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ISSN 1990-7990 (Electronic)
Revista Universitaria

2018, Number 2

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Universidad Médica Pinareña 2018; 14 (2)

Adolescents diagnosed with infectious endocarditis treated at North Pediatric Hospital in Santiago de Cuba

Díaz SRE, Casin RSM, Mora AME, Medina RRR, Domínguez FA

Language: Spanish
References: 20
Page: 103-111
PDF size: 323.28 Kb.


ABSTRACT

Introduction: infectious endocarditis is one of the main prototypes of cardiovascular diseases not only on a global scale, but also at a national level.
Objective: to characterize clinically and epidemiologically the adolescents diagnosed with infectious endocarditis treated at North Pediatric Hospital of Santiago de Cuba from 2010 to 2017.
Method: an observational, descriptive and cross-sectional study was carried out. The target group comprised 20 adolescents with the diagnosis of infectious endocarditis treated at Norte Pediatric Hospital of Santiago de Cuba during the period 2010 to 2017. The information was collected from the medical records.
Results: the age group of 10 to 12 years (45 %) and male sex (65 %) predominated. Fever and tachycardia were the most frequent clinical manifestations, present in 100 % of adolescents. Ventricular septal defect constituted the most significant comorbidity with 30 %. Blood cultures were positive in 75 % of the cases; there was only one patient who died in the series (5 %) and 75 % progressed satisfactorily to health recovery.
Conclusions: infectious endocarditis in adolescence is more frequent in males, having several forms of presentation; it is also directly associated with the presence of other diseases, having a low mortality in the series studied.


REFERENCES

  1. Castillo Domínguez JC, Anguita Sánchez MP, Ramírez Moreno A. Características generales y resultados a corto y largo plazo de la endocarditis infecciosa en pacientes no drogadictos. Rev Esp Cardiol [revista en Internet]. 2000 [citado 2 de enero de 2017]; 53(3) 344-52. Disponible en: https://www.sciencedirect.com/science/article/pii/S0300893200751025#aep-abstract-sec-id21

  2. Grupo de Trabajo de Endocarditis Infecciosa de la Sociedad Europea de Cardiología. Guía de práctica clínica sobre prevención, diagnóstico y tratamiento de la endocarditis infecciosa. Rev Esp Cardiol [revista en Internet]. 2004 [citado 2 de enero de 2017]; 57(10): 952-62. Disponible en: http://www.revespcardiol.org/es/guia-practica-clinica-sobre-prevencion/articulo/13066456/

  3. Olivera Avezuela C. Endocarditis infecciosa. Tratamiento y profilaxis. Sociedad Española de Cardiología [Internet]. 2015 [citado 2 de enero de 2017]. Disponible en: https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=6&ved=0ahUKEwjk19nUk53bAhWDuFMKHcP6Df4QFgg1MAU&url=http%3A%2F%2Fwww.secardioped.org%2Freadcontents.php%3Ffile%3Dwebstructure%2Flp_cap41.pdf%26op%3Ddownload&usg=AOvVaw3jWcsVh1crVGHSqOGvMuvr

  4. Fernández H, Almirante N. La endocarditis infecciosa en el siglo XXI: cambios epidemiológicos, terapéuticos y pronósticos. Enferm Infecc Microbiol Clin [Internet]. 2012 [citado 2018 Ene 20]; 30(7): 394–406. Disponible en: https://www.sciencedirect.com/science/article/pii/S0213005X11003636

  5. Lamas CC, Eykin SJ. Blood culture negative endocarditis: analysis of 63 cases presenting over 25 years. Heart [revista en Internet]. 2003 [citado 2 de enero de 2017]; 89(3): 258–62. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1767579/

  6. Cabell CH, Abrutyn E. Progress toward a global understanding of infective endocarditis. Lessons from the International Collaboration on Endocarditis. Cardiol Clin [Internet]. 2013 [citado 2018 Ene 20]; 21: 147–58. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/12874889.

