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Make Modern Microbiology Matter More in the 2023 European Society of Cardiology Guidelines for the Management of Infective Endocarditis

Oldberg, Karl LU orcid and Rasmussen, Magnus LU orcid (2024) In Clinical Infectious Diseases 79(2). p.336-338
Abstract

The European Society of Cardiology (ESC) 2023 guidelines for the management of infective endocarditis (IE) stress that a multidisciplinary approach is needed to manage patients with IE. In our view, the guidelines do not include the relevant perspectives from modern microbiology. The diagnostic criteria for IE were changed in the ESC 2023 guidelines, and many IE-causing pathogens are either not clearly defined. Moreover, an improved understanding of the relationship between bacterial species and the risk for IE has not been implemented. The guidelines give detailed and, in our view, incorrect instructions about diagnostic testing in blood culture–negative IE without presenting proper evidence. Other important diagnostic aspects, such as... (More)

The European Society of Cardiology (ESC) 2023 guidelines for the management of infective endocarditis (IE) stress that a multidisciplinary approach is needed to manage patients with IE. In our view, the guidelines do not include the relevant perspectives from modern microbiology. The diagnostic criteria for IE were changed in the ESC 2023 guidelines, and many IE-causing pathogens are either not clearly defined. Moreover, an improved understanding of the relationship between bacterial species and the risk for IE has not been implemented. The guidelines give detailed and, in our view, incorrect instructions about diagnostic testing in blood culture–negative IE without presenting proper evidence. Other important diagnostic aspects, such as the value of repeated blood cultures and incubation time for blood cultures, are not discussed. We believe that a multidisciplinary collaboration that include microbiologists would have improved these guidelines, and we hope for a future harmonization of diagnostic criteria for IE.

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author
and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
blood culture, blood culture negative endocarditis, guidelines, infective endocarditis, microbiology
in
Clinical Infectious Diseases
volume
79
issue
2
pages
3 pages
publisher
Oxford University Press
external identifiers
  • pmid:38655671
  • scopus:85201437345
ISSN
1058-4838
DOI
10.1093/cid/ciae222
language
English
LU publication?
yes
id
b051754e-3bc7-48f8-9648-6173232de9f1
date added to LUP
2024-10-30 13:32:19
date last changed
2025-07-10 12:05:32
@article{b051754e-3bc7-48f8-9648-6173232de9f1,
  abstract     = {{<p>The European Society of Cardiology (ESC) 2023 guidelines for the management of infective endocarditis (IE) stress that a multidisciplinary approach is needed to manage patients with IE. In our view, the guidelines do not include the relevant perspectives from modern microbiology. The diagnostic criteria for IE were changed in the ESC 2023 guidelines, and many IE-causing pathogens are either not clearly defined. Moreover, an improved understanding of the relationship between bacterial species and the risk for IE has not been implemented. The guidelines give detailed and, in our view, incorrect instructions about diagnostic testing in blood culture–negative IE without presenting proper evidence. Other important diagnostic aspects, such as the value of repeated blood cultures and incubation time for blood cultures, are not discussed. We believe that a multidisciplinary collaboration that include microbiologists would have improved these guidelines, and we hope for a future harmonization of diagnostic criteria for IE.</p>}},
  author       = {{Oldberg, Karl and Rasmussen, Magnus}},
  issn         = {{1058-4838}},
  keywords     = {{blood culture; blood culture negative endocarditis; guidelines; infective endocarditis; microbiology}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{336--338}},
  publisher    = {{Oxford University Press}},
  series       = {{Clinical Infectious Diseases}},
  title        = {{Make Modern Microbiology Matter More in the 2023 European Society of Cardiology Guidelines for the Management of Infective Endocarditis}},
  url          = {{http://dx.doi.org/10.1093/cid/ciae222}},
  doi          = {{10.1093/cid/ciae222}},
  volume       = {{79}},
  year         = {{2024}},
}