Abstract：
:To evaluate the clinical and microbiological features of infective endocarditis in patients with cirrhosis we compared 18 episodes of endocarditis in these patients with a control group of patients without liver disease. In 61% of patients with cirrhosis the origin of infection was unknown. Four patients developed endocarditis as a consequence of bladder catheterizations and two after hepatic biopsy. None of the four with previously known valvular heart disease had received antibiotic prophylaxis during these procedures. As compared with the control group, the patients with cirrhosis had more infections by enterococci (38.8% vs 11%; p less than 0.007) and non-viridans streptococci (38.8% vs 7.4%; p less than 0.001) and significantly less infections by viridans streptococci (11% vs 42.5%; p less than 0.01). The mortality rate associated with endocarditis was 38.8% and 22% in patients with and without cirrhosis, respectively (less than 0.1; NS). Infective endocarditis in patients with cirrhosis is often a complication of diagnostic or therapeutic procedures and has distinctive microbiological features.
journal_name
Med Clin (Barc)journal_title
Medicina clinicaauthors
Otones J,Fernández Clúa MA,Castrillo JM,Fernández Guerrero MLsubject
Has Abstractpub_date
1989-11-11 00:00:00pages
561-4issue
15eissn
0025-7753issn
1578-8989journal_volume
93pub_type
杂志文章相关文献
MEDICINA CLINICA文献大全abstract：BACKGROUND:To assess how patients with diabetes experience their condition. PATIENTS AND METHOD:Pilot study conducted in 10 selected patients with type 1 diabetes. A structured interview guide was prepared including physical, social and emotional areas. The information provided was analyzed qualitatively, key statemen...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：2000-01-01 00:00:00
abstract：:Three cases of encrusted cystitis caused by Corynebacterium group D2 are described. The vesical damage previous to the establishment of this bacteria is noteworthy and the very rapid increase in urease activity explains the pathogenesis of the situation. Thus allowing for its identification and is relevant to treatmen...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1992-03-21 00:00:00
abstract：OBJECTIVES:To describe 11 patients with cardiofaciocutaneous syndrome (CFC) and compare them with 130 patients with other RAS-MAPK syndromes (111 Noonan syndrome patients [NS] and 19 patients with LEOPARD syndrome). PATIENTS AND METHODS:Clinical data from patients submitted for genetic analysis were collected. Bidirec...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1016/j.medcli.2014.06.009
更新日期：2015-01-20 00:00:00
abstract：BACKGROUND:The incorrect use of statistical techniques in medical articles may seriously compromise the validity of conclusions. This finding otherwise is relatively common. METHODS:A total of 84 original articles published in Medicina Clínica between 1962 and 1992 were reviewed with the aim of assessing the use and a...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1995-04-01 00:00:00
abstract：:Since Perrinaud in 2006 first described three patients with hemorrhagic bullae in relation to the use of heparins, numerous cases have been published. Currently, this entity has been established as a clearly defined pathology. We review all reported cases, diagnostic features and features that differentiate it from ot...
journal_title：Medicina clinica
pub_type： 杂志文章,评审
doi：10.1016/j.medcli.2015.10.017
更新日期：2016-05-06 00:00:00
abstract：INTRODUCTION AND OBJECTIVE:The albumin-cytologic dissociation in cerebrospinal fluid (CSF) supports the diagnosis of Guillain-Barre syndrome (GBS) but does not support the prognosis, so the aim of this study is to determine the usefulness of protein numbers in the CSF to predict progression in paediatric patients. PAT...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1016/j.medcli.2017.06.063
更新日期：2018-05-11 00:00:00
abstract：:Nineteen patients with primary hypothyroidism were prospectively studied before starting replacement therapy with thyroid hormones. Most patients had mild to moderate muscle symptoms: generalized muscle weakness, myalgia and cramps, and increased serum levels of muscle enzymes. In two patients these features were the ...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1990-06-23 00:00:00
abstract：:Gaucher's disease (GD) is an inherited metabolic disease due to lack of activity of the enzyme betaglucocerebrosidase. The diagnosis of GD is usually performed by fluorimetric analysis of the enzyme betaglucocerebrosidase. It can also be done by measuring the activity of tandem mass spectrometry. This enzyme can be an...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1016/S0025-7753(11)70011-2
更新日期：2011-09-01 00:00:00
abstract：BACKGROUND:The administration of factor VIII (FVIII) in continuous infusion (CI) to hemophiliac inpatients is a therapeutic approach made possible by the development of new commercial preparations. METHODS:In the present study the outcome of 14 treatment courses of FVIII in CI to 12 patients with hemophilia A (2 of th...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1991-03-16 00:00:00
abstract：INTRODUCTION:Neurosarcoidosis is a rare complication of sarcoidosis. There are small series on the condition and very few from Spain. We conducted a retrospective study of neurosarcoidosis in Virgen de la Victoria Hospital over the last 10 years. PATIENTS AND METHOD:the medical records of patients diagnosed with sarco...
