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خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
نسخه الکترونیک
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Microbiology of prosthetic valve endocarditis

Microbiology of prosthetic valve endocarditis
Organism PVE after surgical valve replacement[1-5] PVE after TAVR[6,7]
Number of cases (%) Number of cases (%)
<2 months postoperatively 2 to 12 months postoperatively >12 months postoperatively
Streptococci* 6 (2) 6 (13) 84 (30) 46 (17)
Pneumococci – – <1% –
Enterococci 20 (8) 5 (11) 31 (11) 68 (25)
Staphylococcus aureus 75 (30) 6 (13) 62 (22) 65 (24)
Coagulase-negative staphylococci 69 (28) 17 (36) 34 (12) 57 (12)
HACEK group – – 11 (4) –
Gram-negative bacilli 26 (10) 2 (4) 13 (5) 3 (1)
Fungi (Candida species) 22 (9) 4 (8) 3 (1) 3 (1)
Polymicrobial/miscellaneous 7 (3) 4 (8) 12 (4) 24 (9)
Diphtheroids 9 (4) – 5 (2) –
Culture negative 16 (6) 3 (6) 27 (10) 14 (5)
Total number of cases n = 250 cases n = 47 cases n = 282 cases n = 275
PVE: prosthetic valve endocarditis; TAVR: transcatheter aortic valve replacement.
* Includes viridans streptococci, Streptococcus gallolyticus (previously Streptococcus bovis biotype 1), other nongroupable and groupable streptococci.
¶ Includes Hemophilus species, Aggregatibacter aphrophilus, Aggregatibacter actinomycetemcomitans, Cardiobacterium hominis, Eikenella species, and Kingella kingae.
References:
  1. Rivas P, Alonso J, Moya J, et al. The impact of hospital-acquired infections on the microbial etiology and prognosis of late-onset prosthetic valve endocarditis. Chest 2005; 128:764.
  2. Karchmer AW, Longworth DL. Infections of intracardiac devices. Infect Dis Clin North Amer 2002; 16:477.
  3. Hill EE, Herregods MC, Vanderschueren S, et al. Management of prosthetic valve infective endocarditis. Am J Cardiol 2008; 101:1174.
  4. Lee JH, Burner JD, Fealey ME, et al. Prosthetic valve endocarditis: Clinicopathological correlates in 122 surgical specimens from 116 patients (1985-2004). Cardiovasc Pathol 2011; 20:26.
  5. Wang A, Athan E, Pappas PA, et al. Contemporary clinical profile and outcome of prosthetic valve endocarditis. JAMA 2007; 297:1354.
  6. Regueiro A, Linke A, Latib A, et al. Association Between Transcatheter Aortic Valve Replacement and Subsequent Infective Endocarditis and In-Hospital Death. JAMA 2016; 316:1083.
  7. Amat-Santos IJ, Messika-Zeitoun D, Eltchaninoff H, et al. Infective Endocarditis After Transcatheter Aortic Valve Implantation: Results From a Large Multicenter Registry. Circulation 2015; 131:1566.
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