Evidence map›Paper›PMID 19685514›Full record

ReviewClinical cardiology2009

Prophylaxis to prevent infective endocarditis: to use or not to use?

Abhijeet Dhoble, Ameeth Vedre, Sahar S Abdelmoneim, Srikar Reddy Sudini, Amit Ghose, George S Abela, Milind Karve

Open access · bronzeAbstract readCase ReportsReview
In one paragraph

Review in Clinical cardiology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Abhijeet DhobleDepartment of Internal Medicine, Michigan State University, East Lansing, Michigan 48824-1313, USA. Abhijeet.Dhoble@ht.msu.edu
Ameeth Vedre
Sahar S Abdelmoneim
Srikar Reddy Sudini
Amit Ghose
George S Abela
Milind Karve
Michigan State University · USSparrow Hospital · USMayo Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The American Heart Association (AHA) published their revised guidelines in 2007 in which they markedly limited the recommendations for the use of antimicrobial prophylaxis for the prevention of infective endocarditis (IE), except for patients who are at highest risk of adverse outcomes. A recent focused update on valvular heart diseases changed the recommendation for antibiotic use for patients with many underlying heart conditions including mitral valve prolapse (MVP) which were considered as "low risk" heart defects. In this article, we argue that antibiotic prophylaxis should be considered until concrete clinical evidence is provided to dispute against the use of this strategy, especially for patients with MVP. This approach is cost efficient, and provides a chance to prevent a dreadful disease. We have also enlisted 2 clinical cases to support our argument. These are not uncommon clinical scenarios, and emphasize that IE can be fatal in spite of optimum treatment. Patients have the right to make the final decision, and they should be allowed to participate in choosing for or against this approach until adequate clinical evidence is available.

Indexed as

Antibiotic ProphylaxisAmerican Heart AssociationCost-Benefit AnalysisDrug CostsEchocardiography, TransesophagealEndocarditisEvidence-Based MedicineFatal OutcomeFemaleHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedMitral Valve ProlapsePatient Education as TopicPatient Selection

Identifiers

PMID19685514
PMCPMC6653586
OpenAlexW2037324685

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.