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.