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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Non-HACEK gram-negative bacillus endocarditis
Annals of Internal Medicine, Volume 147, No. 12, Year 2007
Notification
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Description
Background: Infective endocarditis caused by non-HACEK (species other than Haemophilus species, Actinobacillus actinomycetemcomitans, Cardiobacterium hominis, Eikenella corrodens, or Kingella species) gram-negative bacilli is rare, is poorly characterized, and is commonly considered to be primarily a disease of injection drug users. Objective: To describe the clinical characteristics and outcomes of patients with non-HACEK gram-negative bacillus endocarditis in a large, international, contemporary cohort of patients. Design: Observations from the International Collaboration on Infective Endocarditis Prospective Cohort Study (ICE-PCS) database. Setting: 61 hospitals in 28 countries. Patients: Hospitalized patients with definite endocarditis. Measurements: Characteristics of non-HACEK gram-negative bacillus endocarditis cases were described and compared with those due to other pathogens. Results: Among the 2761 case-patients with definite endocarditis enrolled in ICE-PCS, 49 (1.8%) had endocarditis (20 native valve, 29 prosthetic valve or device) due to non-HACEK, gram-negative bacilli. Escherichia coli (14 patients [29%]) and Pseudomonas aeruginosa (11 patients [22%]) were the most common pathogens. Most patients (57%) with non-HACEK gram-negative bacillus endocarditis had health care-associated infection, whereas injection drug use was rare (4%). Implanted endovascular devices were frequently associated with non-HACEK gram-negative bacillus endocarditis compared with other causes of endocarditis (29% vs. 11%; P < 0.001). The in-hospital mortality rate of patients with endocarditis due to non-HACEK gram-negative bacilli was high (24%) despite high rates of cardiac surgery (51%). Limitations: Because of the small number of patients with non-HACEK gram-negative bacillus endocarditis in each treatment group and the lack of long-term follow-up, strong treatment recommendations are difficult to make. Conclusion: In this large, prospective, multinational cohort, more than one half of all cases of non-HACEK gram-negative bacillus endocarditis were associated with health care contact. Non-HACEK gram-negative bacillus endocarditis is not primarily a disease of injection drug users. © 2007 American College of Physicians.
Authors & Co-Authors
Morpeth, Susan Claire
United States, Durham
Duke University Medical Center
Murdoch, David Roger
New Zealand, Christchurch
University of Otago, Christchurch
Cabell, Christopher H.
United States, Durham
Duke University Medical Center
Karchmer, Adolf W.
United States, Boston
Beth Israel Deaconess Medical Center
Pappas, Paul A.
United States, Durham
Duke University Medical Center
Levine, Donald P.
United States, Detroit
Detroit Receiving Hospital
United States, Detroit
Wayne State University
Nacinovich, Francisco M.
Argentina, Buenos Aires
Instituto Cardiovascular de Buenos Aires
Tattevin, Pierre
France, Rennes
Hôpital Pontchaillou
France, Rennes
Pontchaillou University
Fernández-Hidalgo, Núria
Spain, Barcelona
Hospital Universitari Vall D'hebron
Dickerman, Stuart A.
United States, New York
Nyu Langone Health
Bouza, E. Santiago
Spain, Madrid
Hospital General Universitario Gregorio Marañón
del Río, Ana I.Quintero
Spain, Barcelona
Universitat de Barcelona
Lejko-Zupanc, Tatjana
Slovenia, Ljubljana
Univerzitetni Klinični Center Ljubljana
de Oliveira Ramos, Auristela Isabel
Brazil, Sao Paulo
Instituto Dante Pazzanese de Cardiologia
Iarussi, Diana
Italy, Naples
Università Degli Studi Di Napoli Federico Ii
Klein, John L.
United Kingdom, London
St Thomas' Hospital
Chirouze, Catherine
France, Besancon
University Medical Center of Besançon
Bedimo, Roger J.
