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NDT Advance Access originally published online on March 5, 2004
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Nephrol Dial Transplant (2004) 19: 1360-1362
Nephrol Dial Transplant Vol. 19 No. 6 © ERA-EDTA 2004; all rights reserved

Editorial Comment

Infective endocarditis: a frequent disease in dialysis patients

Bruno Hoen

Service de Maladies Infectieuses et Tropicales, University of Besançon Medical Center, Besançon, France

Correspondence and offprint requests to: Dr Bruno Hoen, Service de Maladies Infectieuses et Tropicales, University of Besançon Medical Center, F-25030 Besançon Cedex, France. Email: bruno.hoen@univ-fcomte.fr

Keywords: bacteraemia; dialysis; infective endocarditis; vascular access

The first 150 words of the full text of this article appear below.



   Introduction
 
The epidemiological profile of infective endocarditis (IE) has changed dramatically over the last few years [1]. Once a disease affecting young adults with previously well identified valve disease (mostly rheumatic disease), IE is now affecting older patients, a significant proportion of whom have no previously known valve disease and develop IE as the result of health-care associated procedures [2]. Actually, if IE was commonly classified in four categories, namely native valve IE, prosthetic valve IE, IE in i.v. drug users (IVDUs), and nosocomial IE, health-care associated IE should probably be added as a fifth category in the near future because of its increasing incidence. Within this new category, IE in chronic haemodialysis (HD) patients appears to be the most important subgroup [3,4].



   Incidence and risk factors
 
The most convincing demonstration that HD patients are increasingly developing IE was provided recently by Cabell et al. [. . . [Full Text of this Article]



   Clinical management
 


   Prevention
 

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Infective endocarditis in chronic haemodialysis patients: an increasing clinical challenge
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[Abstract] [Full Text] [PDF]