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Temporal Trends of Infective Endocarditis in Olmsted County, Minnesota, Between 1970 and 2018: A Population-Based
Daniel C DeSimone1,2, Brian D Lahr3, Nandan S Anavekar2
1Division of Infectious Diseases, Mayo Clinic, Rochester, Minnesota, USA.
Infective endocarditis (IE) incidence, particularly enterococcal IE, rose over time. Staphylococcus aureus IE showed seasonal patterns, but viridans group streptococci IE remained stable post-guideline changes.
Area of Science:
- Epidemiology
- Infectious Diseases
- Cardiology
Background:
- Infective endocarditis (IE) is a serious infection with potential for significant morbidity and mortality.
- Understanding temporal and seasonal variations in IE incidence is crucial for public health planning and resource allocation.
Purpose of the Study:
- To investigate long-term temporal and seasonal trends in infective endocarditis (IE) incidence.
- To analyze changes in IE incidence by causative pathogen and in relation to prevention guidelines.
Main Methods:
- Population-based study in Olmsted County, Minnesota (1970-2018).
- Review of all adult cases of definite or possible IE using the Rochester Epidemiology Project.
- Poisson regression analysis to assess trends in incidence, considering age, sex, calendar time, and season.
Main Results:
- Overall IE incidence was 7.9 cases per 100,000 person-years, with a significant increase over the 49-year study period.
- Enterococcal IE showed the most substantial increase over time.
- Staphylococcus aureus IE incidence exhibited seasonal variation, predominantly increasing in winter months.
Conclusions:
- Infective endocarditis incidence, especially due to Enterococcus species, has increased over time.
- Staphylococcus aureus IE demonstrates a seasonal dependency, while viridans group streptococci IE incidence remained stable.
- No significant change in viridans group streptococci IE incidence was observed following the 2007 AHA guidelines.
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