Hoen Bruno, Duval Xavier
Service de maladies infectieuses et tropicales, CHU de Besançon, France.
Rev Prat. 2012 Apr;62(4):511-4.
In industrialized countries, after the eradication of rheumatic fever, rheumatic valve diseases progressively disappeared and the proportion of post-rheumatic infective endocarditis significantly decreased. Intravenous drug use, prosthetic valves, age-related degenerative valve sclerosis, and invasive procedures have become the most important risk factors for infective endocarditis. These changes resulted in a decreased incidence of streptococcal endocarditis and an increased incidence of staphylococcal endocarditis.
在工业化国家，风湿热根除后，风湿性瓣膜病逐渐消失，风湿热后感染性心内膜炎的比例显著下降。静脉注射毒品、人工瓣膜、年龄相关的退行性瓣膜硬化以及侵入性操作已成为感染性心内膜炎最重要的危险因素。这些变化导致链球菌性心内膜炎的发病率下降，葡萄球菌性心内膜炎的发病率上升。
