 |
|
Temporal Trends in Infective Endocarditis
A Population-Based Study in Olmsted County, Minnesota
Imad M. Tleyjeh, MD;
James M. Steckelberg, MD;
Hani S. Murad, MD;
Nandan S. Anavekar, MD;
Hassan M. K. Ghomrawi, MPH;
Zaur Mirzoyev, MD;
Sherif E. Moustafa, MD, MS;
Tanya L. Hoskin, MS;
Jayawant N. Mandrekar, PhD;
Walter R. Wilson, MD;
Larry M. Baddour, MD
JAMA. 2005;293:3022-3028.
Context Limited data exist regarding population-based epidemiologic changes in incidence of infective endocarditis (IE).
Objective To evaluate temporal trends in the incidence and clinical characteristics of IE.
Design, Setting, and Patients Population-based survey using the resources of the Rochester Epidemiology Project of Olmsted County, Minnesota. One hundred seven IE episodes occurred in 102 Olmsted County residents between 1970 and 2000. The modified Duke criteria were used to validate the diagnosis of definite or possible IE.
Main Outcome Measures Incidence of IE, proportion of patients with underlying heart disease, and causative microorganisms and clinical characteristics.
Results Age- and sex-adjusted incidence of IE ranged from 5.0 to 7.0 cases per 100 000 person-years during the study period and did not change significantly over time (P = .42 for trend). Infective endocarditis caused by viridans group streptococci was the most common organism-specific subgroup, with an annual adjusted incidence of 1.7 to 3.5 cases per 100 000; in comparison, IE due to Staphylococcus aureus had an annual adjusted incidence of 1.0 to 2.2 cases per 100 000. No time trend was detected for either pathogen group (P = .63 and P = .66, respectively). An increasing temporal trend was observed in the proportions of prosthetic valve IE cases (P = .09). Among people with underlying heart disease, there was an increasing temporal trend in mitral valve prolapse (P = .04) and a decreasing trend in rheumatic heart disease (P = .08). However, the absolute numbers were small. There was no time trend in rates of valve surgery or 6-month mortality during the study period (P = .97 and P = .59, respectively).
Conclusions In this community-based temporal trend study, we found no substantial change in the incidence of IE over the past 3 decades. Viridans group streptococci continue to outnumber S aureus as the most common causative organisms of IE in this population.
Author Affiliations: Department of Medicine (Drs Tleyjeh, Steckelberg, Anavekar, Mirzoyev, Wilson, and Baddour), Division of Infectious Diseases (Drs Tleyjeh, Steckelberg, Wilson, and Baddour), Department of Physiology and Biomedical Engineering (Dr Moustafa), and Division of Biostatistics (Ms Hoskin and Dr Mandrekar), Mayo Clinic College of Medicine, Mayo Clinic, Rochester, Minn; Department of Medicine, Michael Reese Hospital/University of Illinois at Chicago (Dr Murad); Division of Health Services Research and Policy, University of Minnesota, Minneapolis (Mr Ghomrawi); and Division of Cardiology, University of Ottawa Heart Institute, Ottawa, Ontario (Dr Moustafa).
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
RELATED ARTICLES
Staphylococcus aureus Endocarditis: A Consequence of Medical Progress
, , , , , , , , , , , , , , , , , , , , , and
JAMA. ;293():3012-3021.
FULL TEXT
Infective Endocarditis: Global, Regional, and Future Perspectives
JAMA. ;293():3061-3062.
FULL TEXT
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
|
Poor oral hygiene as a risk factor for infective endocarditis-related bacteremia
Lockhart et al.
Journal of the American Dental Association 2009;140:1238-1244.
ABSTRACT
| FULL TEXT
Guidelines on the prevention, diagnosis, and treatment of infective endocarditis (new version 2009): The Task Force on the Prevention, Diagnosis, and Treatment of Infective Endocarditis of the European Society of Cardiology (ESC)
Endorsed by the European Society of Clinical Micro et al.
Eur Heart J 2009;30:2369-2413.
FULL TEXT
Antimicrobial resistance trends of Escherichia coli bloodstream isolates: a population-based study, 1998-2007
Al-Hasan et al.
J Antimicrob Chemother 2009;64:169-174.
ABSTRACT
| FULL TEXT
Health Care-Associated Native Valve Endocarditis: Importance of Non-nosocomial Acquisition
Benito et al.
ANN INTERN MED 2009;150:586-594.
ABSTRACT
| FULL TEXT
Gender and Outcome in Adult Congenital Heart Disease
Verheugt et al.
