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Article: Emerging trends of community acquired infective endocarditis

TitleEmerging trends of community acquired infective endocarditis
Authors
KeywordsInfection
Infective endocarditis
Staphylococcus aureus
Issue Date2007
PublisherElsevier Ireland Ltd. The Journal's web site is located at http://www.elsevier.com/locate/ijcard
Citation
International Journal Of Cardiology, 2007, v. 121 n. 1, p. 119-122 How to Cite?
AbstractBackground: To obtain epidemiological information and to evaluate the emerging trend of incidence and clinical features of community acquired infective endocarditis (IE) in Hong Kong. Methods: Population-based survey in a regional hospital in Hong Kong which served 0.55 million population over an 11-year period was conducted. 172 patients diagnosed to have IE between 1995 and 2005 were analyzed. Incidence, underlying heart disease, causative microorganisms and clinical outcomes of IE were studied. Results: The standardized annual incidence of community acquired IE was 2.8 cases per 100,000 person-year and remain stable over the past 10 years in Hong Kong (P = 0.57 for trends). The most common underlying heart diseases for IE were intravenous drug addict (30%), followed by chronic rheumatic heart disease (18%). There was a time trend of increasing age in patients suffered from IE, both in patients with or without intravenous drug abuse (overall P = 0.004). Although there were no significant changes in the overall proportion of IE patients with different underlying etiologies, site of IE involvement and types of microorganisms, non-addict patients showed an increasing trend of staphylococcal IE during the study period (P = 0.01). The adverse clinical outcome of IE during the study period remained unchanged (P = 0.71). Conclusions: The results of this study have demonstrated that IE continued to be an important disease with stable incidence and high morbidity and mortality over time in Asia. Furthermore, our study also highlighted that IE is an emerging disease with continuously changing clinical and microbiologic patterns, and significant differences are still present between different countries. © 2006.
Persistent Identifierhttp://hdl.handle.net/10722/77598
ISSN
2015 Impact Factor: 4.638
2015 SCImago Journal Rankings: 1.513
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorYiu, KHen_HK
dc.contributor.authorSiu, CWen_HK
dc.contributor.authorLee, KLFen_HK
dc.contributor.authorFong, YTen_HK
dc.contributor.authorChan, HWen_HK
dc.contributor.authorLee, SWLen_HK
dc.contributor.authorLau, CPen_HK
dc.contributor.authorTse, HFen_HK
dc.date.accessioned2010-09-06T07:33:38Z-
dc.date.available2010-09-06T07:33:38Z-
dc.date.issued2007en_HK
dc.identifier.citationInternational Journal Of Cardiology, 2007, v. 121 n. 1, p. 119-122en_HK
dc.identifier.issn0167-5273en_HK
dc.identifier.urihttp://hdl.handle.net/10722/77598-
dc.description.abstractBackground: To obtain epidemiological information and to evaluate the emerging trend of incidence and clinical features of community acquired infective endocarditis (IE) in Hong Kong. Methods: Population-based survey in a regional hospital in Hong Kong which served 0.55 million population over an 11-year period was conducted. 172 patients diagnosed to have IE between 1995 and 2005 were analyzed. Incidence, underlying heart disease, causative microorganisms and clinical outcomes of IE were studied. Results: The standardized annual incidence of community acquired IE was 2.8 cases per 100,000 person-year and remain stable over the past 10 years in Hong Kong (P = 0.57 for trends). The most common underlying heart diseases for IE were intravenous drug addict (30%), followed by chronic rheumatic heart disease (18%). There was a time trend of increasing age in patients suffered from IE, both in patients with or without intravenous drug abuse (overall P = 0.004). Although there were no significant changes in the overall proportion of IE patients with different underlying etiologies, site of IE involvement and types of microorganisms, non-addict patients showed an increasing trend of staphylococcal IE during the study period (P = 0.01). The adverse clinical outcome of IE during the study period remained unchanged (P = 0.71). Conclusions: The results of this study have demonstrated that IE continued to be an important disease with stable incidence and high morbidity and mortality over time in Asia. Furthermore, our study also highlighted that IE is an emerging disease with continuously changing clinical and microbiologic patterns, and significant differences are still present between different countries. © 2006.en_HK
dc.languageengen_HK
dc.publisherElsevier Ireland Ltd. The Journal's web site is located at http://www.elsevier.com/locate/ijcarden_HK
dc.relation.ispartofInternational Journal of Cardiologyen_HK
dc.subjectInfectionen_HK
dc.subjectInfective endocarditisen_HK
dc.subjectStaphylococcus aureusen_HK
dc.subject.meshCommunity-Acquired Infections - epidemiology - microbiologyen_HK
dc.subject.meshEndocarditis, Bacterial - epidemiology - microbiologyen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshHealth Surveysen_HK
dc.subject.meshHong Kong - epidemiologyen_HK
dc.subject.meshHumansen_HK
dc.subject.meshIncidenceen_HK
dc.subject.meshMaleen_HK
dc.subject.meshMiddle Ageden_HK
dc.subject.meshRetrospective Studiesen_HK
dc.subject.meshRheumatic Heart Disease - epidemiologyen_HK
dc.subject.meshSubstance Abuse, Intravenous - epidemiologyen_HK
dc.titleEmerging trends of community acquired infective endocarditisen_HK
dc.typeArticleen_HK
dc.identifier.emailYiu, KH: khkyiu@hku.hken_HK
dc.identifier.emailSiu, CW: cwdsiu@hkucc.hku.hken_HK
dc.identifier.emailFong, YT: dytfong@hku.hken_HK
dc.identifier.emailTse, HF: hftse@hkucc.hku.hken_HK
dc.identifier.authorityYiu, KH=rp01490en_HK
dc.identifier.authoritySiu, CW=rp00534en_HK
dc.identifier.authorityFong, YT=rp00253en_HK
dc.identifier.authorityTse, HF=rp00428en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.ijcard.2006.08.053en_HK
dc.identifier.pmid17107721-
dc.identifier.scopuseid_2-s2.0-34548015824en_HK
dc.identifier.hkuros126602en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-34548015824&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume121en_HK
dc.identifier.issue1en_HK
dc.identifier.spage119en_HK
dc.identifier.epage122en_HK
dc.identifier.isiWOS:000249576700030-
dc.publisher.placeIrelanden_HK
dc.identifier.scopusauthoridYiu, KH=35172267800en_HK
dc.identifier.scopusauthoridSiu, CW=7006550690en_HK
dc.identifier.scopusauthoridLee, KLF=7501505962en_HK
dc.identifier.scopusauthoridFong, YT=35261710300en_HK
dc.identifier.scopusauthoridChan, HW=7403402419en_HK
dc.identifier.scopusauthoridLee, SWL=23990967700en_HK
dc.identifier.scopusauthoridLau, CP=35275317200en_HK
dc.identifier.scopusauthoridTse, HF=7006070805en_HK

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