3 research outputs found
Comparison Between two Surgical Techniques for Increasing Vocal Pitch by Endoscopic Shortening of the Vocal Folds
- Author
- Publication venue
- Elsevier
- Publication date
- 01/08/2022
- Field of study
Objective: To compare two surgical techniques, the Wendler glottoplasty (GP) and its modification, the vocal fold shortening, and retrodisplacement of the anterior commissure (VFSRAC) associated with laser assisted voice adjustment (LAVA) cordotomy, used to feminize the voice of transgender women by increasing the fundamental frequency (F0).
Methods: A retrospective study of 22 trans-women (20-62 years-old) was carried out. 12 of them were treated with GP and 10 with the VFSRAC+LAVA technique. They were evaluated before surgery and 6 months after surgery and the postoperative speech therapy. Laryngostroboscopy examination, F0 measurements, Transgender Woman Voice Questionnaire (TWVQ) assessment and the perceptual assessment using a visual analog scale (PA-VAS) were obtained from all patients.
Results: Laryngostroboscopic findings showed normal vocal folds before surgery and a shortening of the vocal folds, due to the anterior glottic synechia, after surgery. Significant increases of F0 were found in both groups but they were higher in the VFSRAC+LAVA group (47.75Hz in GP group vs 69.70Hz in VFSRAC+LAVA group). TWVQ scores showed a significant decrease in both groups although the difference was greater in the VFSRAC+LAVA group. Similarly, PA-VAS scores lowered significantly in both groups but VFSRAC+LAVA group presented the biggest decreases.
Conclusion: Both surgical techniques produce the shortening of the vocal folds through an endoscopic approach and result in voices with higher vocal pitch. Of the two techniques presented, the VFSRAC+LAVA produces better results although when compared with previous studies it seems that the LAVA technique may not significantly contribute to the postoperative results. So, the VFSRAC technique followed by postoperative speech therapy could be recommended for trans-women who wish to feminize their voice.Depto. de InmunologĂa, OftalmologĂa y ORLUnidad Docente de InmunologĂa, OftalmologĂa y ORLFac. de MedicinaFac. de Ăptica y OptometrĂaTRUEinpres
Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries
- Author
- Abad-Motos Ane
- Abbas Ahmed M.
- Abbas Mostafa
- Abbasi Mujeeb
- Abbott Tom
- Abd Karim Muhammad Fairuz Shah
- Abdalaal Ibrahim
- Abdel-Galil Khalid
- Abdelemam Rania
- Abdelgawad Abdalrahman
- Abdelkarim Maryam
- Abdelkhalek Mohamed
- Abdelmageed Abdelfatah
- Abdelmawgoud Sherif
- Abdelmohsen Sarah
- Abdelrahman Ahmed Saber
- Abdelrahman Mostafa
- Abdelwahab Khaled
- Abdou Hossam
- Abdulai Darling Ramatu
- Abdulkhaleq Marwa
- Abdullah Bahiyah
- Abdulsalam Khalifa
- Abdulsalam Shuaib
- Abdur-Rahman Lukman
- Abdus-Salam Rukiyat
- Abdussalam Hameedat Opeyemi
- Abebrese John Tabiri
- Abeldaño Ariel
- Abou-Khalil Jad
- Abou-Taleb Hisham
- Abozid Anwaar
- Abozied Hesham
- Abrate Alberto
- Abu-Zaid Ahmed
- Abubakar Mohammed Kabir
- Abud Burçin
- Abuzaid Mohammed
- Adam Albushra Altayeb
- Adamina Michel
- Adamou Harissou
- Adamu Auwal
- Adamu Kabir Musa
- Adanu Kekeli
- Adebara Idowu
- Adebola Oluwaseyi
- Ademuyiwa Adesoji
- Adeniran Abiodun
- Adepiti Akinfolarin
- Aderogba Adeleke Akeem
- Adesunkanmi Abdulhafiz
- Adeyeye Ademola
- Adisa Adewale
- Adjeso Theophilus Justus Kofi
- Ads Adel Mohamed
- Ads Alaa Mohamed
- Adu-Aryee Nii Armah
- Adumah Collins
- Afzal Irrum
- Agapov Mikhail
- Agarwal Gaurav
- Agarwal Ravi
- Agbeko Anita Eseenam
- Agbeno Evans Kofi
- Agbonrofo Peter
- Agboola Oluseyi
- Aggarwal Gaurav
- Aghadi Ifeanyi
- Aghtarafi Natasha
- Agrawal Amit
- Agresta Ferdinando
- Aguado HĂ©ctor J.
- Aguilera-Arevalo Maria-Lorena
- Aherne Thomas
- Ahmad Aline
- Ahmad Maleeha
- Ahmad Misbahu
- Ahmad Sarwat
- Ahmad Shahzaib
- Ahmad Shoaib
- Ahmed Hayat Tarig Abdelhafiz
- Ahmed Khalid
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- Aisuodionoe-Shadrach Oseremen
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- Akinyemi Tosin
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- Akwaisah Ayoub
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- Al-Badawi Ismail A.
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- Al-Sayaghi Khaled
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- Ingabire J. C. Allen
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- Kassab Mohamad B.
