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Stručni rad
https://doi.org/10.21860/medflum2018_207359

Clinical and epidemiological profile of patients treated in University Clinical Hospital of Rijeka with the diagnosis of infective endocarditis in five-year period

Antun Lončarić ; Medicinski fakultet Rijeka, Sveučilište u Rijeci, Rijeka
Valentina Kršić ; Medicinski fakultet Rijeka, Sveučilište u Rijeci, Rijeka
Andrea Kresović ; Medicinski fakultet Rijeka, Sveučilište u Rijeci, Rijeka
Alen Ružić ; Zavod za kardiovaskularne bolesti, Klinika za internu medicinu, Klinički bolnički centar Rijeka, Rijeka
Luka Zaputović ; Zavod za kardiovaskularne bolesti, Klinika za internu medicinu, Klinički bolnički centar Rijeka, Rijeka
Teodora Zaninović Jurjević ; Zavod za kardiovaskularne bolesti, Klinika za internu medicinu, Klinički bolnički centar Rijeka, Rijeka

Puni tekst: hrvatski, pdf (1 MB) str. 406-412 preuzimanja: 101* citiraj
APA 6th Edition
Lončarić, A., Kršić, V., Kresović, A., Ružić, A., Zaputović, L. i Zaninović Jurjević, T. (2018). Klinički i epidemiološki profil pacijenata liječenih u Kliničkom bolničkom centru Rijeka s dijagnozom infekcijskog endokarditisa u periodu od pet godina. Medicina Fluminensis, 54 (4), 406-412. https://doi.org/10.21860/medflum2018_207359
MLA 8th Edition
Lončarić, Antun, et al. "Klinički i epidemiološki profil pacijenata liječenih u Kliničkom bolničkom centru Rijeka s dijagnozom infekcijskog endokarditisa u periodu od pet godina." Medicina Fluminensis, vol. 54, br. 4, 2018, str. 406-412. https://doi.org/10.21860/medflum2018_207359. Citirano 19.02.2020.
Chicago 17th Edition
Lončarić, Antun, Valentina Kršić, Andrea Kresović, Alen Ružić, Luka Zaputović i Teodora Zaninović Jurjević. "Klinički i epidemiološki profil pacijenata liječenih u Kliničkom bolničkom centru Rijeka s dijagnozom infekcijskog endokarditisa u periodu od pet godina." Medicina Fluminensis 54, br. 4 (2018): 406-412. https://doi.org/10.21860/medflum2018_207359
Harvard
Lončarić, A., et al. (2018). 'Klinički i epidemiološki profil pacijenata liječenih u Kliničkom bolničkom centru Rijeka s dijagnozom infekcijskog endokarditisa u periodu od pet godina', Medicina Fluminensis, 54(4), str. 406-412. https://doi.org/10.21860/medflum2018_207359
Vancouver
Lončarić A, Kršić V, Kresović A, Ružić A, Zaputović L, Zaninović Jurjević T. Klinički i epidemiološki profil pacijenata liječenih u Kliničkom bolničkom centru Rijeka s dijagnozom infekcijskog endokarditisa u periodu od pet godina. Medicina Fluminensis [Internet]. 2018 [pristupljeno 19.02.2020.];54(4):406-412. https://doi.org/10.21860/medflum2018_207359
IEEE
A. Lončarić, V. Kršić, A. Kresović, A. Ružić, L. Zaputović i T. Zaninović Jurjević, "Klinički i epidemiološki profil pacijenata liječenih u Kliničkom bolničkom centru Rijeka s dijagnozom infekcijskog endokarditisa u periodu od pet godina", Medicina Fluminensis, vol.54, br. 4, str. 406-412, 2018. [Online]. https://doi.org/10.21860/medflum2018_207359

Sažetak
Background/aim: Infective endocarditis (IE) is an infection of heart valve endocardium or an endocardial surface elsewhere, caused by microorganisms. The aim of our research was to present the clinical and epidemiological profile of patients with a diagnosis of the IE, hospitalized and treated at the Clinical Hospital Center Rijeka in the period from January 2012 to January 2017.
Methods: We performed a retrospective study and 74 patients with the diagnosis of IE were identified in a five year period. Duke criteria were used for diagnosis. The study was based on data from the Department for cardiovascular diseases, Clinical Hospital Centre Rijeka, Rijeka, Croatia. All patients signed informed consent.
Results: Out of a total of 74 identified patients, 29 were women (39,2%) and 45 men (60,8%). The median age of patients was 76 (32-88) years, while the average duration of hospitalization was 25 days. At admission, high fever was present in 52,7% of cases. Hemoculture was positive in 83,6% of cases. S.aureus (24,6%) and E.faecalis (24,6%) were most frequently isolated pathogens in blood cultures. 93,2% of patients had echocardiographic visible vegetation. Most common, the infection was located on aortic (40,5%) and mitral valve (40,5%). In 28,4% of patients prosthetic heart valve was infected.
Conclusion: According to our research, patients were predominantly older (72 years), with numerous comorbidities. IE is a serious illness with high mortality. Given the large number of afebrile patients, IE should be considered even in those who do not show signs of infection, so we could diagnose it earlier, with the earliest start of proper treatment of this disease.

Ključne riječi
endocarditis; valvular damage; vegetation

Hrčak ID: 207359

URI
https://hrcak.srce.hr/207359

[hrvatski]

Posjeta: 253 *