Vancomycin Treatment of Infective Endocarditis Is Linked with Recently Acquired Obesity
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{"title"=>"Vancomycin treatment of infective endocarditis is linked with recently acquired obesity", "type"=>"journal", "authors"=>[{"first_name"=>"Franck", "last_name"=>"Thuny", "scopus_author_id"=>"7801421244"}, {"first_name"=>"Hervé", "last_name"=>"Richet", "scopus_author_id"=>"7005085121"}, {"first_name"=>"Jean Paul", "last_name"=>"Casalta", "scopus_author_id"=>"6603846304"}, {"first_name"=>"Emmanouil", "last_name"=>"Angelakis", "scopus_author_id"=>"24334324600"}, {"first_name"=>"Gilbert", "last_name"=>"Habib", "scopus_author_id"=>"7101933258"}, {"first_name"=>"Didier", "last_name"=>"Raoult", "scopus_author_id"=>"36040059800"}], "year"=>2010, "source"=>"PLoS ONE", "identifiers"=>{"issn"=>"19326203", "scopus"=>"2-s2.0-77949363140", "pui"=>"358450273", "doi"=>"10.1371/journal.pone.0009074", "isbn"=>"1932-6203 (Electronic)\\r1932-6203 (Linking)", "sgr"=>"77949363140", "pmid"=>"20161775"}, "id"=>"a228dda8-5fac-3424-9c51-2e089ae903e9", "abstract"=>"BACKGROUND Gut microbiota play a major role in digestion and energy conversion of nutrients. Antibiotics, such as avoparcin (a vancomycin analogue), and probiotics, such as Lactobacillus species, have been used to increase weight in farm animals. We tested the effect of antibiotics given for infective endocarditis (IE) on weight gain (WG). METHODOLOGY/PRINCIPAL FINDINGS Forty-eight adults with a definite diagnosis of bacterial IE (antibiotic group) were compared with forty-eight age-matched controls without IE. Their body mass index (BMI) was collected at one month before the first symptoms and one year after hospital discharge. The BMI increased significantly and strongly in vancomycin-plus-gentamycin-treated patients (mean [+/-SE] kg/m(2), +2.3 [0.9], p = 0.03), but not in controls or in patients treated with other antibiotics. Seventeen patients had a BMI increase of >or=10%, and five of the antibiotic group developed obesity. The treatment by vancomycin-plus-gentamycin was an independent predictor of BMI increase of >or=10% (adjusted OR, 6.7; 95% CI, 1.37-33.0; p = 0.02), but not treatment with other antibiotics. Weight gain was particularly high in male patients older than 65 who did not undergo cardiac surgery. Indeed, all three vancomycin-treated patients with these characteristics developed obesity. CONCLUSIONS/SIGNIFICANCE A major and significant weight gain can occur after a six-week intravenous treatment by vancomycin plus gentamycin for IE with a risk of obesity, especially in males older than 65 who have not undergone surgery. We speculate on the role of the gut colonization by Lactobacillus sp, a microorganism intrinsically resistant to vancomycin, used as a growth promoter in animals, and found at a high concentration in the feces of obese patients. Thus, nutritional programs and weight follow-up should be utilized in patients under such treatment.", "link"=>"http://www.mendeley.com/research/vancomycin-treatment-infective-endocarditis-linked-recently-acquired-obesity", "reader_count"=>113, "reader_count_by_academic_status"=>{"Unspecified"=>3, "Professor > Associate Professor"=>7, "Student > Doctoral Student"=>7, "Researcher"=>24, "Student > Ph. D. Student"=>21, "Student > Postgraduate"=>9, "Student > Master"=>16, "Other"=>7, "Student > Bachelor"=>15, "Lecturer"=>1, "Professor"=>3}, "reader_count_by_user_role"=>{"Unspecified"=>3, "Professor > Associate Professor"=>7, "Student > Doctoral Student"=>7, "Researcher"=>24, "Student > Ph. D. Student"=>21, "Student > Postgraduate"=>9, "Student > Master"=>16, "Other"=>7, "Student > Bachelor"=>15, "Lecturer"=>1, "Professor"=>3}, "reader_count_by_subject_area"=>{"Unspecified"=>7, "Agricultural and Biological Sciences"=>27, "Arts and Humanities"=>1, "Veterinary Science and Veterinary Medicine"=>1, "Chemistry"=>1, "Earth and Planetary Sciences"=>1, "Environmental Science"=>1, "Biochemistry, Genetics and Molecular Biology"=>8, "Nursing and Health Professions"=>3, "Medicine and Dentistry"=>52, "Pharmacology, Toxicology and Pharmaceutical Science"=>2, "Physics and Astronomy"=>1, "Psychology"=>1, "Social Sciences"=>2, "Immunology and Microbiology"=>5}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>52}, "Social Sciences"=>{"Social Sciences"=>2}, "Physics and Astronomy"=>{"Physics and Astronomy"=>1}, "Psychology"=>{"Psychology"=>1}, "Unspecified"=>{"Unspecified"=>7}, "Environmental Science"=>{"Environmental Science"=>1}, "Pharmacology, Toxicology and Pharmaceutical Science"=>{"Pharmacology, Toxicology and Pharmaceutical Science"=>2}, "Arts and Humanities"=>{"Arts and Humanities"=>1}, "Chemistry"=>{"Chemistry"=>1}, "Earth and Planetary Sciences"=>{"Earth and Planetary Sciences"=>1}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>5}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>27}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>3}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>8}, "Veterinary Science and Veterinary Medicine"=>{"Veterinary Science and Veterinary Medicine"=>1}}, "reader_count_by_country"=>{"Canada"=>1, "Hong Kong"=>1, "United States"=>2, "Brazil"=>1, "United Kingdom"=>1, "Malaysia"=>1, "Ghana"=>1, "France"=>2}, "group_count"=>7}