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- Katorkin Sergey
- Katsaros Ioannis
- Katsiaras Lykoyrgos
- Katsura Morihiro
- Kauppila Joonas H
- Kaur Amanjot
- Kausar Nabila
- Kavalakat Alfie
- Kavanagh Marcel MarjanoviÄ
- Kazan Ozgur
- Kealey Joshua
- Kebede Ephrem
- Kedwany Ahmed
- Kelly Michael
- Ken-Amoah Sebastian
- Kenington Cleo
- Kennerton A.S.
- Kent Alistair J
- Keramati Mohammad Reza
- Kethy Fagnon
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- KoĆĄir Jurij AleĆĄ
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- Kroon Hidde M.
- Kruse Philippe
- Kryzauskas Marius
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- Kuriyama Akira
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- Königsrainer Ingmar
- Labib Peter
- Laborde Mario Mella
- Lacorbiniere Karisha
- Ladipo-Ajayi Oluwaseun
- Laeke Tsegazeab
- LaganĂ Antonio Simone
- Laird Alexander
- Lakpriya Sathya
- Lam Yick Ho
- Landaluce-Olavarria Aitor
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- Laporte Gustavo
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- Lauretta Andrea
- Lavalle Laura
- Lawal Taiwo Akeem
- Lazarides Alexander
- Lazarou Lazaros
- Lebe Moritz
- Lechuga Daniel Garay
- Ledda Virginia
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- Lee Susan
- Lenzi Riccardo
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- Leonard Laura
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- Li Elizabeth
- Li Zoe
- Liakakos Theodore
- Liang Rhea
- Licari Leo
- Lichman Leonid
- Lieske Bettina
- Lightfoot Nicholas
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- Lim Yizhe
- Lima Leonardo Santos
- Lin Shuxun
- Lindegger Daniel
- Linero Inmaculada BenĂtez
- Ling Samuel
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- Litta Francesco
- Litvin Andrey
- Lizzi Vincenzo
- Locatello Luca Giovanni
- Lohmann Tibor Karl
- Lohse Helmut Alfredo Segovia
- Lohsiriwat Varut
- Lombardi Pietro Maria
- Lombardi Raffaele
- Lopez Paloma Rodriguez
- Losada Manuel
- Lostoridis Eftychios
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- Loubani Mahmoud
- Loureiro Luis
- Lowery Aoife
- Luc Jessica
- Lucas Miriam Abellan
- Lucchini Stefano
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- Lule Herman
- Lumenta David Benjamin
- Lun Elizabeth Weng Yan
- Lunca Sorinel
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- Luzzi Andrea-Pierre
- Lyra Humberto Fenner
- Mabood Waleed
- MacChiavello Roberto
- MacHain V Gustavo Miguel
- MacHairas Nikolaos
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- Madhvani Kiran
- Maestri Marco
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- Maffuz-Aziz Antonio
- MagalhĂŁes Carlos
- Maggiore Giandomenico
- Magnone Stefano
- Magouliotis Dimitrios
- Maguire Patrick J.
- MaheÄiÄ Tina TomiÄ
- Mahmood Fahad
- Mahmoud Abdelrahman
- Mahmud Ayesha
- Mains Edward
- Maiola Vincenza
- Majbar Anass Mohammed
- Majd Hooman Soleymani
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- Malagnino Alessia
- Malek Bouhani
- Malik Aamer
- Malik Awais Amjad
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- Malik Sobia
- Mallick Rebecca
- Mallmann Christoph
- Mallmann Michael R.
- Mambrilla Sara
- Manangi Mallikarjuna
- Manesh Hassan Fatemi
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- Mangi Ali
- Maniaci Antonino
- Manickavasagam Jaiganesh
- Manigrasso Michele
- Manjula S.
- Mannan Syed
- Mantziari Styliani
- MaquilĂłn Alejandra Jara
- Marafante Chiara
- Marano Luigi
- Marei Mahmoud
- Mariani NicolĂČ Maria
- Marino Fabio
- Marom Gad
- Marra Angelo Alessandro
- Marriott Paul
- Marson Ben
- Martellucci Jacopo
- Martin Benjamin
- Martin Janet
- Martinelli Fabio
- Martinez-Leo Bruno
- Martinez-Mier Gustavo
- Martinez-Perez Carolina
- Martinez-Said Hector
- Martins Ana
- Martins Claudia Pinto
- Martins Paulo N.
- MartĂnez Daniel FernĂĄndez
- MartĂnez Eunate Ganuza
- MartĂnez VerĂłnica MartĂn
- MartĂnez-SĂĄnchez Marta Isabel
- Masciello Fabrizio
- Masri Ruqaya
- Massaguer Clara
- Massoud John
- Mata Javier
- Mateo-Sierra Olga
- Materazzo Marco
- Mathew Ryan
- Matos Leandro
- Matos Philomena Alice Wawer
- Matthews Emily
- Mauriello Claudio
- Maurus Christine
- Mayer Horacio F.
- Mayo-Yåñez Miguel
- Mazzarella Gennaro
- Mbodi Langanani
- Mbwele Bernard
- McAleer Stephen
- McCarthy Claire
- McGrath John
- McKay Joseph
- McLean Aaron Lawson
- McLeish Bethan
- McPherson Duncan
- Meara John G.
- Meead Adullah
- Mehraj Asif
- Meilak Joseph
- Meleiro Hugo
- Melero Alba Vazquez
- Melo Miguel Rocha
- MemiĆoǧlu Ecem
- Memos Nikolaos
- Mendes Tome
- Mendiola Gian
- Mendoza-Moreno Fernando
- Meneghini Simona
- Mengesha Mengistu G.
