RT info:eu-repo/semantics/article
T1 National temporal trend analysis of infective endocarditis among patients infected with HIV in Spain (1997–2014): A retrospective study
A1 Muñoz Moreno, María Fe
A1 Ryan, Pablo
A1 Álvaro Meca, Alejandro
A1 Valencia, Jorge
A1 Tamayo Gómez, Eduardo
A1 Resino García, Salvador
K1 AIDS (Disease)
K1 SIDA (Enfermedad)
K1 Infective endocarditis
K1 Endocarditis infecciosa
K1 Etiology
K1 Etiología
K1 3202 Epidemiología
AB Background: People living with human immunodeficiency virus (HIV) (PLWH) form a vulnerable population for the onset of infective endocarditis (IE). We aimed to analyze the epidemiological trend of IE, as well as its microbiological characteristics, in PLWH during the combined antiretroviral therapy era in Spain. Methods: We performed a retrospective study (1997–2014) in PLWH with data obtained from the Spanish Minimum Basic Data Set. We selected 1800 hospital admissions with an IE diagnosis, which corresponded to 1439 patients. Results: We found significant downward trends in the periods 1997–1999 and 2008–2014 in the rate of hospital admissions with an IE diagnosis (from 21.8 to 3.8 events per 10,000 patients/year; p < 0.001), IE incidence (from 18.2 to 2.9 events per 10,000 patients/year; p < 0.001), and IE mortality (from 23.9 to 5.5 deaths per 100,000 patient-years; p < 0.001). The most frequent microorganisms involved were staphylococci (50%; 42.7% Staphylococcus aureus and 7.3% coagulase-negative staphylococci (CoNS)), followed by streptococci (9.3%), Gram-negative bacilli (8.3%), enterococci (3%), and fungus (1.4%). During the study period, we found a downward trend in the rates of CoNS (p < 0.001) and an upward trends in streptococci (p = 0.001), Gram-negative bacilli (p < 0.001), enterococci (p = 0.003), and fungus (p < 0.001) related to IE, mainly in 2008–2014. The rate of community-acquired IE showed a significant upward trend (p = 0.001), while the rate of health care-associated IE showed a significant downward trend (p < 0.001). Conclusions: The rates of hospital admissions, incidence, and mortality related to IE diagnosis in PLWH in Spain decreased from 1997 to 2014, while other changes in clinical characteristics, mode of acquisition, and pathogens occurred over this time.
PB Elsevier
SN 2077-0383
YR 2019
FD 2019
LK https://uvadoc.uva.es/handle/10324/55861
UL https://uvadoc.uva.es/handle/10324/55861
LA eng
NO Journal of Clinical Medicine, 2019, vol. 8, n. 8, 1167
NO Producción Científica
DS UVaDOC
RD 17-jun-2024