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Figshare

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  • {"files"=>["https://ndownloader.figshare.com/files/863859"], "description"=>"<p>Percentage of patients with a major increase (≥10%) of body mass index (BMI), defined as an increase.</p>", "links"=>[], "tags"=>["patients", "defined"], "article_id"=>534303, "categories"=>["Neuroscience", "Medicine", "Virology"], "users"=>["Franck Thuny", "Hervé Richet", "Jean-Paul Casalta", "Emmanouil Angelakis", "Gilbert Habib", "Didier Raoult"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0009074.g002"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Percentage_of_patients_with_a_major_increase_8805_10_of_body_mass_index_BMI_defined_as_an_increase_/534303", "title"=>"Percentage of patients with a major increase (≥10%) of body mass index (BMI), defined as an increase.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-21 02:44:14"}
  • {"files"=>["https://ndownloader.figshare.com/files/864026"], "description"=>"<p>Impact of vancomycin treatment on the risk of major increase of body mass index (BMI ≥10%) in patients treated for infective endocarditis according to age, gender, and cardiac surgery.</p>", "links"=>[], "tags"=>["vancomycin", "patients", "treated", "infective", "endocarditis", "cardiac"], "article_id"=>534469, "categories"=>["Neuroscience", "Medicine", "Virology"], "users"=>["Franck Thuny", "Hervé Richet", "Jean-Paul Casalta", "Emmanouil Angelakis", "Gilbert Habib", "Didier Raoult"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0009074.g003"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Impact_of_vancomycin_treatment_on_the_risk_of_major_increase_of_body_mass_index_BMI_8805_10_in_patients_treated_for_infective_endocarditis_according_to_age_gender_and_cardiac_surgery_/534469", "title"=>"Impact of vancomycin treatment on the risk of major increase of body mass index (BMI ≥10%) in patients treated for infective endocarditis according to age, gender, and cardiac surgery.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-21 02:45:08"}
  • {"files"=>["https://ndownloader.figshare.com/files/864110"], "description"=>"<p>PPM = pacemaker; ICD = implantable cardioverter defibrillator.</p>", "links"=>[], "tags"=>["hospitalization", "48"], "article_id"=>534556, "categories"=>["Neuroscience", "Medicine", "Virology"], "users"=>["Franck Thuny", "Hervé Richet", "Jean-Paul Casalta", "Emmanouil Angelakis", "Gilbert Habib", "Didier Raoult"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0009074.t002"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Causes_of_hospitalization_in_the_48_controls_/534556", "title"=>"Causes of hospitalization in the 48 controls.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-21 02:45:39"}
  • {"files"=>["https://ndownloader.figshare.com/files/864150"], "description"=>"<p>Predictors of an increase of BMI ≥10%.</p>", "links"=>[], "tags"=>["bmi"], "article_id"=>534604, "categories"=>["Neuroscience", "Medicine", "Virology"], "users"=>["Franck Thuny", "Hervé Richet", "Jean-Paul Casalta", "Emmanouil Angelakis", "Gilbert Habib", "Didier Raoult"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0009074.t003"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Predictors_of_an_increase_of_BMI_8805_10_/534604", "title"=>"Predictors of an increase of BMI ≥10%.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-21 02:45:54"}
  • {"files"=>["https://ndownloader.figshare.com/files/864197"], "description"=>"<p>Values are number (%).</p><p>BMI = body mass index.</p><p>*Baseline is defined as one month before the first symptoms.</p>†<p>Defined as yes if smokers reported that they had quit smoking since the previous period. Data available in 40 patients.</p>", "links"=>[], "tags"=>["characteristics", "patients", "antibiotic"], "article_id"=>534642, "categories"=>["Neuroscience", "Medicine", "Virology"], "users"=>["Franck Thuny", "Hervé Richet", "Jean-Paul Casalta", "Emmanouil Angelakis", "Gilbert Habib", "Didier Raoult"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0009074.t001"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Clinical_characteristics_of_patients_in_the_Antibiotic_and_control_groups_/534642", "title"=>"Clinical characteristics of patients in the Antibiotic and control groups.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-21 02:46:08"}

PMC Usage Stats | Further Information

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Relative Metric

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