- Menna Maria Paola
- Menon Arun
- Meola Antonio
- Merayo Marta
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- Merghani Safa
- Meriç Serhat
- Mesina Cristian
- Mesli Smain Nabil
- Messner Franka
- Mewafy Mahmoud
- Meyer Jeremy
- Micha Georgia
- Michael Afieharo
- Michael Antony Louis Rex
- Migliore Marcello
- Migliorelli Federico
- Mihanovic Jakov
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- Mitra Jayanta Kumar
- Mittal Abhishek
- Mittal Rohin
- Mittal Rohin
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- Mittal Yash
- Mittermair Christof
- Mitul Ashrarur Rahman
- Moda Nupur
- Modabber Ali
- Modolo Maria Marta
- Mohamed Ahmed Mohamed Ibrahim
- Mohamed Guleed
- Mohamed Mazin
- Mohamedahmed Ali Yasen Y.
- Mohammed Alhassan Datti
- Mohammed Alsnosy Abdullah Khalefa
- Mohammed-Durosinlorun Amina
- Mohan Helen
- Mohan Rajashekar
- Mok Chi Wei
- Molina-Corbacho Matilde
- Moloo Husein
- Mondi Isabella
- Mongelli Francesco
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- Moreau Joshua
- Morelli Luca
- Moreno Amabelle
- Moreno Carlos Guijarro
- Morezzi Daniele
- Morgan Eghosa
- Moris Dimitrios
- Moro Alessandro
- Moro Ana MarĂa Gimeno
- Moro-Valdezate David
- Morris Richard
- Mostafa Badr
- Motas Natalia
- Mouawad Nicolas
- Mourmouris Panagiotis
- Mousafeiris Vasileios
- Mousli Alaa
- Moynihan Alice
- Muduly Dillip
- Muhaisen Mo'Nes
- Muhammad Abubakar Bala
- Muhammad Sagir
- Muhammad Saminu
- Mukherjee Dattatreya
- Mulita Francesk
- Munthali James
- Musadaq Muhammad
- Mushtaq Hassan
- Musina Ana-Maria
- Mustafa Hamid
- Muthu Sathish
- Mutlu Ăzgecan Piril Zanbak
- Mutter Didier
- Mvukiyehe Jean Paul
- Mwenda Aruyaru Stanley
- Myrelid Par
- Myriokefalitaki Eva
- MĂ©ndez Patricia Serrano
- Nabil Fatma
- Nachelleh Emmanuel Aadereyir
- Nacion Aeris Jane D.
- Nadi Khaldoun
- Naegele Felix
- Naga Hani
- Nagappa Mahesh
- Naggs Taryn
- Nah Shireen Anne
- Nahm Christopher
- Naimzada Mukhammad David
- Nakano Luis
- Nanjiani Deedar
- Nankivell Paul
- Naranjo Eddy P. Lincango
- Narayanan Vairavan
- Nardo Bruno
- Narvaez-Rojas Alexis Rafael
- Nassar Mahmoud A.
- Nasser Sara
- Nastos Constantinos
- Natale Joseph
- Nataraja Ramesh
- Nathan Arjun
- Naumann David
- Navarrete-PeĂłn Alberto
- Navarro-Barrios Alvaro
- Nazer Ahmed
- Nazimi Abd Jabar
- Ncogoza Isaie
- Neal-Smith Gregory
- Neary Colm
- Negoi Ionut
- Negussie Abraham
- Nemeth Marcus
- Nenna Antonio
- Nepogodiev Dmitri
- Nestor Claire
- Nevins Edward J.
- Newman Samuel
- Ngaserin Sabrina
- Nicholson Gary
- Niewiera Marc
- Nigh Joe
- Nikolouzakis Taxiarchis
- Nikolovska Bisera
- Nikova Alexandrina
- Nissi Evelyn R.
- Nitschke Christine
- Njokanma Iloba
- Noel Colin
- Nolte Peter
- Noureldin Yasser
- Novello Simone
- Novysedlåk René
- Ntalouka Maria P.
- Ntirenganya Faustin
- Nugur Ashwani
- Nuhu Ahmed Mohammed
- Nunes Rafael Leite
- Nuñez Jorge
- Nwafor Ikechuwu
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- NĂșñez Bernardo
- O'Connell Robert Michael
- O'Connor Alexander
- O'Dwyer Marliza
- O'Riordan James
- Odai Emeka Danielson
- Odicino Franco
- Ofori Emmanuel Owusu
- Ogu Rosemary
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- Oktseloglou Vlasios
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- Olori Samson
- Olson Kristofor A.
- Oludara Mobolaji
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- Omar Islam
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- Onyemaechi Ndubuisi
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- Oshodi Yusuf
- Osman Hany
- Osman Osama Saeed
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- Othman Ahmad Faidzal
- Othman Amani Alsayd Abdulsalam
- Othman Rema
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- Ozkan Omer Faruk
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- Page Richard
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- Palmisano Silvia
- Palomba Giuseppe
- Panahi Pedram
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- Panduro-Correa Vicky
- Pang Tony
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- Papavasiliou Kyriakos
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- Paraskevopoulos Konstantinos
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- Park James
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- Parker Robert
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- Pascale Angelo
- Pascale Giovanni
- Pascale Marco Maria
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- Patrone Renato
- Pattacini Gianmaria Casoni
- Payne Rachel
- Pazmiño Patricio Andrés Freile
- Peckham-Cooper Adam
- Pecoraro Felice
- Pedini Domiziana
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- Peltrini Roberto
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- Perez-Chrzanowska Hanna
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- Peros Georgios
- Perra Teresa
- Perrone Gennaro
- Perrotta Gerardo
- Persad Amit
- Pertea Mihaela
- Pessaux Patrick
- Petagna Lorenzo
- Petersen Maria Laura
- Petrone Patrizio
- Petrucciani NiccolĂČ
- Petruzzi Gerardo
- Pettigrove K.L.
