Evidence map›Paper›PMID 34735715›Full record

ArticleJournal of epidemiology and global health2021

Clinical and Microbiological Characteristics of Infective Endocarditis at a Cardiac Center in Saudi Arabia.

Mazin Barry, Syed Abdul Bari, Muhammad Yasin Akhtar, Faizah Al Nahdi, Richilda Erlandez, Abdullah Al Khushail, Yahya Al Hebaishi

Open access · goldAbstract read
In one paragraph

Article in Journal of epidemiology and global health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Transboundary and emerging diseases · 2026
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Metastatic methicillin-resistantBMJ case reports · 2023
    Article
  7. Article
  8. Review
  9. Frontiers in cellular and infection microbiology · 2022
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Mazin BarryDivision of Infectious Diseases, Department of Internal Medicine, College of Medicine, King Saud University, PO Box 2925, Riyadh, 11461, Saudi Arabia. mbarry@ksu.edu.sa.ORCID 0000-0003-2274-007X
Syed Abdul BariDepartment of Infection Control, Prince Sultan Cardiac Center, Riyadh, Saudi Arabia.
Muhammad Yasin AkhtarDepartment of Infection Control, Prince Sultan Cardiac Center, Riyadh, Saudi Arabia.
Faizah Al NahdiDepartment of Infection Control, Prince Sultan Cardiac Center, Riyadh, Saudi Arabia.
Richilda ErlandezDepartment of Infection Control, Prince Sultan Cardiac Center, Riyadh, Saudi Arabia.
Abdullah Al KhushailDepartment of Adult Cardiology, Prince Sultan Cardiac Center, Riyadh, Saudi Arabia.
Yahya Al HebaishiDepartment of Adult Cardiology, Prince Sultan Cardiac Center, Riyadh, Saudi Arabia.
Prince Sultan University · SAKing Saud University · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInfective endocarditis (IE) is a serious disease with complex pathology and significant mortality. Little information is known regarding clinical and microbiological characteristics in Saudi Arabia. This study surveyed these characteristics at a Cardiac Center in Riyadh, Saudi Arabia over a period of 5 years.

methodsThis retrospective study was done on all infective endocarditis (IE) patients admitted to Prince Sultan Cardiac Center between January 1, 2015, and December 31, 2019. Clinical characteristics, microbiological results, management, and outcomes were assessed.

resultA total of 340 cases of infective endocarditis were identified over the study period. Most patients (64%) were 50 years old or above, and 67% were males. Fever was the most common clinical presentation, and a murmur was audible in a fifth of patients. Blood cultures were positive in 177 (52%) cases. The most common organisms were Staphylococcus aureus, coagulase negative Staphylococcus and viridans group Streptococcus. Most common microbiological organisms causing native valve endocarditis were viridans group Streptococcus (32%) followed by methicillin-susceptible Staphylococcus aureus (21%), and for prosthetic valve endocarditis they were coagulase negative Staphylococcus (32%) followed by methicillin-susceptible Staphylococcus aureus (23%), the most common causes of culture negative endocarditis were Q-fever and brucellosis. Predisposing cardiac conditions were present in 127 (37%) patients, most commonly rheumatic heart disease and congenital heart disease. Surgical intervention was done in 26% of cases, with an overall in-hospital mortality rate of 6.76%.

conclusionWe demonstrate the epidemiological, clinical, and microbiological profile of infective endocarditis in a tertiary care cardiac center in Saudi Arabia. It gives information concerning the prevalence of responsible organisms. This information will be helpful in assessing patients with suspected IE and in planning management of cases knowing the relative frequency of types of microorganisms encountered.

Indexed as

EndocarditisEndocarditis, BacterialHeart Valve ProsthesisHumansMaleMiddle AgedRetrospective StudiesSaudi ArabiaCongenital heart diseaseInfective endocarditisRheumatic heart diseaseStaphylococcus

Identifiers

PMID34735715
PMCPMC8664328
OpenAlexW3208230251

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.