Medical Department, Morges Hospital, Morges, Switzerland
Endocarditis is a challenging medical condition difficult to diagnose and to treat. The specialised literature on the subject is based on large studies carried out in tertiary reference centres, which sometimes do not represent exactly the clinical presentation in the general population. Therefore, a retrospective single-centre analysis of patients presenting with endocarditis was conducted in a primary care regional hospital in Switzerland.
Between January 2002 and June 2017, all the patients with a final diagnosis of definite or probable endocarditis based on the modified Duke criteria in Morges Regional Hospital were identified. A retrospective analysis was performed including risk factors, aetiology, initial symptoms, laboratory values, echocardiographic findings, microbiology and treatments.
Eighty-seven patients were identified, 69 classified as definite endocarditis, 15 as probable endocarditis according to Duke criteria and 3 as non-infectious endocarditis. The mean age of our population and the female proportion increased significantly during the study period. The two main microorganisms identified were Staphylococcus aureus (25%) and viridans group streptococci (22.6%), with the latter predominantly in native valves (34.6%) and the former in other forms of endocarditis. The left-sided valves were more often affected (61.9%), followed by left-sided prostheses (28.6%). In this group, a higher proportion of HACEK infectious endocarditis (IE) (8.3%) compared with the general literature was found. The group of probable IE (15 patients) was significantly associated with prosthetic valves (p = 0.02), although many characteristics were similar to the larger group of definite IE. No significant differences between the clinical presentations were observed. Combined antimicrobial treatment was administered in 42% of the cases and early surgery performed in 39%. In-hospital mortality was 6% and strongly linked to S. aureus IE (four of five patients).
Compared with publications issued from tertiary centres, our study showed similar clinical presentation, epidemiology and aetiology of infectious endocarditis, except that HACEK microorganisms identified more often, specifically in the group with prosthetic valve endocarditis. We observed fewer surgical referrals and a lower mortality in our study group, reflecting less severe cases of infectious endocarditis treated in a primary care setting.
Keywords: bacterial endocarditis, non-bacterial endocarditis, endocarditis in primary care center, treatment of bacterial endocarditis
Infectious endocarditis (IE) is a rare condition affecting 3 to 10 individuals out of 100,000 . Its presentation can be insidious, delaying its diagnosis for several weeks or even months, and impacting on its course and complications. In recent years, the prognosis of patients with IE has not changed much, except for cases where early surgery has been undertaken . The increase use of echocardiography as a diagnostic tool and the better management of IE are balanced by the increased population of high-risk patients (immunosuppression, diabetes, intravenous drug injection, intracardiac devices). The medical literature on the subject is based on large studies carried out in tertiary reference centres, potentially biased by a selection of more serious cases.
The main objective of this work was to assess the actual presentation and evolution of IE in a primary care hospital and to compare these results with the data in the literature usually derived from tertiary referral centres. Our hypothesis was that our setting could be more representative of the initial presentation of infectious endocarditis in the general population and that IE subtypes may be present specific risks.
We performed a retrospective study of all consecutive cases of IE admitted to the regional hospital of Morges between 2002 and 2017 (15 years). This general hospital (200 beds with 60 beds for internal medicine) is the primary reference centre for a population of 50,000 people in the region of Western Switzerland situated between Lausanne and Geneva. We identified all patients who were diagnosed with IE in the hospital discharge letter during the study period. We crosschecked this patient list with all the echocardiographic examinations performed in the hospital during the same period with a diagnosis of suspected IE. We included in the study all the patients having undergone an echocardiographic examination and hospitalised with the final diagnosis of definite or probable IE, according to the modified Duke criteria . The study was approved by the Ethics Committee of the Lausanne University Hospital and of the Faculty of Biology and Medicine of the University of Lausanne. The clinical data were processed in accordance with the ethical principles defined in the Helsinki Declaration.
Data were extracted from the hospital discharge letters, hospital charts and microbiological reports. The following parameters were analysed: demographics, cardiac and noncardiac predisposing conditions for endocarditis, clinical signs and symptoms at hospital admission, echocardiographic findings, blood cultures results, type of treatment, complications and outcome. According to the modified Duke criteria, patients were classified in three categories: definite IE, probable IE and inconclusive diagnosis. Patients with definite or probable IE were included in the study and analysed. Cases with a final diagnosis of non-infectious marantic endocarditis were also identified and described.
Infectious endocarditis was further classified as right-sided IE (RS-IE), left-sided IE on native valve (LS-NVE), left-sided IE on prosthetic valve (LS-PVE), left-sided IE on biological valve (LS-BVE), left-sided IE on mechanical valve (LS-MVE) or IE associated with a cardiac implantable device (CIED-IE).
