%0 Journal Article
%9 ACL : Articles dans des revues avec comité de lecture répertoriées par l'AERES
%A Watt, G.
%A Lacroix, A.
%A Pachirat, O.
%A Baggett, H. C.
%A Raoult, Didier
%A Fournier, P. E.
%A Tattevin, P.
%T Prospective comparison of infective endocarditis in Khon Kaen, Thailand and Rennes, France
%D 2015
%L PAR00013061
%G ENG
%J American Journal of Tropical Medicine and Hygiene
%@ 0002-9637
%K THAILANDE ; FRANCE
%M ISI:000352828200034
%N 4
%P 871-874
%R 10.4269/ajtmh.14-0689
%U https://www.documentation.ird.fr/hor/PAR00013061
%V 92
%W Horizon (IRD)
%X Prospectively collected, contemporary data are lacking on how the features of infective endocarditis (IE) vary according to region. We, therefore, compared IE in Rennes, France and Khon Kaen, Thailand. Fifty-eight patients with confirmed IE were enrolled at each site during 2011 and 2012 using a common protocol. Compared with French patients, Thais had a lower median age (47 versus 70 years old; P < 0.001) and reported more animal contact (86% versus 21%; P < 0.001). There were more zoonotic infections among Thai than France patients (6 and 1 cases; P = 0.017) and fewer staphylococcal infections (4 versus 15 cases; P = 0.011). Underlying rheumatic heart disease was more prevalent in Thai than in French patients (31% and 4%; P = 0.001), whereas prosthetic heart valves were less prevalent (9% and 35%; P = 0.001). Our data strengthen previous observations that IE in the tropics has distinctive demographic characteristics, risk factors, and etiologies and underscore the need for improved prevention and control strategies.
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