التفاصيل البيبلوغرافية
| العنوان: |
In-hospital and long-term mortality in infective endocarditis in injecting drug users compared to non-drug users: A retrospective study of 192 episodes. |
| المؤلفون: |
Thalme, Anders1 (AUTHOR) anders.thalme@ki.se, Westling, Katarina1 (AUTHOR), Julander, Inger2 (AUTHOR) |
| المصدر: |
Scandinavian Journal of Infectious Diseases. Mar2007, Vol. 39 Issue 3, p197-204. 8p. 3 Charts, 1 Graph. |
| مصطلحات موضوعية: |
*INFECTIVE endocarditis, *ENDOCARDIUM diseases, *COMMUNICABLE diseases, *IATROGENIC diseases, *INTRAVENOUS injections |
| مصطلحات جغرافية: |
STOCKHOLM (Sweden), SWEDEN |
| مستخلص: |
In a retrospective study, in-hospital and long-term mortality for patients with infective endocarditis (IE) was analysed. The study was conducted at a department of infectious diseases in Stockholm, Sweden. Mortality was compared between injecting drug users (IDUs) and patients without drug abuse (non-IDUs). 192 episodes of IE from 1995 to 2000 were analysed, 60 in IDUs and 135 in non-IDUs, median follow-up 4.4 y. Episodes were classified using the Duke criteria: 145 definite and 47 possible. Of 53 definite episodes in IDUs, 55% were right-sided IE and 43% left-sided IE (including combined left- and right-sided). Surgical treatment was used in 34/145 definite episodes, all being left-sided IE. The in-hospital mortality was 14/145 (9.6%). There was no difference in in-hospital mortality between patient groups with left-sided IE. The IDU patients with left-sided IE had a higher long-term mortality with the increased mortality rate explained by late deaths in the surgically treated IDUs. Treatment results for IDUs with right-sided IE were good with no in-hospital mortality, no relapses and no increase in long-term mortality. This difference in prognosis between left-sided and right-sided IE in IDUs makes high quality echocardiography important to identify patients with left-sided IE and worse prognosis. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
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