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Risk Factors for Infective Endocarditis: Oral Hygiene and Nondental Exposures
Journal article   Open access

Risk Factors for Infective Endocarditis: Oral Hygiene and Nondental Exposures

Brian L. Strom, Elias Abrutyn, Jesse A. Berlin, Judith L. Kinman, Roy S. Feldman, Paul D. Stolley, Matthew E. Levison, Oksana M. Korzeniowski and Donald Kaye
Circulation (New York, N.Y.), v 102(23), pp 2842-2848
05 Dec 2000
DOI: https://doi.org/10.1161/01.CIR.102.23.2842
PMID: 11104742
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://doi.org/10.1161/01.cir.102.23.2842View
Published, Version of Record (VoR)Maybe Open Access (Publisher Bronze),  Open
url
https://doi.org/10.1161/01.CIR.102.23.2842View
Published, Version of Record (VoR) Open

Abstract

Background —The risks of infective endocarditis (IE) associated with various conditions and procedures are poorly defined. Methods and Results —This was a population-based case-control study conducted in 54 Philadelphia, Pa–area hospitals from 1988 to 1990. Community-acquired IE cases unassociated with intravenous drug use were compared with matched community residents. Subjects were interviewed for risk factors. Diagnoses were confirmed by expert review of medical record abstracts with risk factor data removed. Cases were more likely than controls to suffer from prior severe kidney disease (adjusted OR [95% CI]=16.9 [1.5 to 193], P =0.02) and diabetes mellitus (adjusted OR [95% CI]=2.7 [1.4 to 5.2], P =0.004). Cases infected with skin flora had received intravenous fluids more often (adjusted OR [95% CI]=6.7 [1.1 to 41], P =0.04) and had more often had a previous skin infection (adjusted OR [95% CI]=3.5 [0.7 to 17], P =0.11). No association was seen with pulmonary, gastrointestinal, cardiac, or genitourinary procedures or with surgery. Edentulous patients had a lower risk of IE from dental flora than patients who had teeth but did not floss. Daily flossing was associated with a borderline decreased IE risk. Conclusions —Within the limits of the available sample size, the data showed that IE patients differ from people without IE with regard to certain important risk factors but not regarding recent procedures.

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162 citations in Web of Science
214 citations in Scopus

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UN Sustainable Development Goals (SDGs)

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#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Cardiac & Cardiovascular Systems
Peripheral Vascular Disease
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