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Review
. 2023 Aug 11;109(17):e2.
doi: 10.1136/heartjnl-2022-321791.

Expert consensus recommendations for the provision of infective endocarditis services: updated guidance from the Joint British Societies

Affiliations
Review

Expert consensus recommendations for the provision of infective endocarditis services: updated guidance from the Joint British Societies

Jonathan A T Sandoe et al. Heart. .

Abstract

Infective endocarditis (IE) remains a difficult condition to diagnose and treat and is an infection of high consequence for patients, causing long hospital stays, life-changing complications and high mortality. A new multidisciplinary, multiprofessional, British Society for Antimicrobial Chemotherapy (BSAC)-ledWorking Party was convened to undertake a focused systematical review of the literature and to update the previous BSAC guidelines relating delivery of services for patients with IE. A scoping exercise identified new questions concerning optimal delivery of care, and the systematic review identified 16 231 papers of which 20 met the inclusion criteria. Recommendations relating to endocarditis teams, infrastructure and support, endocarditis referral processes, patient follow-up and patient information, and governance are made as well as research recommendations. This is a report of a joint Working Party of the BSAC, British Cardiovascular Society, British Heart Valve Society, British Society of Echocardiography, Society of Cardiothoracic Surgeons of Great Britain and Ireland, British Congenital Cardiac Association and British Infection Association.

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Conflict of interest statement

Competing interests: The British Society for Antimicrobial Chemotherapy provided funds for literature search, administrative support and meeting space. JATS (JS) received research funding from the National Institute for Health Research, the Medical Research Council, Welcome Trust, Engineering and Physical Sciences Council, and Jon Moulton Charity Trust. JS received consulting fees from Tillotts Pharma and Medtron. BDP and JBC are on the Editorial Board for BMJ Heart. BDP received consulting fees from Anteris and Microport, honoraria from Medtronic, Abbott, Edwards Lifesciences and Anteris and is on the data safety monitoring committee of Colibri. He is a board member of PCR and has received writing fees from Edwards Lifesciences.

Comment in

References

    1. Gould FK, Denning DW, Elliott TSJ, et al. . Guidelines for the diagnosis and antibiotic treatment of endocarditis in adults: a report of the working party of the British Society for antimicrobial chemotherapy. J Antimicrob Chemother 2012;67:269–89. 10.1093/jac/dkr450 - DOI - PubMed
    1. Sandoe JAT, Barlow G, Chambers JB, et al. . Guidelines for the diagnosis, prevention and management of implantable cardiac electronic device infection. Report of a joint working party project on behalf of the british society for antimicrobial chemotherapy (BSAC, host organization), British Heart Rhythm Society (BHRS), British Cardiovascular Society (BCS), British Heart Valve Society (BHVS) and British Society for Echocardiography (BSE). J Antimicrob Chemother 2015;70:325–59. 10.1093/jac/dku383 - DOI - PubMed
    1. Young WJ, Jeffery DA, Hua A, et al. . Echocardiography in patients with infective endocarditis and the impact of diagnostic delays on clinical outcomes. Am J Cardiol 2018;122:650–5. 10.1016/j.amjcard.2018.04.039 - DOI - PubMed
    1. Slipczuk L, Codolosa JN, Davila CD, et al. . Infective endocarditis epidemiology over five decades: a systematic review. PLoS One 2013;8:e82665. 10.1371/journal.pone.0082665 - DOI - PMC - PubMed
    1. Sadeghpour A, Maleki M, Boodagh S, et al. . Impact of the Iranian registry of infective endocarditis (IRIE) and multidisciplinary team approach on patient management. Acta Cardiol 2021;76:838–41. 10.1080/00015385.2020.1781423 - DOI - PubMed