Continuous variables were analysed as median with interquartile range (IQR). Continuous variables were compared with the Mann-Whitney test for unpaired data. A two-sided p-value <0.05 was considered as statistically significant. Graphics and statistics were performed using Graph Pad Prism 7.02 (Graph Pad Software, La Jolla, CA, USA).
The literature search was carried out on PubMed with the following keywords: IE associated with epidemiology, pathogenesis, therapy, as well as with multiple combinations of these terms. Studies published from 2001 to 2017 were screened. For the comparison with our data, three studies were selected on the basis of specific settings: a study from a tertiary care centre in London , a study from a primary general hospital in the USA  and a national registry in Italy  including tertiary reference centres and smaller regional hospitals.
Demographic, clinical, and microbiological characteristics
During the period from 2002 to 2017, 151 cases were screened and 87 patients fulfilling the criteria for a final diagnosis of endocarditis were included (69 definite IE, 15 probable IE according to Duke diagnostic criteria and 3 non-infectious marantic endocarditis); 64 cases were excluded because of an inconclusive diagnosis. Demographic, clinical and microbiological characteristics of patients with definite or probable IE are presented in table 1. The median age of our patients was 68.5 years with a male predominance (78.6%). Diabetes was the most prominent comorbidity (19%), and was particularly frequent in left-sided bioprosthetic valve IE (41.7%), as well as mechanical valve IE (25%) and IE on intracardiac devices (67%). A previous history of IE (13.1%) also emerged as a predisposing factor. A cutaneous entry point (skin lesions, peripheral venous catheters or bladder catheter) (15.5%) was found more often than a dental procedure (4.8%). Of note, 6 patients (7.1%) of our population were intravenous drug users. No patients in our study were on haemodialysis as it was not available in Morges.
|Number of IE episodes||84 (100%)||52 (61.9%)||12 (14.3%)||12 (14.3%)||5 (6%)||3 (3.6%)|
|Age (y)||68.5 [55.8;78.3]||69.5 [53.8;79.3]||70.5 [69;84.3]||63 [60;75.3]||37 [36;38]||64 [58;70]|
|Male||78.6% (66:18)||71.2% (37:15)||91.7% (11:1)||91.7% (11:1)||80% (4:1)||100% (3:0)|
|Comorbidities||Immunosuppression and HIV positive||4 (4.8%)||2 (3.8%)||1 (8.3%)||1 (8.3%)||0||0|
|Diabetes||16 (19%)||6 (11.5%)||5 (41.7%)||3 (25%)||0||2 (66.7%)|
|Cancer||4 (4.8%)||2 (3.8%)||1 (8.3%)||0||0||1 (33.3%)|
|Predisposing factors||Native valve disease||3 (3.6%)||2 (3.8%)||0||0||1 (20%)||0|
|Intravenous drug abuse||6 (7.1%)||2 (3.8%)||0||0||4 (80%)||0|
|Congenital heart disease||4 (4.8%)||3 (5.8%)||0||1 (8.3%)||0||0|
|History of endocarditis||11 (13.1%)||4 (7.7%)||3 (25%)||3 (25%)||1 (20%)||0|
|Portals of entry||Cutaneous portal of entry (skin and catheters)||13 (15.5%)||8 (15.4%)||1 (8.3%)||3 (25%)||0||1 (33.3%)|
|Dental intervention||4 (4.8%)||4 (7.7%)||0||0||0||0|
|Clinical presentation||Fever (>38°)||60 (71.4%)||32 (61.5%)||11 (91.7%)||11 (91.7%)||4 (80%)||2 (66.7%)|
|Fever AND cardiac murmur||52 (61.9%)||31 (59.6%)||10 (83.3%)||6 (50%)||4 (80%)||1 (33.3%)|
|Chills||39 (46.4%)||21 (40.4%)||7 (58.3%)||9 (75%)||1 (20%)||1 (33.3%)|
|Weight loss||14 (16.7%)||10 (19.2%)||2 (16.7%)||1 (8.3%)||0||1 (33.3%)|
|Night sweats||17 (20.2%)||7 (13.5%)||4 (33.3%)||4 (33.3%)||2 (40%)||0|
|Dyspnoea, orthopnoea, nycturia||41 (48.8%)||25 (48.1%)||7 (58.3%)||5 (41.7%)||3 (60%)||1 (33.3%)|
|Oedema, weight gain||28 (33.3%)||18 (34.6%)||4 (33.3%)||3 (25%)||2 (40%)||1 (33.3%)|
|Signs of left cardiac failure||32 (38.1%)||18 (34.6%)||5 (41.7%)||4 (33.3%)||3 (60%)||2 (66.7%)|