journal_title：Medicina clinica
pub_type：
doi：10.1016/j.medcli.2020.04.027
更新日期：2020-10-09 00:00:00
abstract：:The measurement of health-related quality of life (HRQOL) plays a very important role in the study of health outcomes, particularly in effectiveness studies. Nevertheless, the nature of these studies implies a series of challenges in the use of HRQOL instruments, due to the type of comparisons made, the heterogeneity ...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：2000-01-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:Information about the prevalence of chronic kidney disease (CKD) in the population treated in primary care is scarce. The aim of this study was to assess the prevalence of CKD in Spanish hypertensive women aged 64 years or older, and to determine possible associated factors. PATIENTS AND METH...
journal_title：Medicina clinica
pub_type： 杂志文章,多中心研究
doi：10.1016/j.medcli.2011.03.038
更新日期：2012-05-05 00:00:00
abstract：:We discuss different interpretations of the term poison as well as the need of bringing up to date the changes in this matter according to the science progress. A clear and exact definition is proposed after analysing the factors that affect the relativity of the concept and its boundaries. The proposal for a definiti...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1016/j.medcli.2011.02.002
更新日期：2012-02-18 00:00:00
abstract：BACKGROUND:The use of statistical techniques has become strongly consolidated in biomedical investigation. The present study analyzes the statistical repertoire of the original articles published in 1993 in four general medicine journals: Med Clin (Barc), Rev Clin Esp, Lancet and N Engl J Med. METHODS:A single reviewe...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1996-03-30 00:00:00
abstract：UNLABELLED:This was a study aimed to know the knowledge about asthma. SUBJECTS AND METHOD:933 teachers of 27 schools from 7 cities (children aged between 4 and 15 years) using a self-administered questionnaire Half of them knew asthma prevalence and its hereditary nature. Nearly all related asthma with allergy, 38% wi...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1016/s0025-7753(01)72142-2
更新日期：2001-10-20 00:00:00
abstract：BACKGROUND:Lateral chest X-rays may be helpful in the early detection of osteoporotic patients. We studied the proportion of chest X-ray reports in which the radiologist highlighted the presence of vertebral osteoporotic signs, as well as the proportion of patients with such records who were further studied by their ph...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1016/s0025-7753(01)72241-5
更新日期：2001-12-08 00:00:00
abstract：BACKGROUND AND OBJECTIVE:We analyzed baseline and kinetic characteristics of lipid metabolism during the first month of bitherapy in patients with chronic hepatitis C genotype 1 (CHC-1). PATIENTS AND METHODS:A longitudinal, prospective study including 99 naïve CHC-1 patients with liver biopsy who were treated with bit...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1016/j.medcli.2013.12.016
更新日期：2015-06-22 00:00:00
abstract：BACKGROUND:The purpose of this study was to know the concordance of diagnosis between emergency rooms amd hospitalization wards and to analyze the mistake index, the epidemiological characteristics and the main reasons for the mistakes. PATIENTS AND METHOD:We analyzed hospitalized patients and used a three-level conco...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1016/s0025-7753(02)73485-4
更新日期：2002-10-26 00:00:00
abstract：BACKGROUND AND OBJECTIVE:Growth hormone binding protein (GHBP), insuline-like growth factor 1 (IGF-1) and insuline-like growth factor binding protein 3 (IGFBP-3) serum concentrations were studied in familial short-statured patients (FSS) and age-matched normal-statured subjects. The aim of the study was to ascertain wh...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1157/13067086
更新日期：2004-10-09 00:00:00
abstract：BACKGROUND:Whether or not performing cardiopulmonary resuscitation (CPR) is a complex decision that requires taking account of several factors. The aim of this study was to analyse the preferences of elderly people with regard to CPR. SUBJECTS AND METHOD:Survey administered to 181 elderly subjects from nursing homes a...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1016/s0025-7753(02)72296-3
更新日期：2002-02-02 00:00:00
abstract：BACKGROUND:It is estimated that 5-10% of breast cancers have an hereditary origin, germline mutations of BRCA1 and BRCA2 genes causing a predisposition. In the present study we analyzed BRCA1 and BRCA2 mutations in moderate to high risk breast cancer patients in order to find out the types and frequency of these mutati...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1016/s0025-7753(02)73450-7
更新日期：2002-10-12 00:00:00
abstract：BACKGROUND AND OBJECTIVE:The progressive accumulation of iron in the organism contribute to one of the most important problems of morbidity and mortality in patients with myelodysplastic syndrome (MDS). We present an observational protocol, multicentre, open and non-aleatheorised, in patients diagnosed with MDS on tran...
