In this large cohort, researchers determined the microbiology of community versus health-care associated native valve endocarditis, as well as the differences between nosocomial and non-nosocomial endocarditis (non-nosocomial were those that acquired the disease outside the hospital, but had significant health-care contact, such as long term care, home health, or dialysis). They found 66% were community acquired, and 34% were health-care associated. They found no significant differences between nosocomial and non-nosocomial (of which 45% was staph aureus, 47% MRSA, 15% enterococci, 13% coag-negative staph, and 18% other). This compared to community acquired (of which 20% was staph aureus, 12% MRSA, 28% viridans, and 27% other). Health-care associated native valve endocarditis is a growing problem, the microbiology of which is similar between nosocomial and non-nosocomial (abstract).
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May 4, 2009 |
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About the Author: Danielle Scheurer
Danielle Scheurer, MD, MSCR, SFHM is a clinical hospitalist and the Chief Quality Officer at the Medical University of South Carolina in Charleston, South Carolina, where she also serves as Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She is also the President of SHM's Board of Directors and previously served as Physician Editor of The Hospitalist, SHM's monthly newsmagazine.
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