- Phillips Jonathan
- Picardi Biagio
- Picchetto Andrea
- Picciariello Arcangelo
- Picciochi Maria
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- Pillerstorff Robert
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- Pinkney Thomas
- Pinney L.
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- Pinto Romina
- Piozzi Guglielmo NiccolĂČ
- Pira Biagia La
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- Pirola Giacomo Maria
- Pirozzi Brunella Maria
- Pirrello Roberto
- Pirzada Muhammad Taqi
- Pissaridou Maria Katerina
- Pitcher Meron
- Pitoni Sara
- Pizzini Paolo
- Pk Parvathy
- Plata-Bello Julio
- Pockney Peter
- Podda Mauro
- Poillucci Gaetano
- Pollok Joerg Matthias
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- Porcu Alberto
- Potamianos Spyridon
- Potten Stephanie
- Pournaras Dimitri
- Power Nicholas
- Prada Carlos
- Pradhan Akhilesh
- Pramesh C.S.
- Prats Milagros Carrasco
- Prieto Mikel
- PrijoviÄ NebojĆĄa
- Prodromidou Anastasia
- Proud David
- Prucher Gian Marco
- Prusty Lydia
- Pu Jingya Jane
- Pucher Philip
- Punjabi Prakash P
- Puri Ajay
- Purich Kieran
- PĂ©rez Beatriz GĂłmez
- PĂ©rez-BertĂłlez Sonia
- Qader Kawthar
- Qin Kirby R.
- Quadri Oladeji
- Quaresima Silvia
- Querney Jill
- Quintana-Villamandos Begoña
- Quzli Ahmad
- Rabie Mohamed
- Racine Michaël
- Radhakrishnan Ajay
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- Ragozzino Roberta
- Rahman Atiqur
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- Rajendram Rajkumar
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- Rammohan Ashwin
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- Raphael Marie-Claire
- Raptis Dimitri Aristotle
- Rasheed Aqsa
- Rashid Isbah
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- Rauf Umme Habiba Abdul
- Raurich-Leandro Jordi
- Rausa Emanuele
- Raut Chandrajit
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- Ravindra Raevin
- Raymond Thomas
- Rayner Anthony
- Raza Muhammad Asif
- Recinos Gustavo
- Recker Florian
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- Sholadoye Tunde T.
- Shoukrie Shoukrie I. M.
- Shrestha Rashmit
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- Skipworth Richard Je
- Slavchev Mihail
- Sleem Adham
- Smati Ismail
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- Smith A.
- Smolle-Juettner Freyja-Maria
- Sodhai Vivek
- Sofi Khalid
- Sohrabi Catrin
- Soibiharry Adaiah
- Sokolov Manol
- Solaini Leonardo
- Sole Oriol Martin
- Sole-Sedeno Josep M.
- Soljic Martina
- Solli Piergiorgio
- Soon Wai Cheong
- Sorbi Flavia
- Sotiropoulou Maria
- Sotudeh Mohadeseh
- Souadka Amine
- Soucheiron Maria Coronas
- Soytas Mustafa
- Sozzi Giulio
- Sparavigna Marco
- Spartalis Michael
- Spellar Kayleigh
- Spiers Harry V. M.
- Spina Alfio
- Spriano Giuseppe
- Squiers John
- Stabler Robert
- Stamatakis Emmanouil
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- Stijns Jasper
- Stogowski Piotr Tomasz
- Stoleriu Mircea Gabriel
- Stoyanov Vladislav
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- Strotmann Johanna Josefine
- Stroumpoulis Konstantinos
- Su Yu-Xiong
- Suarez Sara Busto
- Subramani Yamini
- Subramaniam Sentilnathan
- Sue-Chue-Lam Colin
- Suer Muhammed Salih
- Sulaiman Bilal
- Sultania Mahesh
- Sundarraju Shalini
- Sungurtekin Hulya
- Suresh Sreelakshmi
- Surya Ilham Utama
- Swed Sarya
- Syllaios Athanasios
- Symeonidis Dimitrios
- SzabĂłmihĂĄlyovĂĄ KatarĂna
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- Sånchez-Guillén Luis
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- Ulman Elif Akbas
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- Unsworth Richard
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- Urriza Pablo Vallés
- Usman Muhammad
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- Valioulis Ioannis
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- Van Goor Harry
- Van Vliet Helen
- Van Wyk Naomi Natasha
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- Vas Aurelia
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- Vaschetti Roberto
- Vassiliu Panteleimon
- Vatansever Dogan
- Vatish Jamie
- Vaughan-Shaw Peter G.
