Nosocomial infective endocarditis: should the definition be extended to 6months after discharge

AbstractBecause the microbiology and patient population of infective endocarditis (IE) have evolved, the traditional definition of nosocomial IE may require revision. The question of whether this definition should be extended to 6months after discharge was explored, and a high rate of episodes with...

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Published inClinical microbiology and infection Vol. 14; no. 10; pp. 970 - 973
Main Authors Peetermans, W E, Hill, EE, Herijgers, P, Claus, P, Herregods, M-C, Verhaegen, J, Vanderschueren, S
Format Journal Article
LanguageEnglish
Published 01.10.2008
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Summary:AbstractBecause the microbiology and patient population of infective endocarditis (IE) have evolved, the traditional definition of nosocomial IE may require revision. The question of whether this definition should be extended to 6months after discharge was explored, and a high rate of episodes with nosocomial pathogens (coagulase-negative staphylococci) and a low rate of episodes with community pathogens (streptococci) in the extended nosocomial group were found. Therefore, modification of the traditional definition is proposed, distinguishing between early (as traditionally described) and late nosocomial IE (IE in association with a significant invasive procedure performed during a hospitalization between 8weeks and 6months before the onset of symptoms).
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ISSN:1198-743X
1469-0691
DOI:10.1111/j.1469-0691.2008.02057.x