|Signs of right cardiac failure||33 (39.3%)||21 (40.4%)||4 (33.3%)||5 (41.7%)||1 (20%)||2 (66.7%)|
|Cardiac murmur||68 (81%)||47 (90.4%)||10 (83.3%)||6 (50%)||4 (80%)||1 (33.3%)|
|Cutaneous embolisation/complication||21 (25%)||13 (25%)||3 (25%)||1 (8.3%)||3 (60%)||1 (33.3%)|
|Cerebrovascular embolisation/complication||22 (26.2%)||14 (26.9%)||2 (16.7%)||5 (41.7%)||1 (20%)||0|
|Echocardiographic features||Vegetations||42 (50%)||28 (53.8%)||6 (50%)||2 (16.7%)||4 (80%)||2 (66.7%)|
|Abcess/perforation||14 (16.7%)||9 (17.3%)||3 (25%)||1 (8.3%)||1 (20%)||0|
|New valvular insufficiancy/dehiscence||24 (28.6%)||18 (34.6%)||5 (41.7%)||1 (8.3%)||0||0|
|Microbiology||Staphylococcus aureus||21 (25%)||9 (17.3%)||3 (25%)||4 (33.3%)||4 (80%)||1 (33.3%)|
|Viridans group streptococci*||19 (22.6%)||18 (34.6%)||1 (8.3%)||0||0||0|
|Enterococcus species||8 (9.5%)||3 (5.8%)||2 (16.7%)||2 (16.7%)||0||1 (33.3%)|
|Coagulase negative staphylococci||5 (6%)||4 (7.7%)||1 (8.3%)||0||0||0|
|Streptococcus bovis||6 (7.1%)||4 (7.7%)||1 (8.3%)||1 (8.3%)||0||0|
|Other streptococci||7 (8.3%)||5 (9.6%)||2 (16.7%)||0||0||0|
|Other microorganisms||6 (7.1%)||4 (7.7%)||0||1 (8.3%)||0||1 (33.3%)|
|Polymicrobial - fungi||0||0||0||0||0||0|
|HACEK organisms||5 (6%)||2 (3.8%)||0||2 (16.7%)||1 (20%)||0|
|Negative blood cultures||7 (8.3%)||3 (5.8%)||2 (16.7%)||2 (16.7%)||0||0|
|Valve||Mitral||35 (41.7%)||30 (57.7%)||0||5 (41.7%)||0||0|
|Aortic||39 (46.4%)||20 (38.5%)||12 (100%)||7 (58.3%)||0||0|
|Tricuspid||3 (3.6%)||0||0||0||3 (60%)||0|
|Pulmonary||2 (2.4%)||0||0||0||2 (40%)||0|
|Ventricular septal defect||2 (2.4%)||2 (3.8%)||0||0||0||0|
|Pacemaker||3 (3.6%)||0||0||0||0||3 (100%)|
|Surgery||33 (39.3%)||24 (48%)||2 (16.7%)||1 (20%)||2 (66.7%)|
The IE clinical presentation was classical, with fever (71.4%) and a cardiac murmur (81%) as the most prevalent manifestations; both were present in 61.9%. One third of the patients (38.1% and 39.3%, respectively) exhibited symptoms of left heart failure or right heart failure. Half of the patients reported chills (46.1%). In a quarter of our population, cutaneous emboli (25%) and neurological emboli (26.2%) were observed. Notably, only half of the patients with a mechanical valve endocarditis had a cardiac murmur. The two main microorganisms identified were Staphylococcus aureus (25%) and viridans group streptococci (22.6%), with the latter predominantly in native valves (34.6%) and the former in the other forms of endocarditis (17.3–100%). Streptococcus bovis, actually classified as a viridans group streptococci, was analysed separately in our study. Of the S. aureus associated cases, a fifth were due to methicillin-resistant S. aureus (MRSA; 4.8 vs 20.2% methicillin-sensitive S. aureus [MSSA]). The other classical microorganisms were less frequent; these included the HACEK organisms (Haemophilus species, Aggregatibacter species, Cardiobacterium hominis, Eikenella corrodens, and Kingella species) which were found five times (three Haemophilus and two Cardiobacterium, all detected in blood cultures) Unusual cases included a native valve endocarditis with abscess of the septum and left main coronary occlusion due to Staphylococcus lugdunensis, a bivalvular endocarditis due to Tropheryma whipplei as the first manifestation of Whipple disease (fig. 1) and a pacemaker lead and device endocarditis due to Campylobacter fetus. Overall, 8.3% of the cases were blood culture negative endocarditis. Microorganism identification tended to be more difficult in prosthetic valve endocarditis (16.7%) than in the other types. No fungal or polymicrobial cases of IE were found in our collective.