Circulation 2008;118:26-32.
ABSTRACT
| FULL TEXT
Echocardiographic risk stratification for early surgery with endocarditis: a cost-effectiveness analysis
Liao et al.
Heart 2008;94:e18-e18.
ABSTRACT
| FULL TEXT
Surgical Treatment of Aortic Valve Endocarditis
David
Card Surg Adult 2008;3:949-956.
FULL TEXT
Prevention of infective endocarditis: Guidelines from the American Heart Association: A guideline from the American Heart Association Rheumatic Fever, Endocarditis and Kawasaki Disease Committee, Council on Cardiovascular Disease in the Young, and the Council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, and the Quality of Care and Outcomes Research Interdisciplinary Working Group
Wilson et al.
Journal of the American Dental Association 2008;139:3S-24S.
ABSTRACT
| FULL TEXT
Prevention of Infective Endocarditis: Guidelines From the American Heart Association: A Guideline From the American Heart Association Rheumatic Fever, Endocarditis, and Kawasaki Disease Committee, Council on Cardiovascular Disease in the Young, and the Council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, and the Quality of Care and Outcomes Research Interdisciplinary Working Group
Wilson et al.
Circulation 2007;116:1736-1754.
ABSTRACT
| FULL TEXT
A Systematic Review of Population-Based Studies of Infective Endocarditis
Tleyjeh et al.
Chest 2007;132:1025-1035.
ABSTRACT
| FULL TEXT
Incidence of Lower-Extremity Cellulitis: A Population-Based Study in Olmsted County, Minnesota
McNamara et al.
Mayo Clin Proc. 2007;82:817-821.
ABSTRACT
| FULL TEXT
Prevention of infective endocarditis: Guidelines from the American Heart Association: A guideline from the American Heart Association Rheumatic Fever, Endocarditis and Kawasaki Disease Committee, Council on Cardiovascular Disease in the Young, and the Council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, and the Quality of Care and Outcomes Research Interdisciplinary Working Group
Wilson et al.
Journal of the American Dental Association 2007;138:739-760.
ABSTRACT
| FULL TEXT
Treatment of Endocarditis: A Decade of Experience
Slater et al.
Ann. Thorac. Surg. 2007;83:2074-2080.
ABSTRACT
| FULL TEXT
Complexity and Subtlety of Infective Endocarditis
Paterick et al.
Mayo Clin Proc. 2007;82:615-621.
ABSTRACT
| FULL TEXT
Age- and Sex-Associated Trends in Bloodstream Infection: A Population-Based Study in Olmsted County, Minnesota
Uslan et al.
Arch Intern Med 2007;167:834-839.
ABSTRACT
| FULL TEXT
The Case for Infectious Endocarditis Prophylaxis: Time to Move Forward
Seto
Arch Intern Med 2007;167:327-330.
FULL TEXT
Coming Clean With Antibiotic Prophylaxis for Infective Endocarditis
Morris
Arch Intern Med 2007;167:330-332.
FULL TEXT
Rebuttal
Morris
Arch Intern Med 2007;167:333-334.
FULL TEXT
The Year in Valvular Heart Disease
Rahimtoola
J Am Coll Cardiol 2007;49:361-374.
FULL TEXT
Infective endocarditis: changing epidemiology and predictors of 6-month mortality: a prospective cohort study
Hill et al.
Eur Heart J 2007;28:196-203.
ABSTRACT
| FULL TEXT
The changing face of infective endocarditis.
Cecchi et al.
Heart 2006;92:1365-1366.
ABSTRACT
| FULL TEXT
Infective endocarditis in a Finnish teaching hospital: a study on 326 episodes treated during 1980-2004
Heiro et al.
Heart 2006;92:1457-1462.
ABSTRACT
| FULL TEXT
Endocarditis From Staphylococcus aureus--Reply
Fowler
JAMA 2005;294:2972-2973.
FULL TEXT
JournalScan
Heart 2005;91:1246-1248.
FULL TEXT
Infective Endocarditis, Locally and Internationally
Journal Watch Cardiology 2005;2005:5-5.
FULL TEXT
Infective Endocarditis: Temporal and Microbiologic Trends
JWatch General 2005;2005:3-3.
FULL TEXT
New Insights into the Epidemiology of Endocarditis
JWatch Infect. Diseases 2005;2005:1-1.
FULL TEXT
Infective Endocarditis: Global, Regional, and Future Perspectives
Quagliarello
JAMA 2005;293:3061-3062.
FULL TEXT
|
