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Endocarditis caused by anaerobic bacteria

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dc.contributor.authorKestler, M.
dc.contributor.authorMuñoz, P.
dc.contributor.authorMarín, M.
dc.contributor.authorGoenaga, M.A.
dc.contributor.authorIdígoras Viedma, P.
dc.contributor.authorAlarcón, A. de
dc.contributor.authorLepe, J.A.
dc.contributor.authorSousa Regueiro, D.
dc.contributor.authorBravo-Ferrer, J.M.
dc.contributor.authorPajarón, M.
dc.contributor.authorCostas, C.
dc.contributor.authorGarcía-López, M.V.
dc.contributor.authorHidalgo-Tenorio, C.
dc.contributor.authorMoreno, M.
dc.contributor.authorBouza, E.
dc.contributor.authorGarcía-Vázquez, Elisa
dc.contributor.authorGrupo de Apoyo al Manejo de la Endocarditis Infecciosa en España (GAMES)
dc.contributor.departmentMedicina
dc.date.accessioned2024-06-26T08:38:56Z
dc.date.available2024-06-26T08:38:56Z
dc.date.issued2017-04-05
dc.description© 2017 Elsevier Ltd. All rights reserved. This document is the Published, version of a Published Work that appeared in final form in Anaerobe . To access the final edited and published work see https://doi.org/10.1016/j.anaerobe.2017.04.002es
dc.description.abstractBackground Infective endocarditis (IE) caused by anaerobic bacteria is a rare and poorly characterized disease. Most data reported in the literature are from case reports [1–3]. Therefore, we assessed the situation of anaerobic IE (AIE) in Spain using the database of the Spanish Collaboration on Endocarditis (GAMES). Methods We performed a prospective study from 2008 to 2016 in 26 Spanish centers. We included 2491 consecutive cases of definite IE (Duke criteria). Results Anaerobic bacteria caused 22 cases (0.9%) of definite IE. Median age was 66 years (IQR, 56–73), and 19 (86.4%) patients were men. Most patients (14 [63.6%]) had prosthetic valve IE and all episodes were left-sided: aortic valves, 12 (54.5%); and mitral valves, 8 (36.4%). The most common pathogens were Propionibacterium acnes (14 [63.6%]), Lactobacillus spp (3 [13.63%]), and Clostridium spp. (2 [9.0%]), and the infection was mainly odontogenic. Fifteen of the 22 patients (68.2%) underwent cardiac surgery. Mortality was 18.2% during admission and 5.5% after 1 year of follow-up. When patients with AIE were compared with the rest of the cohort, we found that although those with AIE had a similar age and Charlson comorbidity index, they were more likely to have community-acquired IE (86.4% vs. 60.9%, p = 0.01), have undergone cardiac surgery (68.2% vs 48.7% p = 0.06), and have had lower mortality rates during admission (18.2% vs. 27.3%). Conclusion IE due to anaerobic bacteria is an uncommon disease that affects mainly prosthetic valves and frequently requires surgery. Otherwise, there are no major differences between AIE and IE caused by other microorganisms.es
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dc.identifier.citationAnaerobe. 2017, 47:33-38
dc.identifier.doihttps://doi.org/10.1016/j.anaerobe.2017.04.002
dc.identifier.issnPrint: 1075-9964
dc.identifier.issnElectronic: 1095-8274
dc.identifier.urihttp://hdl.handle.net/10201/142684
dc.languageenges
dc.publisherElsevieres
dc.relationSin financiación externa a la Universidades
dc.relation.publisherversionhttps://www.sciencedirect.com/science/article/pii/S1075996417300690es
dc.rights.accessRightsinfo:eu-repo/semantics/restrictedAccess
dc.subjectInfective endocarditises
dc.subjectAnaerobeses
dc.subjectPropionibacterium acneses
dc.titleEndocarditis caused by anaerobic bacteriaes
dc.typeinfo:eu-repo/semantics/articlees
dspace.entity.typePublicationes
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