Medical versus medical and surgical treatment for brucella endocarditis

Maryam Keshtkar-Jahromi; Seyed Mostafa Razavi; Sharareh Gholamin; Marzieh Keshtkar-Jahromi; Mian Hossain; Mohammad M. Sajadi

doi:10.1016/j.athoracsur.2012.07.006

Medical versus medical and surgical treatment for brucella endocarditis

Maryam Keshtkar-Jahromi, Seyed Mostafa Razavi, Sharareh Gholamin, Marzieh Keshtkar-Jahromi, Mian Hossain, Mohammad M. Sajadi

Research output: Contribution to journal › Review article › peer-review

19 Scopus citations

Abstract

This review was undertaken to determine the role of surgery in the treatment of brucella endocarditis. All English and French articles reporting brucella endocarditis (1966 to 2011) in PubMed, Google, and Scopus were reviewed. In all, 308 cases were identified, and linear and logistic regression was performed. Surgery improved outcomes by decreasing mortality from 32.7% in the medical treatment only group to 6.7% in the combined surgical and medical treatment group (p < 0.001). This association was still significant while controlling for other contributing factors. In the absence of a controlled trial, we recommend the utmost vigilance and consideration of surgical management in treating such patients.

Original language	English (US)
Pages (from-to)	2141-2146
Number of pages	6
Journal	Annals of Thoracic Surgery
Volume	94
Issue number	6
DOIs	https://doi.org/10.1016/j.athoracsur.2012.07.006
State	Published - Dec 2012
Externally published	Yes

ASJC Scopus subject areas

Surgery
Pulmonary and Respiratory Medicine
Cardiology and Cardiovascular Medicine

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10.1016/j.athoracsur.2012.07.006

Cite this

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title = "Medical versus medical and surgical treatment for brucella endocarditis",

abstract = "This review was undertaken to determine the role of surgery in the treatment of brucella endocarditis. All English and French articles reporting brucella endocarditis (1966 to 2011) in PubMed, Google, and Scopus were reviewed. In all, 308 cases were identified, and linear and logistic regression was performed. Surgery improved outcomes by decreasing mortality from 32.7% in the medical treatment only group to 6.7% in the combined surgical and medical treatment group (p < 0.001). This association was still significant while controlling for other contributing factors. In the absence of a controlled trial, we recommend the utmost vigilance and consideration of surgical management in treating such patients.",

author = "Maryam Keshtkar-Jahromi and Razavi, {Seyed Mostafa} and Sharareh Gholamin and Marzieh Keshtkar-Jahromi and Mian Hossain and Sajadi, {Mohammad M.}",

note = "Funding Information: Author M.M.S. supported by NIH 1K23AI084580-01A1 .",

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AU - Keshtkar-Jahromi, Maryam

AU - Razavi, Seyed Mostafa

AU - Gholamin, Sharareh

AU - Keshtkar-Jahromi, Marzieh

AU - Hossain, Mian

AU - Sajadi, Mohammad M.

N1 - Funding Information: Author M.M.S. supported by NIH 1K23AI084580-01A1 .

PY - 2012/12

Y1 - 2012/12

N2 - This review was undertaken to determine the role of surgery in the treatment of brucella endocarditis. All English and French articles reporting brucella endocarditis (1966 to 2011) in PubMed, Google, and Scopus were reviewed. In all, 308 cases were identified, and linear and logistic regression was performed. Surgery improved outcomes by decreasing mortality from 32.7% in the medical treatment only group to 6.7% in the combined surgical and medical treatment group (p < 0.001). This association was still significant while controlling for other contributing factors. In the absence of a controlled trial, we recommend the utmost vigilance and consideration of surgical management in treating such patients.

AB - This review was undertaken to determine the role of surgery in the treatment of brucella endocarditis. All English and French articles reporting brucella endocarditis (1966 to 2011) in PubMed, Google, and Scopus were reviewed. In all, 308 cases were identified, and linear and logistic regression was performed. Surgery improved outcomes by decreasing mortality from 32.7% in the medical treatment only group to 6.7% in the combined surgical and medical treatment group (p < 0.001). This association was still significant while controlling for other contributing factors. In the absence of a controlled trial, we recommend the utmost vigilance and consideration of surgical management in treating such patients.

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Medical versus medical and surgical treatment for brucella endocarditis

Abstract

ASJC Scopus subject areas

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