Twenty years (1958-1977) of bacterial endocarditis at the Hadassah University Hospital in Jerusalem

Yoram Levo, Muiad Nashif

Research output: Contribution to journalArticlepeer-review

Abstract

Eighty-nine patients with bacterial endocarditis, seen at the Hadassah University Hospital in Jerusalem between 1958 and 1977, are reported. To allow comparisons to be made within the current study, the 20-year period was divided into two subgroups, each of ten years. All patients had a typical disease pattern, regardless of the underlying heart disease, the nature of the valvular lesion or the infecting organism. In contrast to recent reviews, Str. viridans was still the major infective organism and the average age of the patients was still relatively low. The prevalence of rheumatic heart disease declined in the second decade when compared to the first one. This decline was associated with a signifcant decrease in the prevalence of combined mitral and aortic valve lesions, and with an increase in that of congenital heart disease. The diagnosis of the disease, in the second decade, was improved, as shown by an increase in the incidence of positive blood cultures, and by a decrease in the time-lag between first symptom and admission to hospital. Patients in the second decade had less systemic involvement and a better prognosis.

Original languageEnglish
Pages (from-to)35-38
Number of pages4
JournalJournal of Infection
Volume5
Issue number1
DOIs
StatePublished - Jul 1982
Externally publishedYes

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