Resumo

NEGRIN EXPOSITO, José Eugenio et al. Endocarditis infecciosa: Análisis de 5 años (1997-2001) en el Hospital "Hermanos Ameijeiras". Rev cubana med [online]. 2003, vol.42, n.5. ISSN 0034-7523.

50 medical histories from patients with infective endocarditis that recieved medical attention between 1997 and 2001 were reviewed to know their clinical characteristics in an institute and to analyze those factors influencing mortality. General data, affected valve, base heart disease, causal germs, complications, antibiotics used, echocardiographic findings and final evolution were collected. Each variable was related to mortality. It was found that the average age was 51.5 years old. There was a predominance of the degenerative valvulopathy (24 %). The negative Staphilococcus coagulase was the most isolated germ (22 %) and vegetations were observed in 52 %. The variables connected with mortality were: taking of the central nervous system (p=0.01), lung infarction (p=0.001), endocarditis of acute native valve (p=0.001) and endocarditis of early prosthetic valve (p=0.003). It was concluded that infective endocarditis may be a fatal disease if the acute or early cases do not receive an aggressive attention .

Palavras-chave : ENDOCARDITIS BACTERIAL [complications]; ENDOCARDITIS BACTERIAL [epidemiology]; ENDOCARDITIS BACTERIAL [mortality]; RISK FACTORS; INJECTIONS, INTRAVENOUS; COAGULASE; STAPHYLOCOCCAL INFECTIONS.