  7. Rivas P, Alonso J, Moya J, Górgolas M, Martinell J, Fernández Guerrero ML. The impact of hospital-acquired infections on the microbial etiology and prognosis of late-onset prosthetic valve endocarditis. Chest [revista en Internet]. 2005 [citado 2 de enero de 2017]; 128: 764-71. Disponible en: https://journal.chestnet.org/article/S0012-3692%2815%2950423-6/abstract

  8. Falces C, Miró JM. Prevención de la endocarditis infecciosa: entre el avance en los conocimientos científicos y la falta de ensayos aleatorizados. Rev Esp Cardiol [revista en Internet]. 2012 [citado 2 de enero de 2017]; 65(12): 1072–4. Disponible en: http://www.revespcardiol.org/es/prevencion-endocarditis-infecciosa-entre-el/articulo/90165275/

  9. Evans CF. Fresh autologous pericardium for leaflet perforation repair in mitral valve infective endocarditis. J Heart Valve [revista en Internet]. 2013 [citado 2 de enero de 2017]; 22(4): 560-566. Disponible en: http://europepmc.org/abstract/med/24224421

  10. Mestres CA, Miró JM. The surgical treatment of infective endocarditis: an overview. IJTCVS [Internet]. 2016 [citado 2 de enero de 2017]; 22(1): 28–35. https://link.springer.com/article/10.1007%2Fs12055-006-0504-1

  11. Gómez A, Gonga J, Milvio B. Ramírez T, López E. Pérez L. Complicaciones posoperatorias en pacientes operados por endocarditis infecciosa. Rev Cubana Cir [Internet]. 2013 [citado 2018 Ene 20]. 58(1): 23-34. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-74932013000100006.

  12. Saito C, Padilla M, Valle A, Castañeda E. Tratamiento quirúrgico de la endocarditis infecciosa en un hospital general: Indicaciones y morbi-mortalidad. Rev Med Hered [Internet]. 2014 Jul [citado 2018 Ene 12]; 25(3): 135-141. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1018-130X2014000300005&lng=es

  13. Perdomo García FJ, Martínez Muñiz O, Machín Rodríguez JC, Torralbas Reverón FE, Díaz Ramírez S. Endocarditis infecciosa: una revisión bibliográfica necesaria. MEDISAN [Internet]. 2010 Feb [citado 2018 Ene 15]; 14(1). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192010000100014&lng=es

  14. Braun S. Desafíos actuales de la endocarditis infecciosa. Revista española de Cardiología [Internet]. 2003 [citado 2018 Ene 15]; 56 (2): 22-28. Disponible en: http://www.revespcardiol.org/es/desafios-actuales-endocarditis-infecciosa/articulo/13048150/

  15. Murashita T, Sugiki H. Surgical results for active endocarditis with prostethic valve replacement: impact of culture-negative endocarditis on early and late outcomes. Eur J Cardiothoracic Surg [Internet]. 2004 [citado 2018 Ene 15]; 26(6): 12-24. Disponible en: https://academic.oup.com/ejcts/article/26/6/1104/529001

  16. Haider K, Pinsky MR. Early surgery for native valve infective endocarditis. Critical Care[Internet]. 2013 [citado 2018 Ene 15]; 17: 304. Disponible en: https://ccforum.biomedcentral.com/articles/10.1186/cc12497

  17. Lee CH, Tsai WC, Liu PY, et al. Epidemiologic features of infective endocarditis in taiwanesechildrens involving native valves. Am J Cardiol [Internet]. 2016 [citado 2018 Ene 15]; 100(8): 1282-5. Disponible en: https://www.ajconline.org/article/S0002-9149(07)01379-3/abstract

  18. Head SJ .Mokhles MM, Osnabrugge RL, Bogers JC, and Kappetein AP1Surgery in current therapy for infective endocarditis. Vascular Health and Risk Management [Internet]. 2011 [citado 2018 Ene 15]; 7: 255-263. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3096505/

  19. Zalaquetti SR, Latorre SG, Almeida ZJ, Meneses OA, Muñoz CC, Córdova A S. Veinte años de cirugía reparadora de la válvula mitral. Rev. méd. Chile [Internet]. 2014 Sep [citado 2018 Ene 15]; 142(9): 1089-1098. Disponible en: https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000900001&lng=es

  20. Zhao D, Zhang B. Are valve repairs associated with better outcomes than replacements in patients with native active valve endocarditis? InteractCardiovascThorac Surg. 2014; 19(6): 1036-1039. Disponible en: https://academic.oup.com/icvts/article/19/6/1036/683078




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