Hostname: page-component-848d4c4894-4hhp2 Total loading time: 0 Render date: 2024-05-16T22:35:42.345Z Has data issue: false hasContentIssue false

Infectious endocarditis in an analysis of fifty-five episodes over a ten-year period

Published online by Cambridge University Press:  19 August 2008

Tracy Wong
Affiliation:
Department of Cardiology at the Hospital for Sick Children, Toronto, Canada
Rodney S. Fowler
Affiliation:
Department of Cardiology at the Hospital for Sick Children, Toronto, Canada
Robert Freedom
Affiliation:
Department of Cardiology at the Hospital for Sick Children, Toronto, Canada
Douglas H. Johnston*
Affiliation:
Department of Dentistry at the Hospital for Sick Children, Toronto, Canada
*
Dr Douglas Johnston, Department of Dentistry, The Hospital for Sick Children, 555 University Avenue, Toronto, Ontario, M5G 1X8, Canada. Tel: (416) 813-6008; Fax: (416 813-6375

Abstract

Mortality from infectious endocarditis in the general paediatric population had decreased significantly over the last two decades. This is attributable to the increased awareness of the health care team in recognizing the early signs of this once fatal disease such that early antibiotic intervention is possible. Two groups, however, remain at high risk for infectious endocarditis. Advances in cardiac surgery have dramatically improved the prognosis for survival in many children with otherwise fatal congenital heart diseases. This group of children, along with the seriously ill who have central venous catheters in place, are currently at the highest risk for development of infectious endocarditis.1-5

Type
Original Articles
Copyright
Copyright © Cambridge University Press 1997

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Salman, L, Prince, A, Gersony, WM.Pediatric infective endocarditis in the modern era. J Ped 1993; 122: 847853.Google Scholar
2.Baltimore, RS.Infective endocarditis in children. Pediatr Infect Dis J 1992; 11: 907912.CrossRefGoogle ScholarPubMed
3.Danilowicz, D.Infective endocarditis. Pediatrics in Review 1995; 16: 148154.CrossRefGoogle ScholarPubMed
4.Coutlee, F, Carceller, AM, Deschamps, L, Kiatz, C, Lapointe, JR, Davignon, A.The evolving pattern of pediatric endocarditis from 1960 to 1985. Can J Cardiol 1990; 6: 164170.Google ScholarPubMed
5.Parras, F, Bouza, E, Romero, J, Buzon, L, Quero, M, Brito, J, Vellibre, D.Infective endocarditis in children. Pediatr Cardiol 1990; 11: 7781.CrossRefGoogle ScholarPubMed
6.Durack, DT, Lukes, AS, Bright, DK, Duke Endocarditis Service. New criteria for diagnosis of infective endocarditis: utilization of specific echocardiographic findings. Am J Med 1994; 96: 200208.CrossRefGoogle ScholarPubMed
7.Sable, CA, Rome, JJ, Martin, GR, Patel, KM, Karr, SS.Indications for echocardiography in the diagnosis of infective endocarditis in children. Am J Cardiol 1995; 75: 801804.CrossRefGoogle ScholarPubMed
8.Lindner, JR, Case, RA, Dent, JM, Abbott, RD, Scheld, WM, Kaul, S. Diagnostic value of echcardiograph in suspected endocarditis. An evaluation based on the pretest probability of disease. Circulation 1996;93:730736.CrossRefGoogle ScholarPubMed
9.Lautenschlager, S, Herzog, C, Zimmerli, W.Course and outcome of bacteremia due to Staphylococcus aureus: evaluation of different clinical case definitions. CID 1993;16: 567573.CrossRefGoogle ScholarPubMed
10.McCartney, AC.Changing trends in infective endocarditis. J Clin Pathol 1992; 45: 945948.CrossRefGoogle ScholarPubMed
11.Awadallah, S, Kavey, REW, Byrum, CJ, Smith, FC, Kveselis, DA, Blackman, MS.The changing pattern of infective endocarditis in childhood. Am J Cardiol 1991; 68: 9094.CrossRefGoogle ScholarPubMed
12.Knox, KW, Hunter, N.The role of oral bacteria in the pathogenesis of infective endocarditis. Aust Dent J 1991; 36: 286292.CrossRefGoogle ScholarPubMed
13.Chen, SC, Hsieh, KS, Wang, YJ, Chen, YJ, Chi, CS.Infective endocarditis in infants and children during the past ten years. Chung Hua i Hsueh Tsa Chih 1994; 53: 109115.Google ScholarPubMed
14.Dhawan, A, Grover, A, Marwaha, RK, Khattri, HN, Anand, IS, Kumar, L, Walia, BN, Bidwai, PS.Infective endocarditis in children: profile in a developing country. Annals Trap Paed 1993; 13: 189194.Google ScholarPubMed
15.Fukushige, J, Igarashi, H, Ueda, K.Spectrum of infective endocarditis during infancy and childhood: 20 year review. Pediatr Cardiol 1994; 15: 127131.CrossRefGoogle ScholarPubMed
16.Zuberbuhler, JR, Neches, WH, Park, SC.Infective endocarditis—an experience spanning three decades. Cardiol Young 1994; 4: 244251.CrossRefGoogle Scholar
17.Hansen, D, Schmiegelow, K, Jacobsen, JR.Bacterial endocarditis in children: trends in its diagnosis, course and prognosis. Pediatr Cardiol 1992; 13: 198203.CrossRefGoogle ScholarPubMed
18.Bayer, AS, Ward, JI, Ginzton, LE, Shapiro, SM.Evaluation of new clinical criteria for the diagnosis of infective endocarditis. Am J Med 1994; 96: 211219.CrossRefGoogle ScholarPubMed
19.Mansur, AJ, Gringerg, M, da Luz, PL, Bellotti, G.The complications of infective endocatditis.A reappraisal in the 1980s. Arch Intern Med 1992; 152: 24282432.CrossRefGoogle ScholarPubMed
20.Reinhartz, O, Herrmann, M, Redling, F, Zerkowski, HR.Timing of surgery in patients with acute infective endocarditis. J. Cardio Surg 1996; 37: 397400.Google ScholarPubMed
21.Cital, M, Rees, A, Mavroudis, C.Surgical management of infective endocarditis in children. Ann Thora Surg 1992; 54: 755760.Google Scholar
22.James, PA.Laboratory aspects of infective endocarditis. Br J Biomed Sci 1993; 50: 249257.Google ScholarPubMed
23.Nomura, F, Penny, DJ, Menahem, S, Pawade, A, Karl, TR.Surgical intervention for infective endocarditis in infancy and childhood. Ann Thorac Surg 1995; 60: 9095.CrossRefGoogle ScholarPubMed
24.Anderson, RH, Macartney, FJ, Shinebourne, EA, Tynan, M.Paediatric Cardiology. Churchill Livingstone, New York, 1987.Google Scholar
25.Tunkel, AR.Evaluation of culture-negative endocarditis. Hosp Prac 1993; 2: 5966.CrossRefGoogle Scholar