- Vaysburg Dennis
- Veglia Antonella
- Velten Markus
- VelĂĄzquez Maria Jose Martinez
- Venkatappa Sunil Kumar
- Venketeswaran Meenakshi
- Venskutonis Donatas
- Verbic Milena Senica
- Verdi Daunia
- Vergara-Fernandez Omar
- Verhoeff Kevin
- Veroux Massimiliano
- Verras Georgios-Ioannis
- Verre Luigi
- Vida Lucian
- Vidya Raghavan
- Viglietta Edoardo
- Vijay Vardhini
- Vijgen Guy
- VilarĂł Blanca Capdevila
- Villanueva Julio
- Vilz Tim O.
- Vincent Elizabeth
- Vinci Danilo
- Viola Simona
- Violante Tommaso
- Vishnoi Jeewan Ram
- Vissapragada Ravi
- Vivancos Laura Guillamon
- Vives Josep Maria Muñoz
- Vizzielli Giuseppe
- Vohra Lubna
- Vokshi Ismail
- Vosinakis Christos
- Våsquez Javier Alberto Gutiérrez
- VĂĄzquez Gil
- VĂĄzquez Irene Ortega
- VÇcÇraĆu Andrei Bogdan
- Wade Ryckie
- Wafi Omar
- Wagner Gabriela
- Wallis Christopher
- Wanjara Samuel
- Waqar Shahzad Hussain
- Warden Claire
- Warner Christian
- Wasim D.
- Wason Shaun
- Wasserman Isaac
- Watcyn-Jones Tom
- Waterson Ben
- Watson David
- Watson Matthew
- Weber Clemens
- Wheatstone P.
- Wheeler James
- Wheldon Luke
- White Michelle
- White Stuart
- White William
- Wickramasinghe Dakshitha
- Widmer Lukas Werner
- Wiedemann Dominik
- Wiesinger Clemens Georg
- Wijekoon Naveen
- Wijenayake Wasantha
- Wijeyaratne Manuk
- Wijeysundera Duminda
- Wiles Matthew
- Wilkin Richard
- Wilkins Alex
- Wilkins James
- William Tinka George
- Williams Omolara Modupe
- Williams Shekinah
- Windsor John
- Winnand Philipp
- Wittmann Maria
- Wolde Amanuel
- Wolfenden John W. D.
- Wong Benjamin Ngie Xiong
- Wong Enoch
- Wong Evan G.
- Wong George Kwok Chu
- Wong Ho Ying Flora
- Wong Kai Yuen
- Wormald Justin
- Wright Deborah
- Wright Joshua
- Wu Fiona
- Wurm Markus
- Xenaki Sofia
- Yadev Ip
- Yahaya Ahmad Shuib
- Yakubu Mustapha
- Yang Wah
- Yanik Ăzge
- Yanowsky-Reyes Guillermo
- Yassin Abubaker
- Yates Elizabeth
- Yebes Alvaro
- Yenli Edwin Mwintiereh Ta-Ang
- Yeoh Tien
- Yeung Justin
- Yiallourou Anneza
- Yigit Banu
- Yildirim Asif
- Yim Guang
- Yiu Andrew
- Yonekura Hiroshi
- Yotsov Tsanko
- Younis Muhammad Umar
- Yunus Alif
- Yusefi Hossein
- Zabaleta Jon
- Zabkiewicz Catheriner
- Zaccaria Giulia
- Zacharia Bincy
- Zafar Syed Nabeel
- Zago Mauro
- Zaheen Zakia
- Zahid Zahra
- Zaimis Tilemachos
- Zakaria Andee Dzulkarnaen
- Zambon Martina
- Zamora Lindsey
- Zampogna Biagio
- Zancana Giuseppa
- Zani Augusto
- Zanin Luca
- Zanini Nicola
- Zapardiel Ignacio
- Zapata Carlos Shiraishi
- Zarif Pierre
- ZarĂĄnd Attila
- Zehnder Philipp
- Zenger Serkan
- Zenha HorĂĄcio
- Zhu Michael Z. L.
- Ziemann Sebastian
- Zimak Danijela Mrazovac
- Zimak Zoran
- Zivkovic Dragana
- Zizzo Maurizio
- Zucker Benjamin
- Zwain Yasir
- Zyskowski Michael
- Ăvila Clara Castro
- ĂlgĂ„ Andreas
- Ăakici Mehmet Ăaǧlar
- Ăelik Enes
- Ăelik Meryem Nur
- Ăzçay Necdet
- Ćevik HĂŒsnĂŒ
- Ć antak Goran
- Ć imko KristiĂĄn
- ĆœateckĂœ Jan
- Publication venue
- 'Oxford University Press (OUP)'
- Publication date
- 01/01/2023
- Field of study
Abstract
Background
Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres.
Methods
This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and lowâmiddle-income countries.
Results
In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of âsingle-useâ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for lowâmiddle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia.
