Hospital-Acquired Infective Endocarditis: Should the Definition be Broadened?

Ben-Ami, Ronen; Giladi, Michael; Orni-Wasserlauf, Ruth; Siegman-Igra, Yardena; Carmeli, Yehuda
March 2004
Clinical Infectious Diseases;3/15/2004, Vol. 38 Issue 6, p843
Academic Journal
Hospital-acquired infective endocarditis (IE) is a growing health-care problem. Hospital-acquired IE, according to the commonly used definition, is IE manifesting ≥72 h after admission to the hospital or within several weeks after a hospital-based invasive procedure. To assess the validity of this definition, we evaluated 87 episodes of IE, with special attention to recent hospitalizations. The incidence rate of IE in the 6-month period after discharge from the hospital was 27 cases per 100,000 person-years, compared with 1.1 cases per 100,000 person-years in a population with no recent hospitalizations. Furthermore, episodes of IE manifesting during this 6-month period were notable for a high proportion of typically hospital-acquired pathogens (26% vs. 0%; P = .001) and a low proportion of viridans streptococci (0% vs. 36%; P < .001) compared with community-acquired episodes that did not involve recent hospitalization. We conclude that characteristics of hospital-acquired IE extend to episodes arising within 6 months after discharge from the hospital and suggest that the definition of hospital-acquired IE be broadened to include these episodes.


Related Articles

  • MRSA colonisation in patients with proximal femur fractures in a German trauma centre: incidence, infection rates and outcomes. Gessmann, Jan; Kammler, Jessica; Schildhauer, Thomas; Kaminski, Andrzej // Langenbeck's Archives of Surgery;Jan2012, Vol. 397 Issue 1, p117 

    Purpose: The aim of this study was to assess the incidence of methicillin-resistant Staphylococcus aureus (MRSA) colonisation in patients admitted into a level 1 German trauma centre with proximal femur fractures, to correlate this incidence with defined risk factors for MRSA colonisation and to...

  • Secular Trends in Hospital-Acquired Clostridium difficile Disease in the United States, 1987--2001. Archibald, Lennox K.; Banerjee, Shailen N.; Jarvis, William R. // Journal of Infectious Diseases;5/1/2004, Vol. 189 Issue 9, p1585 

    We reviewed Clostridium difficile-associated disease (CDAD) data from the intensive care unit (ICU) and hospital-wide surveillance components of the National Nosocomial Infections Surveillance System hospitals during 1987-2001. ICU CDAD rates increased significantly only in hospitals with >500...

  • Continuous Follow-up of Surgical Site Infections for 30 Days After Colorectal Surgery. Kobayashi, Minako; Mohri, Yasuhiko; Inoue, Yasuhiro; Okita, Yoshiki; Miki, Chikao; Kusunoki, Masato // World Journal of Surgery;Jun2008, Vol. 32 Issue 6, p1142 

    Surgical site infection (SSI) prolongs hospital stay, increases medical costs, and occasionally leads to mortality. Our goal was to clarify the differences in SSI incidence between our own data and the National Nosocomial Infections Surveillance (NNIS) data. From January 2003 to December 2006,...

  • CE/CME questions.  // Hospital Infection Control;Apr2007, Vol. 34 Issue 4, p46 

    A multiple choice quiz regarding hospital infection control is presented.

  • INFECTION CONSULT. Kirkis, E. Jacquelyn // RN;Nov81, Vol. 44 Issue 11, p139 

    Presents guidelines for preventing nosocomial infections. Modes of transmission; Information on nosocomial infections; Benefit of hand washing.

  • Nosocomial Infections In Paediatrics: Simple Preventive Measures, Great Results. Guevara, Javier Nieto; Calder�n, Dora Estripeaut; De la Guardia, Mar�a G. Arambur�; S�ez-Llorens, Xavier // Current Pediatric Reviews;2006, Vol. 2 Issue 1, p53 

    A nosocomial infection (NI) is an infection contracted in a hospital or other health-care facility. An essential requirement for the diagnosis of NI is the lack of evidence of infection (subclinical or within the incubation period) on admission to the hospital. The onset of a NI usually begins...

  • Comparison of Two Surveillance Methods for Detecting Nosocomial Infections in Surgical Patients. Beaujean, D.; Veltkamp, S.; Blok, H.; Gigengack-Baars, A.; van der Werken, C.; Verhoef, J.; Weersink, A. // European Journal of Clinical Microbiology & Infectious Diseases;Jun2002, Vol. 21 Issue 6, p444 

    Nosocomial infections play a role in quality and cost control in health care. Surveillance of these infections is the only way to gain more insight into their frequency and causes. Since the results of surveillance may lead to changes in both patient and hospital management, which are sometimes...

  • Evaluation of Factors Delaying Discharge in Acute Orthopedic Wards: a Prospective Study. Rambani, Rohit; Okafor, Ben // European Journal of Trauma & Emergency Surgery;Feb2008, Vol. 34 Issue 1, p24 

    Prolonged hospitalization due to delayed discharge not only increases cost, it also increases the risk of medical complications e.g., hospital acquired infections. Length of stay (LOS) is one of the indicators that reflect total cost of care during hospitalization. The study was planned to...

  • Editorial. Patterson, Pat // OR Manager;Feb2007, Vol. 23 Issue 2, p3 

    The article discusses the prevalence of hospital infections in the U.S. in 2007. To demonstrate this situation, the author cites the case of a father who developed infections following his hospital admission. The causes of his infections are indicated. The author also observes that experts...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics