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Revista del Nacional (Itauguá)

Print version ISSN 2072-8174


ROMERO FLECHA, Jossep Rafael  and  AVEIRO FIGUEREDO, Alba Concepción. Clinical, bacteriological and demographic characteristics of infective endocarditis. Rev. Nac. (Itauguá) [online]. 2020, vol.12, n.1, pp.42-54. ISSN 2072-8174.


infective endocarditisis a disease with a diversity of clinical presentation, high morbidity and mortality, a weight of advances in diagnosis and in the efficacy of antibiotics.


to describe the clinical, bacteriological, demographic and associated mortality characteristics of patients with infective endocarditis, admitted to the Hospital Nacional, Itauguá - Paraguay from 2016 to 2018.


observational, descriptive, cross-sectional study of patients with infective endocarditisis, according to modified Duke criteria


50 patients were included; age 43 ± 16 years, 70 % were men, the origin (38 %) of the Departamento Central, 42 entered for fever (84 %); It was found that 44 (88 %) of the cases on native valves, the most affected were the mitral 20 (46 %) followed by the aortic 16 (36 %), with Staphylococcus aureus (36 %) being the prevalent germ in this group, in addition 6 (12 %) of the cases on prosthetic valves, being in this group Staphylococcus spp. (46 %) the prevalent germ, it was found that they were catheter carriers for hemodialysis 8 (16 %) of the patients, 17 (39 %) with blood cultures negatives

They presented complications (52 %) of these were cardiac (24 %), neurological (18 %), pulmonary embolism (6 %), renal (4 %) and a fatal outcome (44 %) of the cases was found, being those with the worst prognosis neurological complications.


infective endocarditisis, according to the findings, continues to be a frequent disease with serious complications and high deaths, a challenge; Identification of risk factors to open a scenario in which it would be important to work and promote preventive measures, insist on the use of arteriovenous fistulas for hemodialysis in outpatients. The most frequent germ Staphylococcus spp.

Keywords : infective endocarditis; etiologic agent; native valve..

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