Left-sided native valves were mostly affected (61.9%), followed by left-sided prostheses (28.6% with an equal distribution of mechanical valve prostheses and bioprostheses); right-sided IE and endocarditis with intracardiac material were much less frequent (6% and 3.6%, respectively). Patients with LS-BVE were significantly older than those with RS-IE. The IE on the left-sided heart valves was almost equally shared between the aortic valve (46.4%) and the mitral valve (41.7%). We observed three cases of IE on extracardiac material (defibrillator or pacemaker electrode leads [3.6%]) and two cases of IE on a ventricular septal defect (2.4%). Trans-thoracic echocardiography was performed in 100% of the cases and transoesophageal when clinically indicated, in 51% of the patients (43/84). Vegetations were identified in 50% of the cases and signs of abscess or valve perforation in 16.7%. Signs of new valvular insufficiency or dehiscence were identified in 28.6%. The mitral valve was the most frequently affected valve in native endocarditis (57.7%), and valves in the aortic position for bioprostheses (100%) and mechanical prostheses (58.3%). In our study, we recorded three cases on non-infectious thrombotic endocarditis or “marantic” endocarditis in the context of widespread cancer. In one case, the endocarditis was the first manifestation of the disease through multiple embolic cerebral infarcts. The echocardiographic appearance of the valve was classical with multiple small “frond-like” vegetations on the valve borders (fig. 2).
Demographics and clinical characteristics of probable versus definite IE
The probable IE group, according to the modified Duke criteria, included 15 patients and was significantly associated with prosthetic valves (p = 0.02), although many characteristics were similar to the larger group of definite IE (table 2.). The male preponderance remained high (80%). The clinical presentation was dominated by fever, in the same proportion of patients as in the definite and probable groups (86.7 vs 68.1%, p = not significant). Similarly, the proportion with cardiac murmurs was not significantly different in the two groups (73.3 vs 82.6%, p = not significant). The significant differences were the presence of cardiovascular and neurological emboli or other related complications only in the definite IE group (p <0.02 and p <0.01, respectively).
|Number of IE episodes||69 (82.1%)||15 (7.9%)||Native valves||51 (73.9%)||5 (33.3%)|
|Age (y)||69 [54;77]||67 [60;81]||Prosthetic valves||16 (23.2%)||9 (60%)|
|Male||78.3% (54:15)||80% (12:3)||Pacemaker||2 (2.9%)||1 (6.7%)|
|Immunosuppression and HIV positive||2 (2.9%)||2 (13.3%)||0.1446||Staphylococcus aureus||18 (26.1%)||3 (20%)||0.7512|
|Diabetes||14 (20.3%)||2 (13.3%)||0.7247||Methicillin-resistant S. aureus||3 (4.3%)||1 (6.7%)||0.5520|
|Cancer||2 (2.9%)||2 (13.3%)||0.1446||Methicillin-sensible S. aureus||15 (21.7%)||2 (13.3%)||0.7247|
|Predisposing factors||Viridans group streptococci*||19 (27.5%)||0||0.0181|
|Native valve disease||2 (2.9%)||1 (6.7%)||0.4501||Enterococcus species||5 (7.2%)||3 (20%)||0.1483|
|IV drug abuse||6 (8.7%)||0||0.5853||Coagulase neg staphylococci||4 (5.8%)||1 (6.7%)||>0.9999|
|Congenital heart disease||3 (4.3%)||1 (6.7%)||0.5520||Streptococcus bovis||5 (7.2%)||1 (6.7%)||>0.9999|
|History of endocarditis||5 (7.2%)||6 (40%)||0.0033||Other streptococci||4 (5.8%)||3 (20%)||0.1043|
|Portals of entry||Other microorganisms||5 (7.2%)||1 (6.7%)||>0.9999|
|Cutaneous portal of entry (skin and catheters)||9 (13%)||4 (26.6%)||0.2355||Polymicrobial – fungi||0||0||>0.9999|
|Dental intervention||3 (4.3%)||1 (6.7%)||0.5520||HACEK organisms||4 (5.8%)||1 (6.7%)||>0.9999|
|Clinical presentation||Negative blood cultures||5 (7.2%)||2 (13.3%)||0.6030|
|Fever (>38°)||47 (68.1%)||13 (86.7%)||0.2122||Valve|
