Clinical profile of infective endocarditis: a single centre experience

Abstract

Background: Infective endocarditis (IE) is an illness which still has a high rate of morbidity and mortality despite the availability of improved diagnostic and treatment amenities in the developing world. With an increasing number of children with congenital heart disease (CHD) undergoing corrective treatments, improved pediatric intensive care, better antimicrobial treatments, and a relative decrease in rheumatic heart disease (RHD) over the years, the epidemiology of pediatric IE in Bangladesh may be undergoing a change. The present study aims to describe the epidemiological, clinical, laboratory profile and outcome of IE among selected patients. Methods: This prospective cross-sectional study was conducted with a total of 35 patient of IE from January 2020 to December 2021, who were admitted in pediatric cardiology department, Bangladesh Shishu hospital and institute were enrolled in this study which was diagnosed according to modified Duke criteria. Results: There were 35 children diagnosed with IE during this period. The mean age at presentation was 84 months (range: 2-216 months). CHD (n=28/35, 80%) was the most common predisposing condition. A total of 20 % (7/35) patients had no preexisting structural heart disease. Staphylococcus aureus was the most common etiological agent. Blood culture positive IE was (n=18, 51.4%), blood culture-negative IE was (n=17, 48.6 %). Six patients (17.1%) died during the hospital stay. Conclusions: Increasingly younger children are being diagnosed with IE in Bangladesh and a significant number of them are in the setting of a structurally normal heart.