Conclusion
This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both highâ and lowâmiddleâincome countries
Contemporary use of cefazolin for MSSA infective endocarditis: analysis of a national prospective cohort
- Author
- A. Prieto
- A.L. FernĂĄndez
- AdriĂĄn TĂ©llez
- AgustĂn EstĂ©vez
- AgustĂn Muñoz Sanz
- Ainhoa Rengel Jiménez
- Alberto Bouzas
- Alberto Eizaguirre Yarza
- Alberto SĂĄez Berbejillo
- Alejandro Crespo
- Alejandro del RĂo
- Alejandro Peña Monje
- Alejandro Ruiz Majoral
- Alexandra Mas
- Alfonso Cabello Ăbeda
- Alfonso Moreno Torrico
- Alicia HernĂĄndez Torres
- Alina PĂ©rez RamĂrez
- Amaia Aguirre Quiñonero
- Amaia Mari Hualde
- Amparo MartĂnez
- Ana BlĂĄzquez
- Ana FernĂĄndez Cruz
- Ana Fuentes
- Ana GonzĂĄlez Mansilla
- Ana MarĂa Pello
- Ana PelĂĄez Ballesta
- Ana SabĂn Collado
- Ana Silverio
- Ana Ălvarez-UrĂa
- Ana Ălvarez-UrĂa
- Anai Moreno RodrĂguez
- Anai Moreno RodrĂguez
- Andrea Eixerés Esteve
- Andrea Kallmeyer
- Ane Josune Goikoetxea
- Antoni Mestres
- Antonia Calvo Cano
- Antonia Delgado Montero
- Antonia Tercero MartĂnez
- Antonino Ginel Iglesias
- Antonio Barros Membrilla
- Antonio José Ginel
- Antonio Meseguer
- Antonio Ortiz-CarrellĂĄn
- Antonio Plata Ciezar
- Antonio Ramos-MartĂnez
- Antonio Segado
- Arnau Blasco
- Aroa Villoslada Gelabert
- ArĂstides de AlarcĂłn
- ArĂstides de AlarcĂłn
- AsunciĂłn Moreno
- Basilio Angulo-Lara
- Beatriz Castro
- Beatriz PĂ©rez
- Beatriz Ălvarez
- Begoña Alcaraz Vidal
- Begoña Paya MartĂnez
- Belén Loeches
- Benito Regueiro
- Blanca Pinilla
- Brais Castelo
- BĂĄrbara Vidal
- Carlos Armiñanzas Castillo
- Carlos Costas
- Carlos Falces
- Carlos Morales
- Carlos Paré
- Carmen Ardanuy
- Carmen Aured Guallar
- Carmen Cifuentes Luna
- Carmen Hidalgo Tenorio
- Carmen Palomo
- Carolina Maicas Bellido
- Claudia GonzĂĄlez Rico
- ConcepciĂłn Fariñas-Ălvarez
- Cristina Amado FernĂĄndez
- Cristina BadĂa
- Cristina del Bosque MartĂn
- Cristina GarcĂa de la MĂ ria
- Cristina Landaeta Kancev
- Cristina RincĂłn
- Daisy Carolina Sorto SĂĄnchez
- Daniel Pereda
- Daniel San RomĂĄn SĂĄnchez
- David Alonso
- David Alonso-Menchén
- David Fuster
- David NicolĂĄs
- David Rodrigo
- David Vinuesa GarcĂa
- Delia GarcĂa-Pares
- Diego MonzĂłn
- Diego Vicente Anza
- Dolores Sousa Regueiro
- Dolors Soy
- DĂĄcil GarcĂa Rosado
- DĂĄmaris Berbel
- E. Tijeira
- Eduardo Moreno Escobar
- Eduardo Quintana
- Eduardo SĂĄnchez-PĂ©rez
- Eduardo Verde Moreno
- Eladio SĂĄnchez-DomĂnguez
- Elena Bereciartua
- Elena Escribano Garaizabal
- Elena Pisos Ălamo
- Elena Sandoval
- Elisa Berritu Boronat
- Elisa GarcĂa VĂĄzquez
- Elou SĂĄnchez Haza
- Eloy GĂłmez Nebreda
- Emilio Bouza
- Encarnación Gutiérrez-Carretero
- Encarnación Gutiérrez-Carretero
- Enrique Navas
- Enrique Oliva
- Enrique Ruiz de Gopegui Bordes
- Esperanza Merino
- Ester SĂĄez de Adana Arroniz
- Esther Gargallo
- EstĂbaliz Corral Armas
- Eva Cascales Alcolea
- Eva Heredero GĂĄlvez
- Eva MÂȘ Aguilar Blanco
- Fabrizio Sbraga
- Felicitas Elena Calvo
- FermĂn RodrĂguez Moreno
- Fernando DomĂnguez
- Fernando FernĂĄndez SĂĄnchez
- Francesc Escrihuela-Vidal
- Francesc Marco
- Francisca SĂĄnchez
- Francisco Arnaiz de las Revillas
- Francisco BuendĂa
- Francisco GalvĂĄn RomĂĄn
- Francisco Javier GonzĂĄlez Moraga
- Francisco Javier MartĂnez
- Francisco LĂłpez Medrano
- Francisco MartĂnez
- Gabriel Rosas
- Gonzalo Aldamiz
- Gonzalo de la Morena Valenzuela
- Gorane Euba Ugarte
- Gregorio Cuerpo Caballero
- Guillermina Fita
- Guillermo Cuervo
- Guillermo MarĂn
- Guillermo Ojeda
- Harkaitz Azkune Galparsoro
- Hugo RodrĂguez-Abella
- HĂ©ctor Marrero Santiago
- Ibalia Horcajada Herrera
- Ignacio Ălvarez RodrĂguez
- Imanol Pulido