|Fever AND Cardiac murmur||39 (56.5%)||10 (66%)||0.5701||Mitral||27 (39.1%)||8 (53.3%)||0.3900|
|Chills||30 (43.5%)||9 (60%)||0.2684||Aortic||35 (50.7%)||4 (26.7%)||0.1519|
|Weight loss||14 (20.3%)||0||0.0643||Tricuspid||3 (4.3%)||0||>0.9999|
|Night sweats||14 (20.3%)||3 (20%)||>0.9999||Pulmonary||1 (1.4%)||1 (6.7%)||0.3270|
|Dyspnoea, orthopnoea, nycturia||34 (49.3%)||7 (46.7%)||>0.9999||Ventricular septal defect||1 (1.4%)||1 (6.7%)||0.3270|
|Oedema, weight gain||23 (33.3%)||5 (33.3%)||>0.9999||Pacemaker||2 (2.9%)||1 (6.7%)||0.4501|
|Signs of left cardiac failure||27 (39.1%)||5 (33.3%)||0.7749||Echocardiographic features||ETO 63%||ETO 40%||0.1461|
|Signs of right cardiac failure||27 (39.1%)||6 (40%)||>0.9999||Vegetations||39 (56.5%)||3 (20%)||0.0204|
|Cardiac murmur||57 (82.6%)||11 (73.3%)||0.4705||Abscess / perforation||14 (20.3%)||0||0.0643|
|Cutaneous embolisation/complication||21 (30.4%)||0||0.0174||New valvular insufficiency||22 (31.9%)||2 (13.3%)||0.2122|
|Cerebrovascular embolisation/complication||22 (31.9%)||0||0.0087||Surgery||31 (36.9%)||2 (13.3%)||0.0386|
The main differences between the two groups involved the type of infected valve and the infectious agent. Probable IE affected mostly left sided mechanical valves (46.7%) and Enterococcus species were much more frequent than in the definite case of IE (20%); S. aureus (20%) remained another common identified microorganism. We did not encounter any viridans group streptococci in the probable IE collective. In this group, a history of previous IE was significantly more frequently recorded (40%), as well as an identifiable point of infection entry (26.6%). The mitral valve was more often affected. As foreseen, echocardiography was less often suggestive (33.3% of vegetations and new valvular insufficiency in probable IE versus 88.4% in definite IE). Not surprisingly, the majority of patients in the probable IE group were treated with antibacterials only, but there was one case of early and one case of late surgery in whom the diagnosis of IE could not be confirmed. Finally, surgery was significantly less often performed in the probable IE group (p <0.04).
Comparison between left-sided IE on native versus prosthetic valves
Native valve endocarditis represented 61.9% of all left-sided endocarditis cases (n = 76) (table 3.) Diabetes mellitus was significantly more often associated with left-sided prosthetic valve infection (p = 0.03). The clinical presentation was significantly different, with more bacteraemia signs (fever and chills) at diagnosis in the prosthetic group (p <0.01 and p <0.05, respectively). Cardiac murmurs were significantly less often observed in this subgroup (p <0.02). Similarly, as described before in the probable endocarditis group, left-sided prosthetic valve IE was less frequently associated with viridans group streptococci (p <0.005). The main difference between the two subgroups was the type of infected valve: the mitral valve was significantly associated with left-sided native valve endocarditis (p <0.005); on the other hand, the aortic valve was significantly more often affected in the prosthetic subgroup (p = 0.001).
|Number of IE episodes||52 (61.9%)||24 (28.6%)|
|Median age (y)||69.5 [53.8;79.3]||69.5 [61.8;79.5]|
|Male||71.2% (37:15)||91.7% (22:2)|
|Comorbidities||Echocardiographic features||ETO 48%||ETO 63%||0.3242|
|Immunosuppression and HIV positive||2 (3.8%)||2 (8.3%)||0.5866||Vegetations||28 (53.8%)||8 (33.3%)||0.1382|
|Diabetes||6 (11.5%)||8 (33.3%)||0.0302||Abcess / perforation||9 (17.3%)||4 (16.7%)||>0.9999|
|Cancer||2 (3.8%)||1 (4.2%)||0.9999||New valvular insufficiancy/dehiscence||18 (34.6%)||6 (25%)||0.4406|
|Native valve disease||2 (3.8%)||0||>0.9999||Staphylococcus aureus||9 (17.3%)||7 (29.2%)||0.2452|
|IV drug abuse||2 (3.8%)||0||>0.9999||Methicillin-resistant S. aureus||2 (3.8%)||2 (8.3%)||0.5866|
