title: Bacterial endocarditis: results of a survey in a children's hospital in France.
abstract: OBJECTIVE
  To identify and analyse the risk factors for infective endocarditis.
  
  
  METHODS
  Retrospective survey over a 12-year period.
  
  
  METHODS
  Department of Paediatric Cardiology, Nancy, France.
  
  
  METHODS
  43 children attending during 1970-1992 who were diagnosed with infective endocarditis in accordance with Von Reyn's classification.
  
  
  RESULTS
  45 episodes of infective endocarditis were recorded (2 children had 2 episodes). Congenital cardiac disease was the most frequent predisposing factor for infective endocarditis. The causes of bacteraemia found were frequently, but not exclusively, of dental origin (30.5%). Among the dental causes were: poor oral health, inappropriate treatments and lack of antibiotic prophylaxis.
  
  
  CONCLUSIONS
  Children diagnosed with a cardiac disorder should be examined by a dentist. Modern principles of antibiotic therapy and accepted dental procedures must be performed as soon as possible and parents informed of the current preventive recommendations.
authors.affiliation: Oral Pediatric Department, Faculty of Dental Surgery, Nancy, France.
authors.forename: D
authors.initials: D
authors.lastname: Droz
authors.forename: L
authors.initials: L
authors.lastname: Koch
authors.forename: A
authors.initials: A
authors.lastname: Lenain
authors.forename: H
authors.initials: H
authors.lastname: Michalski
mesh_terms: D000293:Adolescent; D019072:Antibiotic Prophylaxis / Q000706:statistics & numerical data; D016470:Bacteremia / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D003729:Dental Care / Q000009:adverse effects; D004697:Endocarditis, Bacterial / Q000145:classification / Q000175:diagnosis / Q000453:epidemiology* / Q000517:prevention & control; D005260:Female; D005491:Focal Infection, Dental / Q000453:epidemiology; D005602:France / Q000453:epidemiology; D006330:Heart Defects, Congenital / Q000453:epidemiology; D006776:Hospitals, Pediatric / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D009909:Oral Health; D012189:Retrospective Studies; D012307:Risk Factors; D014076:Tooth Diseases / Q000453:epidemiology