Infective Endocarditis
Conditions
Brief summary
The objective of this observatory is to provide a national database of infective endocarditis, informed by all volunteer centers, using a standardized case report forms. Such an observatory will describe the clinical profile, microbiological, therapeutic and evolving of infective endocarditis (IE); analyze the risk factors for the disease and its prognosis factors of evolution; describe management practices; evaluate and compare in the real drug treatment strategies (including antibiotics) and surgical.
Detailed description
All the clinical, biological, microbiological and laboratory describing the history of patients and their evolution during hospitalization for infective endocarditis will be obtained from physicians supporting patients and recorded in an electronic case report form. Will include collected clinical characteristics (site, pre-existing heart disease underlying symptoms, complications), biological characteristics (dosage on admission and diagnosis), microbiological characteristics (identifying the genus and species of the microorganism responsible, sensitivity to antibiotics susceptibility testing and evaluated by determination of minimal inhibiting concentration (MIC), exhaustive search of the rare forms of endocarditis uncultivated microorganisms), an analysis of the gateways based on the causative organism; echocardiographic characteristics (number and size of vegetations, valvular damage, scalable: surgery, lethality) and therapeutic characteristics (antibiotic treatment, surgical).
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Major Patient * Supported in one of the participating centers * The application of diagnostic classification criteria of Duke modified by Li is carried out after collection of all the data at the end of the patient's hospitalization. Only patients meeting criteria for definite or possible endocarditis will be included in the analyses. * Registered with the French social security system
Exclusion criteria
• Refusal of the patient to participate.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| surgical procedures | from inclusion to recovery | description of surgical procedures |
| history of heart disease | inclusion | status of heart valves, pre-existing heart conditions |
| risk factors, medical history | inclusion | associated diseases |
| origin of infection | period of 3 months before infective endocarditis | high risk procedures |
| weight | inclusion | kg |
| height | inclusion | cm |
| clinical symptoms | inclusion | cardiac, peripheral and neurological symptoms |
| biological outcomes | inclusion | blood count |
| microbiological outcomes | inclusion | identification of infecting organisms |
| diagnostic imaging | inclusion | description of tyhe imaging tests performed |
| antibiotic therapy | from inclusion to recovery | antibiotic treatment: type and duration |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| biologic collection (optional) | inclusion | plasma and serum collection |
Countries
France