- Inmaculada Grau
- Inmaculada LĂłpez
- Irati Unamuno Ugartemendia
- Irene Menduiña Gallego
- Irene MĂ©ndez
- Irene Rovira
- Isabel Antorrena
- Isabel de Miguel MartĂnez
- Isabel Morales
- Isabel RodrĂguez BailĂłn
- Isabel SĂĄnchez Romero
- Itziar Solla Ruiz
- Ivan Keituqwa Yañez
- IvĂĄn AdĂĄn
- IvĂĄn GarcĂa
- IvĂĄn SĂĄnchez-RodrĂguez
- Iñaki Villanueva Benito
- Jaume Llopis PĂ©rez
- Javier Aramburu
- Javier Bermejo
- Javier de la Torre Lima
- Javier FernĂĄndez Sarabia
- Javier Nieto
- Javier Solera Rallo
- JesĂșs AgĂŒero BalbĂn
- JesĂșs de la Hera
- JesĂșs Zarauza
- JoaquĂn LĂłpez-Contreras
- JoaquĂn Manuel Serrano
- JoaquĂn Plazas
- Jonnathan FernĂĄndez SuĂĄrez
- Jordi CarratalĂ
- Jordi Vila
- Jorge Boan PĂ©rez
- Jorge CalderĂłn Parra
- Jorge RodrĂguez-Roda Stuart
- Jorge SolĂs MartĂn
- Jose Maria MirĂł
- Josefa Ruiz Morales
- Josu Irurzun Zuazabal
- JosĂ© Antonio GarcĂa Robles
- José Antonio Iribarren
- José Antonio Lepe
- José Antonio Oteo
- José Antonio Parra
- José Carlos Sånchez Salado
- José Cuenca
- JosĂ© GutiĂ©rrez DĂez
- José Ignacio Pérez-Moreiras López
- JosĂ© JoaquĂn Portu Zapirain
- José L. Pomar
- José Largo Pau
- José Luis Moya
- José López Menéndez
- José López-Haldón
- José M. Miró
- José M. Tolosana
- José Manuel Azcona Gutiérrez
- José Manuel Hermida
- José Miguel Barquero
- JosĂ© MÂȘ Arribas Leal
- JosĂ© MÂȘ GarcĂa de Lomas
- JosĂ© MÂȘ Reguera Iglesias
- JosĂ© RamĂrez
- José Ramón Blanco
- José Ramón Iruretagoyena
- JosĂ© Ăngel PĂ©rez Rivera
- Juan Ambrosioni
- Juan Carlos Alonso
- Juan Carlos Gainzarain Arana
- Juan Carlos Porres
- Juan Carlos Segura Luque
- Juan GĂĄlvez Acebal
- Juan Lacalzada
- Juan M. PericĂĄs
- Juan Pablo Horcajada Gallego
- Juan Ruiz Morales
- Juana NĂșñez Morcillo
- Julia GonzĂĄlez GonzĂĄlez
- JuliĂĄn Navarro MartĂnez
- Karlos Reviejo
- Lara GarcĂa-Ălvarez
- Lara Ruiz GĂłmez
- Laura DomĂnguez PĂ©rez
- Laura Gracia SĂĄnchez
- Laura Guio CarriĂłn
- Laura Gutiérrez
- Laura Gutiérrez-Fernåndez
- Laura Herrera-Hidalgo
- Laura Prieto
- Laura Varela
- Laura Vidal Bonet
- Leire LĂłpez-Soria
- Leticia Risco
- Lisardo Iglesias Fraile
- Lissete Lorenzo de la Peña
- LluĂs Molina
- LluĂs Recasens
- Lucia Boix-Palop
- LucĂa Boix Palop
- LucĂa Ramos
- Luis Eduardo López-Cortés
- Luis Eduardo López-Cortés
- Luis Javier Alonso
- Luisa SorlĂ
- M. Ălvarez
- Manuel Almela
- Manuel Almendro Delia
- Manuel Azqueta
- Manuel Cobo Belaustegui
- Manuel Gutiérrez-Cuadra
- Manuel MartĂnez-SellĂ©s
- Manuel TaurĂłn
- Mar Moreno
- Mar Zabalo Arrieta
- Marcos PajarĂłn
- Marcos SĂĄnchez FernĂĄndez
- Mariana J FernĂĄndez-Pittol
- Maricela Valerio
- Marina Bernal Palacios
- Marina de Cueto
- Marina Machado
- Marina SuĂĄrez
- Marino Vega
- Mariona Xercavins
- Marta Bodro
- Marta Campaña Låzaro
- Marta Cobo
- Marta FernĂĄndez Sampedro
- Marta HernĂĄndez-Meneses
- Marta Ibarrola Hierro
- Marta MartĂn
- Marta Matamala Adell
- Marta RodrĂguez-CrĂ©ixems
- Marta Sitges
- Marta TomĂĄs Mallebrera
- Martha Kestler HernĂĄndez
- MarĂa Alba Rivera MartĂnez
- MarĂa AngĂ©lica Corres Peiretti
- MarĂa Arrizabalaga Asenjo
- MarĂa Carmen Fariñas
- MarĂa Del Carmen Fariñas
- MarĂa FernĂĄndez Regueras
- MarĂa JesĂșs Del Amor EspĂn
- MarĂa JosĂ© Blanco Vidal
- MarĂa Olmedo
- MarĂa RodrĂguez Mayo
- MarĂa Romero
- MarĂa Victoria Boado
- MarĂa Victoria MillĂĄn NĂșñez
- MarĂa Ăngeles MantecĂłn Vallejo
- Mauricio Telenti Asensio
- Mercedes CatalĂĄn GonzĂĄlez
- Mercedes MarĂn
- MercĂš Brunet
- MercĂš Roque
- Miguel Angel Goenaga
- Miguel Fajardo Olivares
- Miguel Montejo
- Miguel Morante Ruiz
- Miguel Ăngel Goenaga
- Miguel Ăngel MorĂĄn RodrĂguez
- Miguel Ăngel Navas Lobato
- Mikel Del Ălamo MartĂnez de Lagos
