Document Detail


Bacterial endocarditis at a small community hospital.
MedLine Citation:
PMID:  2301455     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Clinical features, microbiology, and predisposing factors are described in 56 patients with bacterial endocarditis (BE) treated over a 12-year period at a small community hospital in Hawaii. The average age of patients was 52.0 years. The mean duration of symptoms was 28.8 days (range 1 to 240 days). Streptococci was the most frequently identified causative organism, present in 61% of the cases. Gram-negative bacilli were isolated from six patients (11%). Fourteen patients (25%) required cardiac surgery; the most common condition leading to surgery was severe valvular insufficiency, followed by congestive heart failure and recurrent embolism. Eighty-two percent of the patients in the series survived. The leading causes of death were congestive heart failure and cerebrovascular accidents.
Authors:
E L Kim; D L Ching; F D Pien
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American journal of the medical sciences     Volume:  299     ISSN:  0002-9629     ISO Abbreviation:  Am. J. Med. Sci.     Publication Date:  1990 Feb 
Date Detail:
Created Date:  1990-03-02     Completed Date:  1990-03-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370506     Medline TA:  Am J Med Sci     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  87-93     Citation Subset:  AIM; IM    
Affiliation:
Pacific Health Research Institute, Honolulu, Hawaii.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Bacterial Infections / diagnosis,  epidemiology,  therapy
Cross Infection / diagnosis,  epidemiology,  therapy
Echocardiography
Endocarditis, Bacterial / diagnosis,  epidemiology*,  therapy
Female
Gram-Negative Bacteria / isolation & purification
Haemophilus Infections / diagnosis,  epidemiology,  therapy
Hawaii
Heart Valve Prosthesis
Hospitals, Community*
Humans
Incidence
Male
Micrococcus / isolation & purification
Middle Aged
Prognosis
Staphylococcal Infections / diagnosis,  epidemiology,  therapy
Streptococcal Infections / diagnosis,  epidemiology,  therapy
Substance-Related Disorders / complications

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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