頁籤選單縮合
題 名 | Ten-Year Descriptive Analysis of Infective Endocarditis in Hemodialysis Patients |
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作 者 | Tsai, Wan-chuan; Chang, Jia-feng; Wu, Hon-yen; Yang, Ju-yeh; Chen, Hung-yuan; Pai, Mei-fen; Hsu, Shih-ping; Peng, Yu-sen; | 書刊名 | 臺灣腎臟醫學會雜誌 |
卷 期 | 26:4 2012.12[民101.12] |
頁 次 | 頁213-217 |
分類號 | 415.816 |
關鍵詞 | Bacteremia; End-stage renal disease; Hemodialysis; Endocarditis; Taiwanese; |
語 文 | 英文(English) |
英文摘要 | BACKGROUND: Infective endocarditis is a serious infection with high mortality amongst hemodialysis patients. This study was undertaken to describe the characteristics and outcomes of infective endocarditis in hemodialysis patients. METHODS: We retrospectively reviewed all cases of infective endocarditis occurring in patients on maintenance hemodialysis at our centre over the past 10 years. Patients fulfilling the modified Duke criteria for definite endocarditis were included in the study. The in-hospital parameters between survival and mortality groups were compared. RESULTS: Fifteen patients on maintenance hemodialysis with definite endocarditis were identified. Their mean age was 66.5 ±12.0 years. Eight patients had tunnelled, cuffed, central venous catheters for vascular access. The most frequently affected valve with endocarditis was the mitral valve (n = 9) and the most common pathogen was Staphylococcus aureus (n = 12). The in-hospital mortality was 33%. Compared with the survival patients, the deceased ones were older (P = 0.01), had persistent bacteremia (P = 0.013) and fewer patients received effective antibiotic therapy within three days of admission (P = 0.022). CONCLUSIONS: The hospital mortality of hemodialysis patients with infective endocarditis at our centre is high and is associated with advanced age, persistent bacteremia, and time to antibiotic treatment. |
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