- Miquel Vives BorrĂ s
- Mireia Ble
- Mireia de la Peña Triguero
- Muskilda Goyeneche del RĂo
- MÂȘ Antonia SepĂșlveda
- MÂȘ BelĂ©n VillmarĂn
- MÂȘ Carmen BellĂłn Munera
- MÂȘ Cruz PĂ©rez Seco
- MÂȘ del Mar Alonso
- MÂȘ Eugenia GarcĂa Leoni
- MÂȘ JesĂșs Bustinduy Odriozola
- MÂȘ JesĂșs LĂłpez Gude
- MÂȘ Pilar PalaciĂĄn Ruiz
- MÂȘ Victoria GarcĂa LĂłpez
- MÂȘ Ăngeles Orellana Miguel
- MÂȘ Ăngels Ribas Blanco
- Neera Toledo
- Nuria FernĂĄndez Abad
- Nuria SĂĄnchez Mata
- NĂșria Ribas
- Omar Araji
- Oriol Alegre
- Pablo GarcĂa PavĂa
- Pablo Prada Arrondo
- Paola Tarabini-Castellani
- Patricia Muñoz
- Patricia Muñoz
- Patricio Llamas
- Patrick Pilkington
- Pedro AzcĂĄrate
- Pilar GarcĂa Mangas
- Pilar MartĂn-DĂĄvila
- Pilar Mencia Bajo
- Pilar Toledano Sierra
- Pilar VĂĄzquez
- Radka Ivanova Georgieva
- Rafael Carrasco
- Rafael HernĂĄndez
- Rafael Luque-Marquez
- Rafael Luque-MĂĄrquez
- Ramón Cartañå
- RamĂłn Fortuny Ribas
- RamĂłn Serrat
- RamĂłn Teira
- Raquel RodrĂguez GarcĂa
- Regino RodrĂguez
- Ricardo FernĂĄndez Roblas
- Roberto Blanco
- Roberto Jiménez Sånchez
- Roberto Voces
- RomĂĄn Calvo Jambrina
- Rosa Melero
- Rosa SebastiĂĄn Alda
- Rosario MĂĄrmol
- Rubén Leta Petracca
- Ruth Esther Figueroa CerĂłn
- Sadaf Zafar Iqbal-Mirza
- Salvador Ninot
- Sandra Rosillo
- Santiago de CossĂo Tejido
- Sara GonzĂĄlez de Alaiza Ortega
- Sara Grillo
- SebastiĂĄn Ruiz SolĂs
- Sergio Reus
- Sergio Sequera
- SofĂa de la Villa
- Soledad Ruiz
- SĂĄnchez-Porto Antonio
- SĂłnia Ibars
- Teresa Delgado Melian
- Tomasa Centella
- TomĂĄs EcheverrĂa
- Ulises RamĂrez
- Valme SĂĄnchez Cabrera
- Vanina Silva
- VerĂłnica Rial BastĂłn
- Vicente Climent
- Victoria Andrea HortigĂŒela MartĂn
- VĂctor Asensi Ălvarez
- VĂctor GonzĂĄlez Ramallo
- VĂctor LeĂłn Arguero
- Xabier Kortajarena Urkola
- Xerach Bosch
- Yolanda Revilla Ostalaza
- Yolanda Vitoria
- Zoser Saura
- Zuriñe Ortiz de Zårate
- Ălvaro Pedraz
- Ăngel Alonso
- Ăngel Pinto
- Ăngela Alonso Miñambres
- Ăngela Granda Bauza
- Ăngeles RodrĂguez Esteban
- Ăbeda Iglesias Alejandro
- Publication venue
- Elsevier
- Publication date
- 01/01/2023
- Field of study
Objectives: This study aimed to assess the real use of cefazolin for methicillin-susceptible Staphylococcus aureus (MSSA) infective endocarditis (IE) in the Spanish National Endocarditis Database (GAMES) and to compare it with antistaphylococcal penicillin (ASP). Methods: Prospective cohort study with retrospective analysis of a cohort of MSSA IE treated with cloxacillin and/or cefazolin. Outcomes assessed were relapse; intra-hospital, overall, and endocarditis-related mortality; and adverse events. Risk of renal toxicity with each treatment was evaluated separately. Results: We included 631 IE episodes caused by MSSA treated with cloxacillin and/or cefazolin. Antibiotic treatment was cloxacillin, cefazolin, or both in 537 (85%), 57 (9%), and 37 (6%) episodes, respectively. Patients treated with cefazolin had significantly higher rates of comorbidities (median Charlson Index 7, P <0.01) and previous renal failure (57.9%, P <0.01). Patients treated with cloxacillin presented higher rates of septic shock (25%, PÂ =Â 0.033) and new-onset or worsening renal failure (47.3%, PÂ =Â 0.024) with significantly higher rates of in-hospital mortality (38.5%, PÂ =Â 0.017). One-year IE-related mortality and rate of relapses were similar between treatment groups. None of the treatments were identified as risk or protective factors. Conclusion: Our results suggest that cefazolin is a valuable option for the treatment of MSSA IE, without differences in 1-year mortality or relapses compared with cloxacillin, and might be considered equally effective