[Epidemiology of infectious endocarditis].
The incidence of infective endocarditis (20 to 160 cases per million inhabitants yearly) increases with age; it does not seem to be decreasing over time. There is no previously known heart disease in 30% of the patients, a native valve disease in 30 to 60%, a prosthetic valve in 15-20%. Streptococci remain the leading microorganisms. Digestive streptococci and staphylococci are increasing. Iatrogenic portals of entry are in progression. During the hospital stay, case fatality ratio varies from 13 to 20%. After endocarditis, the patient remains at risk of late cardiac surgery and of recurrence. Survival after 5 years is approximately 85%.
Service de cardiologie Hôpital cardio-vasculaire et pneumologique BP Lyon-Montchat.
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F
Delahaye
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V
Goulet
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C
Leport
D000367:Age Factors; D004697:Endocarditis, Bacterial / Q000453:epidemiology* / Q000401:mortality; D005602:France; D006349:Heart Valve Diseases / Q000453:epidemiology; D019918:Heart Valve Prosthesis Implantation / Q000706:statistics & numerical data; D017052:Hospital Mortality; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D007049:Iatrogenic Disease; D015994:Incidence; D012008:Recurrence; D012307:Risk Factors; D013203:Staphylococcal Infections / Q000453:epidemiology; D013290:Streptococcal Infections / Q000453:epidemiology; D015996:Survival Rate
Epidémiologie des endocardites infectieuses.