Expósito Ordóñez E, de la Morena Valenzuela G, Gómez Gómez J, Ruipérez Abizanda J A, Sánchez Villanueva J G, Gimeno Blanes J R
Servicio de Cardiología, Hospital Universitario Virgen de la Arrixaca, Murcia.
An Med Interna. 1998 Dec;15(12):642-6.
To know the present epidemiological situation of the infective endocarditis in our environment and its evolution in the last few years.
The incidence of infective endocarditis was 0.85 per thousand patients admitted to hospital, with a mean age of 43 years. The predisposed factors more frequently found were: drug addiction (32%) and cardiac prosthetic valves (23%). In the greatest number of our patients the cardiac valves involved were: tricuspid (28%), mitral (27%) and prosthetic valves (23%). The causative organism were: S. aureus (19 cases), Streptococcus (15 cases) and S. epidermidis (11 cases). The echocardiography study resulted diagnostic in 90% of the patients, valve replacements were performed in 22% of the cases. The overall mortality rate was 10%.
The current profile of infective endocarditis is characterized by a high incidence of parenterally drug addict patients or prosthetic valves carriers. Increase of the infections of S aureus and a decrease of Streptococcus infections, as well as a less overall mortality.
了解我国感染性心内膜炎的当前流行病学情况及其在过去几年中的演变。
感染性心内膜炎的发病率为每千名住院患者0.85例，平均年龄为43岁。最常见的易感因素为：药物成瘾（32%）和心脏人工瓣膜（23%）。在我们的大多数患者中，受累的心脏瓣膜为：三尖瓣（28%）、二尖瓣（27%）和人工瓣膜（23%）。致病微生物为：金黄色葡萄球菌（19例）、链球菌（15例）和表皮葡萄球菌（11例）。超声心动图检查在90%的患者中具有诊断价值，22%的病例进行了瓣膜置换。总死亡率为10%。
目前感染性心内膜炎的特征是静脉注射药物成瘾患者或人工瓣膜携带者的发病率较高。金黄色葡萄球菌感染增加，链球菌感染减少，总体死亡率降低。
