><topic>Mitral Valve - microbiology</topic><topic>Older people</topic><topic>Original Article</topic><topic>Pathogens</topic><topic>Patients</topic><topic>Prostheses</topic><topic>Prosthesis-Related Infections - epidemiology</topic><topic>Prosthesis-Related Infections - microbiology</topic><topic>Staphylococcal Infections</topic><topic>Viridans Streptococci</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Erdem, Hakan</creatorcontrib><creatorcontrib>Puca, 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Canan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Virology and AIDS Abstracts</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Biology Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase 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Jean-Philippe</au><au>Como, Najada</au><au>Kose, Sukran</au><au>Batirel, Ayse</au><au>Inan, Asuman</au><au>Tulek, Necla</au><au>Pekok, Abdullah Umut</au><au>Khan, Ejaz Ahmed</au><au>Iyisoy, Atilla</au><au>Meric-Koc, Meliha</au><au>Kaya-Kalem, Ayse</au><au>Martins, Pedro Palma</au><au>Hasanoglu, Imran</au><au>Silva-Pinto, André</au><au>Oztoprak, Nefise</au><au>Duro, Raquel</au><au>Almajid, Fahad</au><au>Dogan, Mustafa</au><au>Dauby, Nicolas</au><au>Gunst, Jesper Damsgaard</au><au>Tekin, Recep</au><au>Konopnicki, Deborah</au><au>Petrosillo, Nicola</au><au>Bozkurt, Ilkay</au><au>Wadi, Jamal</au><au>Popescu, Corneliu</au><au>Balkan, Ilker Inanc</au><au>Ozer-Balin, Safak</au><au>Zupanc, Tatjana Lejko</au><au>Cascio, Antonio</au><au>Dumitru, Irina Magdalena</au><au>Erdem, Aysegul</au><au>Ersoz, Gulden</au><au>Tasbakan, Meltem</au><au>Ajamieh, Oday Abu</au><au>Sirmatel, Fatma</au><au>Florescu, Simin</au><au>Gulsun, Serda</au><au>Ozkaya, Hacer Deniz</au><au>Sari, Sema</au><au>Tosun, Selma</au><au>Avci, Meltem</au><au>Cag, Yasemin</au><au>Celebi, Guven</au><au>Sagmak-Tartar, Ayse</au><au>Karakus, Sumeyra</au><au>Sener, Alper</au><au>Dedej, Arjeta</au><au>Oncu, Serkan</au><au>Del Vecchio, Rosa Fontana</au><au>Ozturk-Engin, Derya</au><au>Agalar, Canan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Portraying infective endocarditis: results of multinational ID-IRI study</atitle><jtitle>European journal of clinical microbiology &amp; infectious diseases</jtitle><stitle>Eur J Clin Microbiol Infect Dis</stitle><addtitle>Eur J Clin Microbiol Infect Dis</addtitle><date>2019-09-01</date><risdate>2019</risdate><volume>38</volume><issue>9</issue><spage>1753</spage><epage>1763</epage><pages>1753-1763</pages><issn>0934-9723</issn><eissn>1435-4373</eissn><abstract>Infective endocarditis is a growing problem with many shifts due to ever-increasing comorbid illnesses, invasive procedures, and increase in the elderly. We performed this multinational study to depict definite infective endocarditis. Adult patients with definite endocarditis hospitalized between January 1, 2015, and October 1, 2018, were included from 41 hospitals in 13 countries. We included microbiological features, types and severity of the disease, complications, but excluded therapeutic parameters. A total of 867 patients were included. A total of 631 (72.8%) patients had native valve endocarditis (NVE), 214 (24.7%) patients had prosthetic valve endocarditis (PVE), 21 (2.4%) patients had pacemaker lead endocarditis, and 1 patient had catheter port endocarditis. Eighteen percent of NVE patients were hospital-acquired. PVE patients were classified as early-onset in 24.9%. A total of 385 (44.4%) patients had major embolic events, most frequently to the brain ( n  = 227, 26.3%). Blood cultures yielded pathogens in 766 (88.4%). In 101 (11.6%) patients, blood cultures were negative. Molecular testing of vegetations disclosed pathogens in 65 cases. Overall, 795 (91.7%) endocarditis patients had any identified pathogen. Leading pathogens ( Staphylococcus aureus ( n  = 267, 33.6%), Streptococcus viridans ( n  = 149, 18.7%), enterococci ( n  = 128, 16.1%), coagulase-negative staphylococci ( n  = 92, 11.6%)) displayed substantial resistance profiles. A total of 132 (15.2%) patients had cardiac abscesses; 693 (79.9%) patients had left-sided endocarditis. Aortic ( n  = 394, 45.4%) and mitral valves ( n  = 369, 42.5%) were most frequently involved. Mortality was more common in PVE than NVE (NVE ( n  = 101, 16%), PVE ( n  = 49, 22.9%), p  = 0.042).</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>31187307</pmid><doi>10.1007/s10096-019-03607-x</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-6265-5227</orcidid><orcidid>https://orcid.org/0000-0002-7697-6849</orcidid><oa>free_for_read</oa></addata></record>
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identifier ISSN: 0934-9723
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issn 0934-9723
1435-4373
language eng
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source MEDLINE; SpringerLink Journals
subjects Abscesses
Adolescent
Adult
Age
Aged
Aged, 80 and over
Aorta
Aortic Valve - microbiology
Bacteria - isolation & purification
Biomedical and Life Sciences
Biomedicine
Blood
Brain
Catheters
Coagulase
Endocarditis
Endocarditis - epidemiology
Endocarditis - microbiology
Endocarditis - mortality
Endocarditis, Bacterial
Female
Geriatrics
Hospital Mortality
Humans
Illnesses
Internal Medicine
Internationality
Life Sciences
Male
Medical instruments
Medical Microbiology
Microbiology and Parasitology
Middle Aged
Mitral Valve - microbiology
Older people
Original Article
Pathogens
Patients
Prostheses
Prosthesis-Related Infections - epidemiology
Prosthesis-Related Infections - microbiology
Staphylococcal Infections
Viridans Streptococci
Young Adult
title Portraying infective endocarditis: results of multinational ID-IRI study
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