A study of infectious endocarditis in Ribeirão Preto, SP - Brazil. Analysis of cases occurring between 1992 and 1997

E, Ruiz Júnior; Schirmbeck, Tarciso; Lt, Figueiredo

doi:10.1590/s0066-782x2000000300004

Cited by 10 publications

(15 citation statements)

References 9 publications

(48 reference statements)

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“…These findings are in accordance with other studies [9,27]. Other authors found no association between arterial embolism and infecting microorganisms [4,11,13].…”

Section: Discussionsupporting

confidence: 93%

See 1 more Smart Citation

Time-related distribution, risk factors and prognostic influence of embolism in patients with left-sided infective endocarditis

Fabri

Issa

Pomerantzeff

et al. 2006

International Journal of Cardiology

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“…These findings are in accordance with other studies [9,27]. Other authors found no association between arterial embolism and infecting microorganisms [4,11,13].…”

Section: Discussionsupporting

confidence: 93%

“…Systemic arterial embolism which is among the common extracardiac complications in patients with infective endocarditis [1][2][3], was reported to occur from 12.9% to 46% of the cases in recent experiences [4][5][6][7][8][9][10][11][12][13] and may carry significant morbidity and mortality [1 -3,14].…”

Section: Introductionmentioning

confidence: 99%

Time-related distribution, risk factors and prognostic influence of embolism in patients with left-sided infective endocarditis

Fabri

Issa

Pomerantzeff

et al. 2006

International Journal of Cardiology

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“…In relation to bone samples isolated only from the test group T (chlorhexidine), Staphylococcus aureus was detected in one sample only. However, it has been shown to be a prime causative organism in infectious endocarditis (Ruiz Jr. et al 2000) and sinusitis with spread to cause orbital cellulitis (Haddadin et al 1999). Wolinella species was also found in one sample only from the test group but has been associated with refractory endodontic cases (Vigil et al 1997).…”

Section: Discussionmentioning

confidence: 99%

The effects of an immediately pre‐surgical chlorhexidine oral rinse on the bacterial contaminants of bone debris collected during dental implant surgery

Young

Korachi

Carter

et al. 2002

Clinical Oral Implants Res

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Dental implant surgery produces bone debris that can be used in the "simultaneous augmentation" technique. Although this debris is contaminated with oral bacteria, a stringent aspiration protocol has been shown to reduce the levels of contamination. Chlorhexidine mouthrinse is a well-proven antibacterial rinse that has been shown to reduce infectious complications associated with dental implants. This study examined the effect of pre-operative rinsing with a 0.1% chlorhexidine digluconate mouthrinse on the bacterial contaminants present in collected bone debris bone (CBD). Twenty partially edentate patients were randomly allocated into equal groups and underwent bone collection using the Frios Bone Collector (FBC) during the insertion of two dental implants. In group T a pre-operative chlorhexidine rinse was used, whilst in group C sterile water was used. For both groups, a stringent bone collection protocol was used. Bone samples were immediately transported for microbial analysis. Colonial and microscopic morphology, gaseous requirements and identification kits were utilised for identification of the isolated microbes. Thirty-nine species were identified including a number associated with disease, in particular Actinomyces odontolyticus, Clostridium bifermentans, Prevotella intermedia, and Propionibacterium propionicum. Samples from group T (chlorhexidine mouthrinse) yielded significantly fewer organisms (P < 0.001) than in group C (sterile water mouthrinse). Gram-positive cocci dominated the isolates from both groups. It is concluded that if bone debris is to be used for the purpose of immediate simultaneous augmentation, a preoperative chlorhexidine mouthrinse should be utilised in conjunction with a stringent aspiration protocol to reduce further the bacterial contamination of CBD.

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“…Although IE in IVDA is usually seen in urban medical centers from North America, Western Europe, or Australia [1][2][3]4••,5••], in the past decade a growing number of reports have come from some countries from Eastern Europe (Russia), Asia (China, Thailand, and Malaysia), South America (Brazil and Argentina), and Africa (South Africa) [14][15][16][17][18][19][20]. The incidence of IE among IVDA in the United States is estimated at 150 to 2000 per 100,000…”

Section: ••5••]mentioning

confidence: 99%

Infective endocarditis in intravenous drug abusers

Miró

Moreno²,

Mestres³

2003

Curr Infect Dis Rep

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Infective endocarditis (IE) is one of the most severe complications in intravenous drug abusers (IVDA). IE usually involves the tricuspid valve, Staphylococcus aureus is the most common etiologic agent, and it has a relatively good prognosis. Currently, between 40% and 90% of IVDA with IE are HIV infected, and the HIV epidemic has caused a decrease in the incidence of this disease, probably due to changes in drug administration habits undertaken by addicts in order to avoid HIV transmission. This review focuses on progress made over the past few years in some aspects of IE in IVDA. The pathogenesis of tricuspid endocarditis is still unknown more than 60 years after the first series. The most important advance in antibiotic therapy is that noncomplicated S. aureus right-sided endocarditis can be successfully treated with an intravenous 2-week course of nafcillin or cloxacillin plus an aminoglycoside, although probably the aminoglycoside administration could be stopped after the first 3 to 5 days. Surgery in HIV-infected IVDA with IE does not worsen the prognosis. Considering the possibility of reinfection in IVDA, prosthetic material is usually avoided. Tricuspid valvulectomy or valve repair should be considered the technique of choice in IVDA with right-sided IE. Replacement of the tricuspid valve by a cryopreserved mitral homograft is the latest introduction into clinical practice. It provides atrioventricular competence, thereby avoiding late right heart failure. Reinfections can be treated medically with a negligible reoperation rate. Overall mortality for HIV-infected or non-HIV-infected IVDA with IE is similar. However, among HIV-infected IVDA, mortality is significantly higher in those who are most severely immunosuppressed, with CD4(+) cell counts below 200/L or with AIDS criteria.

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A study of infectious endocarditis in Ribeirão Preto, SP - Brazil. Analysis of cases occurring between 1992 and 1997

Abstract: Objective -To analyze the epidemiology, diagnosis, clinical aspects causes and evolution of infectious endocarditis. Methods

Cited by 10 publications

References 9 publications

Time-related distribution, risk factors and prognostic influence of embolism in patients with left-sided infective endocarditis

Time-related distribution, risk factors and prognostic influence of embolism in patients with left-sided infective endocarditis

The effects of an immediately pre‐surgical chlorhexidine oral rinse on the bacterial contaminants of bone debris collected during dental implant surgery

Infective endocarditis in intravenous drug abusers

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