United States, Dallas
Ut Southwestern Medical Center
United States, Dallas
Va North Texas Health Care System
Corey, Gordon Ralph
United States, Durham
Duke University Medical Center
Fowler, Vance G.
United States, Durham
Duke University Medical Center
Gordon, David Llewellyn
Australia, Adelaide
Flinders Medical Centre
Devi, Uma
Australia, Adelaide
Flinders Medical Centre
Spelman, Denis W.
France, Amiens
Alfred Hospital
van der Meer, Jan T.M.
Netherlands, Amsterdam
Universiteit Van Amsterdam
Kauffman, Carol A.
United States, Ann Arbor
Va Ann Arbor Healthcare System
Bradley, Suzanne F.
United States, Ann Arbor
Va Ann Arbor Healthcare System
Armstrong, William
United States, Ann Arbor
Va Ann Arbor Healthcare System
Giannitsioti, Efthymia
Greece, Athens
Attikon University Hospital
France, Besancon
University Medical Center of Besançon
Giamarellou, Helen
Greece, Athens
Attikon University Hospital
Lerakis, Stamatios
United States, Atlanta
Emory University
Moreno, Asunciõn Pizarro
Spain, Barcelona
Universitat de Barcelona
Mestres, Carlos Alberto
Spain, Barcelona
Universitat de Barcelona
Parè, Carles
Spain, Barcelona
Universitat de Barcelona
García-De-La-Mària, Cristina
Spain, Barcelona
Universitat de Barcelona
De Lazzario, Elisa
Spain, Barcelona
Universitat de Barcelona
Marco, Francesc
Spain, Barcelona
Universitat de Barcelona
Gatell, José Mariá A.
Spain, Barcelona
Universitat de Barcelona
Miró, José María
Spain, Barcelona
Universitat de Barcelona
Almela, Manuel Vidal
Spain, Barcelona
Universitat de Barcelona
Azqueta, Manel
Spain, Barcelona
Universitat de Barcelona
Jiménez-Expósito, María Jesús
Spain, Barcelona
Universitat de Barcelona
Benito, Natividad
Spain, Barcelona
Universitat de Barcelona
Perez, Noel
Spain, Barcelona
Universitat de Barcelona
Almirante, Benito
Spain, Barcelona
Hospital Universitari Vall D'hebron
Rodriguez De Vera, Pablo
Spain, Barcelona
Hospital Universitari Vall D'hebron
Tornos, Pilar
Spain, Barcelona
Hospital Universitari Vall D'hebron
Falcó, Vicente
Spain, Barcelona
Hospital Universitari Vall D'hebron
Claramonte, Xavier
Spain, Barcelona
Hospital Universitari Vall D'hebron
Armero, Yolanda
Spain, Barcelona
Hospital Universitari Vall D'hebron
Sidani, Nisreen
Lebanon, Beirut
American University of Beirut Medical Center
Kanj, Souha S.
Lebanon, Beirut
American University of Beirut Medical Center
Kanafani, Zeina A.
Lebanon, Beirut
American University of Beirut Medical Center
Raglio, Annibale
Italy, Bergamo
Ospedali Riuniti Di Bergamo
Goglio, Antonio
Italy, Bergamo
Ospedali Riuniti Di Bergamo
Gnecchi, Fabrizio
Italy, Bergamo
Ospedali Riuniti Di Bergamo
Suter, Fredy
Italy, Bergamo
Ospedali Riuniti Di Bergamo
Valsecchi, Grazia
Italy, Bergamo
Ospedali Riuniti Di Bergamo
Rizzi, Marco
Italy, Bergamo
Ospedali Riuniti Di Bergamo
Ravasio, Veronica
Italy, Bergamo
Ospedali Riuniti Di Bergamo
Hoën, Bruno
France, Besancon
University Medical Center of Besançon
Leroy, Joël E.