journal_title：Medicina clinica
pub_type： 杂志文章,多中心研究
doi：10.1157/13074739
更新日期：2005-05-07 00:00:00
abstract：BACKGROUND AND OBJECTIVE:High levels of daily physical activity have been shown to be linked to decreased functional impairment in peripheral artery disease (PAD) patients and positively related to the ankle brachial index (ABI) in subjects without PAD. The aim of this study was to examine the relationship between leis...
journal_title：Medicina clinica
pub_type： 杂志文章,多中心研究
doi：10.1016/j.medcli.2015.01.015
更新日期：2015-11-20 00:00:00
abstract：:Bacterial vaginosis is a widely spread health problem with multiple connotations. It has been the subject of many studies and work during decades and it still remains a polemic entity, with contradictory finding. The polymicrobian etiology, unsolved epidemiology, obstetrico-gynecological complications and high recurre...
journal_title：Medicina clinica
pub_type： 杂志文章,评审
doi：10.1016/j.medcli.2008.11.043
更新日期：2009-11-28 00:00:00
abstract：INTRODUCTION AND OBJECTIVE:Hippotherapy is being used as a promising method in the physical treatment of multiple sclerosis (MS). MATERIAL AND METHOD:Comparative open clinical pre-post study into hippotherapy intervention during a 6-month period in patients with MS (n=6). Not randomised and with control group (n=4). T...
journal_title：Medicina clinica
pub_type： 临床试验,杂志文章
doi：10.1016/j.medcli.2018.02.015
更新日期：2019-01-18 00:00:00
abstract：BACKGROUND AND OBJECTIVE:Sense of Coherence (SOC) is a construct relating to coping strategies in the face of traumatic events. SOC is defined as a personal disposition towards perceiving life experiences as understandable, manageable and meaningful. The construct has shown itself to be a predictor of self-reported and...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1157/13100935
更新日期：2007-04-07 00:00:00
abstract：:Most patients with type 2 diabetes have excess adiposity. There is wide consensus that adequate treatment of type 2 diabetes requires a simultaneous approach to overweight/obesity and the remaining cardiovascular risk factors. Non-pharmacological interventions (diet, exercise) represent the cornerstone of the treatmen...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：10.1016/S0025-7753(17)30620-6
更新日期：2016-11-01 00:00:00
abstract：BACKGROUND:Community-acquired pneumonia (CAP) is one of the most frequent infectious disease conditions. With the aim of knowing the diagnostic and therapeutic strategies of CAP in Spanish hospitals we performed a prospective, observational and multicenter study. PATIENTS AND METHOD:Observational study of 468 patients...
journal_title：Medicina clinica
pub_type： 杂志文章,多中心研究
doi：10.1016/s0025-7753(02)73405-2
更新日期：2002-09-21 00:00:00
abstract：:The usefulness of two alpha-2 adrenergic agonists (clonidine and guanfacine) and their comparative effectiveness were evaluated regarding the control of the opiates abstinence syndrome and the secondary effects, including development of cardiovascular abnormalities, in 88 parenteral heroin abusers admitted to two hosp...
journal_title：Medicina clinica
pub_type： 临床试验,杂志文章,随机对照试验
doi：
更新日期：1990-02-10 00:00:00
abstract：:Pseudomonas infections continue to be an important problem in the hospital environment. Serious infections are always invariably associated with severe underlying conditions or with diminished host resistance. The increasingly resistance of strains and hospital epidemics favour the organism prevalence. During 1978, Ps...
journal_title：Medicina clinica
pub_type： 杂志文章
doi：
更新日期：1980-07-15 00:00:00