|Congenital heart disease||3 (5.8%)||1 (4.2%)||>0.9999||Methicillin-sensible S. aureus||7 (13.5%)||5 (20.8%)||0.5022|
|History of endocarditis||4 (7.7%)||6 (25%)||0.0639||Viridans group streptococci*||18 (34.6%)||1 (4.2%)||0.0040|
|Portals of entry||Enterococcus species||3 (5.8%)||4 (16.7%)||0.1978|
|Cutaneous portal of entry (skin and catheters)||8 (15.4%)||4 (16.7%)||0.9999||Coagulase neg staphylococci||4 (7.7%)||1 (4.2%)||0.9999|
|Dental intervention||4 (7.7%)||0||0.3013||Streptococcus bovis||4 (7.7%)||2 (8.3%)||0.9999|
|Clinical Presentation||Other streptococci||5 (9.6%)||2 (8.3%)||0.9999|
|Fever (>38°)||32 (61.5%)||22 (91.7%)||0.0069||Other microorganisms||4 (7.7%)||1 (4.2%)||0.9999|
|Fever AND cardiac murmur||31 (59.6%)||16 (66.7%)||0.6186||Polymicrobial – fungi||0||0||0.9999|
|Chills||21 (40.4%)||16 (66.7%)||0.0481||HACEK organisms||2 (3.8%)||2 (8.3%)||0.5866|
|Weight loss||10 (19.2%)||3 (12.5%)||0.7440||Negative blood cultures||3 (5.8%)||4 (16.7%)||0.1978|
|Night sweats||7 (13.5%)||8 (33.3%)||0.0626||Valve|
|Dyspnoea, orthopnoea, nycturia||25 (48.1%)||12 (50%)||>0.9999||Mitral||30 (57.7%)||5 (20.8%)||0.0032|
|Oedema, weight gain||18 (34.6%)||7 (29.2%)||0.7940||Aortic||20 (38.5%)||19 (79.2%)||0.0012|
|Signs of left cardiac failure||18 (34.6%)||9 (37.5%)||0.8027||Tricuspid||0||0||0.9999|
|Signs of right cardiac failure||21 (40.4%)||9 (37.5%)||>0.9999||Pulmonary||0||0||0.9999|
|Cardiac murmur||47 (90.4%)||16 (66.7%)||0.0193||Ventricular septal defect||2 (3.8%)||0||0.9999|
|Cutaneous embolisation/complication||13 (25%)||4 (16.7%)||0.5578||Pacemaker||0||0||0.9999|
|Cerebrovascular embolisation/complication||14 (26.9%)||7 (29.2%)||>0.9999||Surgery||24 (48%)||6 (25%)||0.1289|
|LS = left-sided; NVE-PVE = native-prosthetic valve endocarditis; RS = right-sided|
Treatment strategy according to microbiology
The treatment of IE included single (19%) or combined antibacterial treatment (42%), in accordance with the European guidelines for the management of IE . Early surgery was performed in 39% of the cases (fig. 3.). The median interval to surgery was 11 days for the aortic valve (IQR 7,–21) and 12 days for the mitral valve (IQR 9–20). We were not able to demonstrate a higher rate of surgery associated with staphylococcal IE. Single antibacterial therapy was often used for Streptococcus viridans or bovis IE (47% and 33% respectively). In-hospital mortality and 30-day mortality rates were both 6%. Five patients died before the completion of the antibacterial treatment. S. aureus was found in four of them and a coagulase-negative staphylococcus in the last patient.
Evolving characteristics of IE
To assess an evolving trend in the clinical characteristics of IE, we subdivided the collective into two periods of 7.5 years (table 4.). There 33 cases in the initial period (2002–2009) compared with 51 in the second period (2009–2017). The IE incidence remained constant over the study period (0.31–0.36%). The median age at diagnosis increased significantly (p <0.01) from 55.8 years to 67.1 years in the second period of our study (fig. 4.). The female proportion of affected patients increased non-significantly, from 12% to 27%. In the distribution of microorganisms, we observed a downward trend for viridans group streptococci and HACEK microorganisms. In contrast, there was an increase in the number of cases with other streptococci, S. aureus or negative microbiological examinations. The distribution of affected valves remained constant; however we observed new cases of IE linked to infection of an implantable electronic cardiac device (not observed in the first period). As far as treatment was concerned, antibacterial monotherapy tended to decrease in favour of combined antibacterial treatment, which significantly increased in the second period (p <0.02). The rate of surgical intervention tended to decrease over the study period (48% to 33%), but not significantly.
