{"id":17495,"date":"2022-08-29T04:47:07","date_gmt":"2022-08-29T04:47:07","guid":{"rendered":"http:\/\/www.pidsphil.org\/home\/?page_id=17495"},"modified":"2025-06-14T04:55:40","modified_gmt":"2025-06-14T04:55:40","slug":"journal-2018-vol-19-no-2-original-articles-1","status":"publish","type":"page","link":"https:\/\/www.pidsphil.org\/home\/journal-2018-vol-19-no-2-original-articles-1\/","title":{"rendered":"Journal 2018 Vol.19 No.2 Original Articles 1"},"content":{"rendered":"<p><strong><span class=\"journalTitle\"><span style=\"color: #800000;\">Journal 2018 Vol.19 No.2<\/span><\/span><\/strong><br \/>\n<strong>Profile and Treatment Outcome of Patients with Infective Endocarditis Admitted in a Pediatric Medical Center From 2005-2016<\/strong><br \/>\n<em><strong>Maribel D. Pasaoa , M.D.<\/strong><\/em><br \/>\n<strong>Abstract<br \/>\nBackground: <\/strong>Infective Endocarditis (IE) is an infection of the endocardial surface of the heart. It remains a life threatening infection among extremes of ages and erroneous or late diagnosis may lead to serious consequences.<br \/>\n<strong>Objective: <\/strong>To determine the clinical profile and treatment outcomes of pediatric patients with IE admitted in a pediatric medical center.<br \/>\n<strong>Methods: <\/strong>This is a retrospective descriptive study on pediatric patients (0-18 years old) diagnosed with IE from January 2005 to June 2016. Patients\u2019 medical records that satisfied the criteria for IE based on Modified Duke Criteria were included in the study.<br \/>\n<strong>Results:<\/strong> A total of 37 charts were reviewed with male to female ratio of 1:1. Most common chief complaint and physical finding were difficulty of breathing and tachycardia,respectively.Cardiac murmur was appreciated upon diagnosis except in one patient. 70% had ventricular septal defect and 24% had rheumatic heart disease. Most common associated non-cardiac condition was the presence of dental caries, while only 11% had history of previous cardiac surgeries. 2-Dimensional Echocardiography (2D-Echo) showed vegetation in 97.2% and 49% had positive growth in blood culture. Most common isolate was Streptococci. Empiric therapy included penicillin G (84%) with gentamicin (76%). Complications noted were brain infarct,pericarditis and pulmonary embolism. Majority were managed medically, 7 patients (19%) had vegetectomy and 9(24%)died during hospitalization.<br \/>\n<strong>Conclusion: <\/strong>IE is a common complication of congenital heart disease.High index of suspicion is warranted for the early management and prevention of morbidity and mortality.<br \/>\n<strong>Keywords: <\/strong>infective endocarditis, congenital heart disease, Streptococci<br \/>\n<strong>https:\/\/doi.org\/10.56964\/pidspj20181902003<\/strong><br \/>\n<strong><a href=\"https:\/\/www.pidsphil.org\/home\/wp-content\/uploads\/2021\/06\/ERRATA-Vol-19-No-2_Pasaoa_PROFILE-AND-TREATMENT-OUTCOME-OF-PATIENTS-WITH-INFECTIVE-ENDOCARDITIS-ADMITTED-IN-A-PEDIATRIC-MEDICAL-CENTER-FROM-2005-2016_FORMATTED_v4.pdf\" target=\"_\" rel=\"noopener\">View Full Article in PDF format<\/a><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Journal 2018 Vol.19 No.2 Profile and Treatment Outcome of Patients with Infective Endocarditis Admitted in a Pediatric Medical Center From 2005-2016 Maribel D. Pasaoa , M.D. Abstract Background: Infective Endocarditis (IE) is an infection of the endocardial surface of the heart. It remains a life threatening infection among extremes of ages and erroneous or late  [&#8230;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-17495","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.pidsphil.org\/home\/wp-json\/wp\/v2\/pages\/17495","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.pidsphil.org\/home\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.pidsphil.org\/home\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.pidsphil.org\/home\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.pidsphil.org\/home\/wp-json\/wp\/v2\/comments?post=17495"}],"version-history":[{"count":6,"href":"https:\/\/www.pidsphil.org\/home\/wp-json\/wp\/v2\/pages\/17495\/revisions"}],"predecessor-version":[{"id":20057,"href":"https:\/\/www.pidsphil.org\/home\/wp-json\/wp\/v2\/pages\/17495\/revisions\/20057"}],"wp:attachment":[{"href":"https:\/\/www.pidsphil.org\/home\/wp-json\/wp\/v2\/media?parent=17495"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}