Bacteraemia with gram-positive bacteria—when and how do I need to look for endocarditis?

Rasmussen, Magnus; Gilje, Patrik; Fagman, Erika; Berge, Andreas

doi:10.1016/j.cmi.2023.08.027

Clinical Microbiology and Infection

2024

DOI: 10.1016/j.cmi.2023.08.027

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Bacteraemia with gram-positive bacteria—when and how do I need to look for endocarditis?

Magnus Rasmussen,

Patrik Gilje,

Erika Fagman

et al.

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2024

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Cited by 2 publications

References 61 publications

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Seeing is Believing

Yusuf,

Paul

2024

Clinical Microbiology and Infection

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Seeing is Believing

Yusuf,

Paul

2024

Clinical Microbiology and Infection

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

Oldberg,

Rasmussen

2024

Clinical Infectious Diseases

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The ESC 2023 guidelines for the management of endocarditis stress that a multidisciplinary approach is needed to manage patients with infective endocarditis (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 or not even mentioned. Moreover, the improved understanding of the relation between bacterial species and the risk for IE has not been implemented. The guidelines give detailed, and in our view not correct, 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, including microbiologists, would have improved these guidelines and we hope for a future harmonization of diagnostic criteria for IE.

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Bacteraemia with gram-positive bacteria—when and how do I need to look for endocarditis?

Cited by 2 publications

References 61 publications

Seeing is Believing

Seeing is Believing

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

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