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Clinical, microbiological, and imaging characteristics of infective endocarditis in Latin America: a systematic review

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datacite.rightshttp://purl.org/coar/access_right/c_abf2spa
dc.contributor.authorUrina-Jassir, Manuel
dc.contributor.authorJaimes-Reyes, María Alejandra
dc.contributor.authorMartinez-Vernaza, Samuel
dc.contributor.authorQuiroga-Vergara, Camilo
dc.contributor.authorUrina-Triana, Miguel
dc.date.accessioned2022-03-08T14:23:18Z
dc.date.available2022-03-08T14:23:18Z
dc.date.issued2022
dc.description.abstractObjectives: We aimed to describe the clinical, microbiological, and imaging characteristics of patients with infective endocarditis (IE) in studies from Latin America (LATAM). Methods: A systematic search through PubMed, EMBASE, LILACS, and SciELO from inception until Febru ary 2021 was conducted. We included observational studies that assessed adults with IE from LATAM and reported data on clinical, microbiological, or imaging characteristics. Data were independently extracted by 2 authors and the risk of bias was evaluated by study design with its respective tool. Findings were summarized using descriptive statistics. Results: Forty-four studies were included. Most cases were male (68.5%), had a predisposing condition including valve disease (24.3%), or had a prosthetic valve (23.4%). Clinical manifestations included fever (83.9%), malaise (63.2%), or heart murmur (57.7%). A total of 36.4% and 27.1% developed heart failure or embolism, respectively. Blood cultures were negative in 23.9% and S. aureus (18.6%) and the viridans group streptococci (17.8%) were the most common isolates. Most cases were native valve IE (67.3%) affecting mainly left-sided valves. Echocardiographic findings included vegetations (84.3%) and regurgitation (75.9%). In-hospital mortality was 25.1%. Conclusions: This is the first systematic review that evaluated the characteristics of IE in LATAM patients. A lack of multicenter studies reflects the need for these studies in LATAM.eng
dc.format.mimetypepdfspa
dc.identifier.doihttps://doi.org/10.1016/j.ijid.2022.02.022
dc.identifier.issn12019712
dc.identifier.urihttps://hdl.handle.net/20.500.12442/9401
dc.identifier.urlhttps://www.ijidonline.com/article/S1201-9712(22)00099-6/fulltext
dc.language.isoengeng
dc.publisherElsevier -- International Society for Infectious Diseaseseng
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internacional*
dc.rights.accessrightsinfo:eu-repo/semantics/openAccesseng
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.sourceInternational Journal of Infectious Diseaseseng
dc.sourceVolumen 117 (2022)spa
dc.subjectEndocarditiseng
dc.subjectLatin Americaeng
dc.subjectMicrobiologyeng
dc.subjectBlood Cultureeng
dc.subjectEchocardiographyeng
dc.titleClinical, microbiological, and imaging characteristics of infective endocarditis in Latin America: a systematic revieweng
dc.type.driverinfo:eu-repo/semantics/articlespa
dc.type.spaArtículo científicospa
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