To the best of our knowledge, this is the first study of IE reported from a single primary care hospital in Switzerland. Eighty-four cases were collected over a 15-year period, representing 0.3% of the total number of admissions in our hospital. IE remains a rare, but not an exceptional, pathology in a primary care hospital. Overall, 39% of the cases were ultimately transferred to a tertiary centre, mainly for early cardiac surgery. So, theoretically at least, our population could differ from those of the numerous publications originating mainly from tertiary centres, with referral bias from surrounding primary care structures. Our setting could better reflect the picture of IE in the general population, since more than 60% of the patients never reached a tertiary care hospital. Our typical patient with native valve IE is a 68-year-old man who presents with fever and a cardiac murmur. Blood cultures are positive for S. aureus or for viridans group streptococci. The echocardiography confirms the diagnosis by showing a new valvular insufficiency, vegetations or already a complication of the infectious process in the form of an abscess or a perforation of the valve. Patients with a prosthetic valve IE are typically somewhat older, especially for bioprostheses, more often diabetic, with more cases discharged from hospital with the diagnosis of probable IE. This is explained by the difficulty of confirming the diagnosis in patients carrying a mechanical valve with positive blood cultures in the absence of visible vegetations. In addition to an appropriate antibacterial treatment, early (90% of the time) or late cardiac surgery was necessary in more than a third of the patients.
Comparison with the chosen reference studies
Three reported studies of IE, performed in different environments, were chosen for comparison. First, a study conducted in a primary referral hospital, quite similar to our situation (n = 54 over 5 years) , then a publication from a large tertiary referral centre in London (n = 208 over 8 years) , and finally, a large multicentric Italian study including secondary and tertiary centres (n = 1456 over 7 years) .
The 82.1% of definite IE cases versus 17.9% of probable IE was comparable with equivalent results of the three studies mentioned, with a slight excess of our probable IE, most likely related to the greater proportion of prosthetic valve endocarditis. The hospital mortality observed in our study and in another primary reference centre was 5–6%, which was significantly different from the 18% observed in the tertiary referral centre study. At 6 months, this mortality difference between primary and tertiary referral centres persisted (9.2 vs 27%), reflecting the more severe cases drained by the tertiary centres. Diabetes was the most frequent comorbidity found in our study (19%), as in the Italian reference study. This proportion was almost double in the US study in a primary care centre . Our proportion of intravenous drug users corresponded to the large studies analysed, but was three times lower than in a similar primary care study in the US. These data probably represented the differences in prevalence of diabetes and addiction in the different populations. The rate of recurrent endocarditis was similar to the recurrence rate of studies in secondary and tertiary referral centres. Similarly, a comparable rate of IE linked to the implantable intracardiac devices was observed. The proportion of infected native valves was two third of the population, as in the reference studies. The distribution between aortic and mitral valves matched the study in a tertiary centre, with a predominance of aortic endocarditis.
Our most commonly recovered microorganism was S. aureus (25%), which was similar to the tertiary reference centre. This rate was higher in the US primary care centre, most likely because of a higher proportion of intravenous drug users. Our second most frequent microorganisms were viridans group streptococci (22.6%). In comparison, 30% of viridans group streptococci were isolated in the tertiary centre before 2000, whereas the Italian study found only 15% between 2004 and 2011. This could be partially explained by the evolution of the microbiological epidemiology of endocarditis in recent years, as recently published . The latter publication reported a shift in the microbiology of infective endocarditis, S. aureus being now the most common microorganism. Our negative microbiological samples were significantly fewer than in the reference studies, with a percentage of only 8.4% versus 15–20% in the tertiary centres and 11% in the primary centre in the US. This could possibly be explained by the evolution of direct detection techniques for genetic material in blood or on histopathological examination of operated valves. In our study, we detected 6% of HACEK microorganisms, which was four times more than in a large population based multicentric study comparing HACEK IE characteristics with other types of endocarditis (n = 5591) , and similar to our reference studies from secondary and tertiary centres. A plausible explanation for this difference could be the higher proportion of mechanical prosthetic valve carriers in our population; this predisposition has been shown to be an independent risk factor for developing HACEK endocarditis . We observed vegetations in half of our patients. Vegetations were significantly less often detected than in our comparative studies of tertiary centres or population studies, in which vegetations were detected in 62% to 80% of all endocarditis cases. The explanation could be the lower rate of transoesophageal echocardiography and the higher proportion of mechanical prostheses in our study.
Our distribution of the different endocarditis subtypes was comparable to a large recent multicentric study . In prosthetic left-sided IE, more S. aureus were detected, as well as other streptococci. We found fewer viridans group streptococci and coagulase-negative staphylococci when compared with the Italian multicentric study. The HACEK microorganisms remained much more frequent in our study and present in all subtypes. In the large majority of right-sided IE cases, S. aureus was isolated, which was also the case in our comparative Italian study. In cases of probable IE, we described a greater proportion of prosthetic valves, especially mechanical, because echocardiography is often not diagnostic in this group of patients, making it difficult to meet the Duke criteria for definite endocarditis. Transoesophageal echocardiography was performed more often in this group (68 vs 48%) as a result of inconclusive initial transthoracic echocardiography. In our study, we did not use positron emission tomography – computed tomography (PET-C)T techniques, currently recommended in this setting.
