Prevalence of Infective Endocarditis in Streptococcal Bloodstream Infections Is Dependent on Streptococcal Species.

Aged Aged, 80 and over Endocarditis / epidemiology Female Humans Male Middle Aged Prevalence Registries Retrospective Studies Streptococcal Infections / epidemiology Streptococcus / classification
bacteremia infective endocarditis streptococcal infections streptococcus

Journal

Circulation
ISSN: 1524-4539
Titre abrégé: Circulation
Pays: United States
ID NLM: 0147763

Informations de publication

Date de publication:
25 08 2020
Historique:
pubmed: 26 6 2020
medline: 1 9 2021
entrez: 26 6 2020
Statut: ppublish

Résumé

Streptococci frequently cause infective endocarditis (IE), yet the prevalence of IE in patients with bloodstream infections (BSIs) caused by different streptococcal species is unknown. We aimed to investigate the prevalence of IE at species level in patients with streptococcal BSIs. We investigated all patients with streptococcal BSIs, from 2008 to 2017, in the Capital Region of Denmark. Data were crosslinked with Danish nationwide registries for identification of concomitant hospitalization with IE. In a multivariable logistic regression analysis, we investigated the risk of IE according to streptococcal species adjusted for age, sex, ≥3 positive blood culture bottles, native valve disease, prosthetic valve, previous IE, and cardiac device. Among 6506 cases with streptococcal BSIs (mean age 68.1 years [SD 16.2], 52.8% men) the IE prevalence was 7.1% (95% CI, 6.5-7.8). The lowest IE prevalence was found with The prevalence of IE in streptococcal BSIs is species dependent with

Sections du résumé

BACKGROUND
Streptococci frequently cause infective endocarditis (IE), yet the prevalence of IE in patients with bloodstream infections (BSIs) caused by different streptococcal species is unknown. We aimed to investigate the prevalence of IE at species level in patients with streptococcal BSIs.
METHODS
We investigated all patients with streptococcal BSIs, from 2008 to 2017, in the Capital Region of Denmark. Data were crosslinked with Danish nationwide registries for identification of concomitant hospitalization with IE. In a multivariable logistic regression analysis, we investigated the risk of IE according to streptococcal species adjusted for age, sex, ≥3 positive blood culture bottles, native valve disease, prosthetic valve, previous IE, and cardiac device.
RESULTS
Among 6506 cases with streptococcal BSIs (mean age 68.1 years [SD 16.2], 52.8% men) the IE prevalence was 7.1% (95% CI, 6.5-7.8). The lowest IE prevalence was found with
CONCLUSIONS
The prevalence of IE in streptococcal BSIs is species dependent with

Identifiants

DOI: 10.1161/CIRCULATIONAHA.120.046723 PMID: 32580572
pubmed: 32580572
doi: 10.1161/CIRCULATIONAHA.120.046723
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

720-730

Commentaires et corrections

Type : CommentIn

Auteurs

Sandra Chamat-Hedemand (S)

Department of Cardiology, Zealand University Hospital, Roskilde, Denmark (S.C.-H., N.E.B.).

Anders Dahl (A)

Department of Cardiology, Copenhagen University Hospital Herlev-Gentofte, Hellerup, Denmark (S.C.-H., A.D., L.B.O., T.K.L., G.G.).

Lauge Østergaard (L)

Department of Cardiology, The Heart Centre, Copenhagen University Hospital Rigshospitalet, Denmark (L.Ø., E.F.).

Magnus Arpi (M)

Department of Clinical Microbiology, Copenhagen University Hospital Herlev-Gentofte, Denmark (M.A., J.B.).

Emil Fosbøl (E)

Department of Cardiology, The Heart Centre, Copenhagen University Hospital Rigshospitalet, Denmark (L.Ø., E.F.).

Jonas Boel (J)

Department of Clinical Microbiology, Copenhagen University Hospital Herlev-Gentofte, Denmark (M.A., J.B.).

Louise Bruun Oestergaard (LB)

Department of Cardiology, Copenhagen University Hospital Herlev-Gentofte, Hellerup, Denmark (S.C.-H., A.D., L.B.O., T.K.L., G.G.).

Trine K Lauridsen (TK)

Department of Cardiology, Copenhagen University Hospital Herlev-Gentofte, Hellerup, Denmark (S.C.-H., A.D., L.B.O., T.K.L., G.G.).

Gunnar Gislason (G)

Department of Cardiology, Copenhagen University Hospital Herlev-Gentofte, Hellerup, Denmark (S.C.-H., A.D., L.B.O., T.K.L., G.G.).

Christian Torp-Pedersen (C)

Department of Cardiology and Clinical Research, Nordsjaellands Hospital, Hillerød, Denmark (C.T.-P.).
Department of Cardiology, Aalborg University Hospital, Denmark (C.T.-P.).

Niels Eske Bruun (NE)

Department of Cardiology, Zealand University Hospital, Roskilde, Denmark (S.C.-H., N.E.B.).
Institute of Clinical Medicine, Copenhagen University, Denmark (N.E.B.).
Clinical Institute, Aalborg University, Aalborg, Denmark (N.E.B.).

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Sujet âgé › Prevalence of Infective Endocarditis in...
questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Sujet âgé › Sujet âgé de 80 ans ou plus › Prevalence of Infective Endocarditis in...
questionsmedicales.fr › Maladies cardiovasculaires › Cardiopathies › Endocardite › Prevalence of Infective Endocarditis in...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Prevalence of Infective Endocarditis in...
questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Adulte d'âge moyen › Prevalence of Infective Endocarditis in...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Registre civil › Morbidité › Prévalence › Prevalence of Infective Endocarditis in...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Enregistrements › Prevalence of Infective Endocarditis in...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études de cohortes › Études rétrospectives › Prevalence of Infective Endocarditis in...
questionsmedicales.fr › Infection › Infections bactériennes et mycoses › Infections bactériennes › Infections bactériennes à Gram positif › Infections à streptocoques › Prevalence of Infective Endocarditis in...
questionsmedicales.fr › Bactéries › Bactéries à Gram positif › Lactobacillales › Streptococcaceae › Streptococcus › Prevalence of Infective Endocarditis in...