Characteristics of infective endocarditis in France in 1991. A 1-year survey

摘要: Objective: To update data on incidence and cliar act eristics of infective endocarditis in France. Background: Numerous studies have shown that the course remain stable spite advances treatment prophylactic recommendations. Methods: A survey all consecutive cases was conducted over 12 months institutions three French regions. Results: Data were collected from 415 definite (32%), probable (53%), possible (15%) endocarditis. The adjusted annual 24–3 per million inliabitants. Thirty-four percent tlxe patients had no previously known heart disease, 33% Iiad native valve 22% a prosthetic valve, 11% miscellaneous underlying conditions. Infective located solely mitral 39%, aortic 36%, tricuspid 6%. Echocardiography showed vegetation 29%, 8%. causal microorganism identified 92%; it Streptococcus 58%, Staphylococcus 23%. Twenty intravenous drug users, 45 medical or surgical procedure, which might be associated with occurrence During first 2 montlis after admission, 24% underwent surgery, 17% died. Conclusions: Despite advances, remains frequent severe France.