Infective endocarditis epidemiology over five decades: a systematic review

To Assess changes in infective endocarditis (IE) epidemiology over the last 5 decades. We searched the published literature using PubMed, MEDLINE, and EMBASE from inception until December 2011. Einstein Medical Center, Philadelphia, PA were also included. Criteria for inclusion in this systematic re...

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Veröffentlicht in:PloS one 2013-12, Vol.8 (12), p.e82665-e82665
Hauptverfasser: Slipczuk, Leandro, Codolosa, J Nicolas, Davila, Carlos D, Romero-Corral, Abel, Yun, Jeong, Pressman, Gregg S, Figueredo, Vincent M
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container_title PloS one
container_volume 8
creator Slipczuk, Leandro
Codolosa, J Nicolas
Davila, Carlos D
Romero-Corral, Abel
Yun, Jeong
Pressman, Gregg S
Figueredo, Vincent M
description To Assess changes in infective endocarditis (IE) epidemiology over the last 5 decades. We searched the published literature using PubMed, MEDLINE, and EMBASE from inception until December 2011. Einstein Medical Center, Philadelphia, PA were also included. Criteria for inclusion in this systematic review included studies with reported IE microbiology, IE definition, description of population studied, and time frame. Two authors independently extracted data and assessed manuscript quality. One hundred sixty studies (27,083 patients) met inclusion criteria. Among hospital-based studies (n=142; 23,606 patients) staphylococcal IE percentage increased over time, with coagulase-negative staphylococcus (CNS) increasing over each of the last 5 decades (p
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We searched the published literature using PubMed, MEDLINE, and EMBASE from inception until December 2011. Einstein Medical Center, Philadelphia, PA were also included. Criteria for inclusion in this systematic review included studies with reported IE microbiology, IE definition, description of population studied, and time frame. Two authors independently extracted data and assessed manuscript quality. One hundred sixty studies (27,083 patients) met inclusion criteria. Among hospital-based studies (n=142; 23,606 patients) staphylococcal IE percentage increased over time, with coagulase-negative staphylococcus (CNS) increasing over each of the last 5 decades (p&lt;0.001) and Staphylococcus aureus (SA) in the last decade (21% to 30%; p&lt;0.05). Streptococcus viridans (SV) and culture negative (CN) IE frequency decreased over time (p&lt;0.001), while enterococcal IE increased in the last decade (p&lt;0.01). Patient age and male predominance increased over time as well. In subgroup analysis, SA frequency increased in North America, but not the rest of the world. This was due, in part, to an increase in intravenous drug abuse IE in North America (p&lt;0.001). Among population-based studies (n=18; 3,477 patients) no significant changes were found. Important changes occurred in IE epidemiology over the last half-century, especially in the last decade. Staphylococcal and enterococcal IE percentage increased while SV and CN IE decreased. Moreover, mean age at diagnosis increased together with male:female ratio. 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In subgroup analysis, SA frequency increased in North America, but not the rest of the world. This was due, in part, to an increase in intravenous drug abuse IE in North America (p&lt;0.001). Among population-based studies (n=18; 3,477 patients) no significant changes were found. Important changes occurred in IE epidemiology over the last half-century, especially in the last decade. Staphylococcal and enterococcal IE percentage increased while SV and CN IE decreased. Moreover, mean age at diagnosis increased together with male:female ratio. These changes should be considered at the time of decision-making in treatment of and prophylaxis for IE.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>24349331</pmid><doi>10.1371/journal.pone.0082665</doi><tpages>e82665</tpages><oa>free_for_read</oa></addata></record>
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subjects Academic Medical Centers
Age Factors
Analysis
Central nervous system
Coagulase
Criteria
Decision making
Drug abuse
Endocarditis
Endocarditis - epidemiology
Endocarditis - etiology
Endocarditis, Bacterial - epidemiology
Epidemiology
Female
Frequency distribution
Health care facilities
Heart
Hospital Mortality
Hospitals
Humans
Incidence
Infective endocarditis
Intravenous administration
Male
Medical centers
Medical prognosis
Medical research
Medicine
Microbiology
Mortality
Older people
Patients
Philadelphia - epidemiology
Population
Population studies
Population Surveillance
Prophylaxis
Prostheses
Quality
Quality assessment
Researchers
Sex Factors
Systematic review
title Infective endocarditis epidemiology over five decades: a systematic review
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