France, Besancon
University Medical Center of Besançon
Plèsiat, Patrick
France, Besancon
University Medical Center of Besançon
Bernard, Yvette F.
France, Besancon
University Medical Center of Besançon
Casey, Anna L.
United Kingdom, Birmingham
Queen Elizabeth Hospital Birmingham
Lambert, Peter A.
United Kingdom, Birmingham
Queen Elizabeth Hospital Birmingham
Watkin, Richard W.
United Kingdom, Birmingham
Queen Elizabeth Hospital Birmingham
Elliott, Thomas S.J.
United Kingdom, Birmingham
Queen Elizabeth Hospital Birmingham
Patel, Mukesh
United States, Birmingham
The University of Alabama at Birmingham
Dismukes, William
United States, Birmingham
The University of Alabama at Birmingham
Pan, Angelo
Italy, Brescia
Università Degli Studi Di Brescia
Caros, Giampiero
Italy, Brescia
Università Degli Studi Di Brescia
Tribouilloy, Amel Brahim Mathiron Christophe
France, Bron
South Hospital Amiens
Goissen, Thomas
France, Bron
South Hospital Amiens
Delahaye, Armelle
France, Lyon
Hopital Louis Pradel
Delahaye, Franc¸ois
France, Lyon
Hopital Louis Pradel
Vandenesch, Francois
France, Lyon
Hopital Louis Pradel
Vizzotti, Carla
Argentina, Buenos Aires
Icba Instituto Cardiovascular
Nacinovich, Francisco M.
Argentina, Buenos Aires
Icba Instituto Cardiovascular
Marin, Marcelo
Argentina, Buenos Aires
Icba Instituto Cardiovascular
Trivi, Marcelo
Argentina, Buenos Aires
Icba Instituto Cardiovascular
Lombardero, Martin
Argentina, Buenos Aires
Icba Instituto Cardiovascular
Cortés, Claudia Mariana
Argentina, Buenos Aires
Instituto de Cardiología y Cirugía Cardiovascular
Casabe´, José Horacio
Argentina, Buenos Aires
Instituto de Cardiología y Cirugía Cardiovascular
Altclas, Javier David
Argentina, Buenos Aires
Sanatorio Mitre
Kogan, Silvia
Argentina, Buenos Aires
Sanatorio Mitre
Clara, Liliana O.
Argentina, Buenos Aires
Instituto Universitario Del Hospital Italiano de Buenos Aires
Sánchez, Marisa Carmen
Argentina, Buenos Aires
Instituto Universitario Del Hospital Italiano de Buenos Aires
Commerford, Anita
South Africa, Observatory
Groote Schuur Hospital
Hansa, Cass
South Africa, Observatory
Groote Schuur Hospital
Deetlefs, Eduan
South Africa, Observatory
Groote Schuur Hospital
Ntsekhe, Mpiko
South Africa, Observatory
Groote Schuur Hospital
Commerford, Patrick Joseph
South Africa, Observatory
Groote Schuur Hospital
Wray, Dannah W.
United States, Charleston
Medical University of South Carolina
Steed, Lisa L.
United States, Charleston
Medical University of South Carolina
Church, Preston
United States, Charleston
Medical University of South Carolina
Cantey, Robert
United States, Charleston
Medical University of South Carolina
Morris, Arthur James
New Zealand, Auckland
Diagnostic Medlab
Chambers, S. T.
New Zealand, Christchurch
University of Otago, Christchurch
Read, Kerry M.
New Zealand, Auckland
North Shore Hospital
Raymond, Nigel J.
New Zealand, Wellington
Wellington Hospital, new Zealand
Statistics
Citations: 231
Authors: 100
Affiliations: 41
Identifiers
Doi:
10.7326/0003-4819-147-12-200712180-00002
ISSN:
00034819
Research Areas
Health System And Policy
Noncommunicable Diseases
Study Design
Cohort Study
Study Approach
Quantitative