Among our patients, 39% underwent cardiac surgery in addition to antibacterial treatment with a median interval to surgery of 11 days. Three main indications for surgery were applied: valve dysfunction leading to heart failure, uncontrolled infection and prevention of the risk of embolism . This surgical rate was quite similar to the 46% found by a study of the French registry of endocarditis , but lower than our comparative study of a tertiary centre, where it exceeded 50% . Our results could be explained by the presentation of less severe cases and a short delay between the first symptoms and the diagnosis of IE, linked to immediate access to a cardiologist and an infectious diseases specialist in our setting in primary care .
Half of the Streptococcus viridans IE cases were treated with single antibacterial course (ceftriaxone for 4 weeks in 90% of cases), without the need for combination antibacterial therapy. However, viridans group streptococci were related to the same surgical rate as the other microorganisms. When needed, antibacterial combination therapy most often included penicillin, cephalosporins, vancomycin, aminoglycosides and rifampicin for a median duration of 6 weeks. For rare microorganisms, HACEK cases and in cases with negative microbiology, cardiac surgery was required in more than 50% of our patients. This could be possibly explained by a longer delay before diagnosis and by the difficulty in microorganism detection on culture or polymerase chain-reaction (PCR) examinations. A diagnosis bias towards surgical management is also evident because a large proportion of these cases (nine patients) were identified retrospectively by PCR examination of the excised material after surgery.
We observed a significant increase in age at diagnosis over the 15 years of the study. This observation corresponds to the evolution observed in the literature . The London study made in the 1990s also had much younger patients  as compared with the recent studies. The median age of our patient was comparable to a recently performed large study in Olmsted County . As previously described by Correa de Sa et al. , we were able to show a tendency to an increase in the age (75 vs 71 years) of women with IE over the past 15 years in Morges. In the large comparative studies, one third of the patients were women. We do not have plausible explanations for the low proportion of women in the early period of our study. As in a major French study , which showed an increase of S. aureus to more than 25%, we also observed this trend, reaching this percentage at the end of our study.
The main limitation of our study is the small size of our population, inherent to a single primary reference centre setting. In addition, this was a retrospective, observational study with inherent biases linked to heterogeneous data collection in files over time. We sometimes encountered difficulties in obtaining a definite diagnosis based on the modified Duke criteria, because a few cases were rapidly considered as endocarditis and treated as such. In some cases, a larger number of positive blood cultures would have been required to diagnose an endocarditis as certain, but we do not feel that these inaccuracies impacted on the final results of our study. In the presence of bacteraemia in patients carrying prosthetic valve or with a previous history of IE, clinicians tended to be more suspicious in their diagnostic approach.
Our study showed similar evolutional trends as tertiary referral centres with some significant differences, possibly related to the primary care setting of our hospital. We showed an increase in age at diagnosis over the 15 years of the study. We confirmed the predominance of S. aureus observed in the global epidemiology of IE. The inverse evolution for viridans group streptococci, which have been proportionally less frequently observed in recent years, was also suggested in our study, although not significantly. A definite diagnosis of IE was significantly associated with native valve involvement as compared with mechanical prosthetic valve involvement, which was more often associated with a probable IE. In the latter group, we observed a higher rate of HACEK microorganisms. However, the meaning of this finding is limited by the small number of patients in this study. We also noted a lower rate of cardiac surgery referral than in the literature. This could be explained by the recruitment of less severe cases in a primary care setting compared with tertiary referral centres.
|Table 4: Temporal trends of infective endocarditis characteristics.|
|Incidence||33 on 14,221||0.36%||51 on 1,450||0.31%||–|
|Methicillin-resistant S. aureus||2||6%||2||4%||0.6438|
|Methicillin-sensible S .aureus||5||15%||12||24%||0.4145|
|Viridans group streptococci||10||30%||9||18%||0.1928|
|Coagulase negative staphylococci||1||3%||4||8%||0.6438|
|Polymicrobial – fungi||0||0%||0||0%||0.9999|
|Negative blood cultures||2||6%||5||10%||0.6990|
|Left sided endocarditis||–|
|Right sided endocarditis||–|
|Type of valve||-|
|Ventricular septal defect||0||0%||2||4%||0.5172|
|Antibacterial double therapy||8||24%||27||53%||0.0126|
|Antibacterial + surgery||16||48%||17||33%||0.1767|
We would like to thank Dr De Rahm, vice-director of Morges Hospital, for his help in providing access to the patients’ records and Dr Eric Dayer for his editorial assistance.
No financial support and no other potential conflict of interest relevant to this article was reported.
Dr Nicolas Dayer, Hopital Riviera Chablais, Route du Vieux Séquoia 20, CH-1847 Rennaz, nico.dayer[at]hotmail.com
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