Conclusion
This study presents the IE profile and all-cause mortality analyses in a
large patient’s cohort, comprising a 6-years’ time window, which
represents a rare initiative in developing countries. Elderly and male
patients predominated, while Staphylococcus aureus was the main
microbiological agent.
In this cohort, patients conservatively treated presented higher
mortality than surgically managed ones. The high mortality rate observed
corroborates the impact of IE studies since they provide a better
understanding of epidemiological and microbiological characteristics
associated with poorer outcomes, thus, leading us to the development of
strategies to improve them. We believe that further studies, if possible
randomized studies, will demonstrate the superiority of early surgical
procedures.