Evidence map›Paper›PMID 34031866›Full record

ArticleCardiology journal2021

Long-term antibiotic therapy in patients with surgery-indicated not undergoing surgery infective endocarditis.

Nuria Vallejo Camazon, Lourdes Mateu, Germán Cediel, Laura Escolà-Vergé, Nuria Fernández-Hidalgo, Mercedes Gurgui Ferrer, Maria Teresa Perez Rodriguez, Guillermo Cuervo, Raquel Nuñez Aragón, Cinta Llibre and 14 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Cardiology journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. ENDOCOR: a nationwide consortium of endocarditis teams-initiating a registry for infective endocarditis within the Netherlands Heart Registration.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2025
    Article
  9. Article
  10. Infective endocarditis: it takes a team.European heart journal · 2025
    Review
  11. Article
  12. Review
  13. Article
  14. Dalbavancin as consolidation therapy for infective endocarditis in patients with comorbidity. A real world experience.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2024
    Observational
  15. Review
  16. Enterococcal endocarditis management and relapses.JAC-antimicrobial resistance · 2024
    Article
  17. Review
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

24 authors at 5 institutions in 1 country.

Nuria Vallejo CamazonHeart Institute, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain. nvallejo73@hotmail.com.ORCID 0000-0001-6644-6767
Lourdes MateuUnitat Malalties Infeccioses, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain.
Germán CedielHeart Institute, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain.
Laura Escolà-VergéServei de Malalties Infeccioses, Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, Spain.
Nuria Fernández-HidalgoServei de Malalties Infeccioses, Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, Spain.
Mercedes Gurgui FerrerUnitat de Malalties Infeccioses, Hospital Santa Creu i Sant Pau,Universitat Autonoma de Barcelona, Barcelona, Spain.
Maria Teresa Perez RodriguezUnidad de Enfermedades Infecciosas, Servicio de Medicina Interna, Complexo Hospitalario de Vigo, Vigo, Spain.
Guillermo CuervoDepartment of Infectious Diseases, Bellvitge University Hospital, L'Hospitalet de Llobregat, Barcelona, Spain.
Raquel Nuñez AragónInternal Medicine Department, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain.
Cinta LlibreHeart Institute, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain.
Nieves SopenaUnitat Malalties Infeccioses, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain.
Maria Dolores QuesadaMicrobiology Department, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain.
Elisabeth BerasteguiHeart Institute, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain.
Albert TeisHeart Institute, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain.
Jorge Lopez AyerbeHeart Institute, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain.
Gladys JuncàHeart Institute, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain.
Francisco GualHeart Institute, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain.
Elena Ferrer SistachHeart Institute, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain.
Ainhoa ViveroInternal Medicine Department, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain.
Esteban ReynagaUnitat Malalties Infeccioses, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain.
Maria Hernández PérezNeurology Department, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain.
Christian Muñoz GuijosaHeart Institute, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain.
Lluisa Pedro-BotetDepartment of Medicine, CIBERCV, Autonomous University of Barcelona, Barcelona, Spain.
Antoni Bayés-GenísHeart Institute, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain.
Hospital Universitari Germans Trias i Pujol · ESUniversitat Autònoma de Barcelona · ESCentro de Investigación en Red en Enfermedades Cardiovasculares · ESBellvitge University Hospital · ESUniversity Hospital Complex Of Vigo · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo date, there is little information regarding management of patients with infective endocarditis (IE) that did not undergo an indicated surgery. Therefore, we aimed to evaluate prognosis of these patients treated with a long-term antibiotic treatment strategy, including oral long term suppressive antibiotic treatment in five referral centres with a multidisciplinary endocarditis team.

methodsThis retrospective, multicenter study retrieved individual patient-level data from five referral centres in Spain. Among a total of 1797, 32 consecutive patients with IE were examined (median age 72 years; 78% males) who had not undergone an indicated surgery, but received long-term antibiotic treatment (LTAT) and were followed by a multidisciplinary endocarditis team, between 2011 and 2019. Primary outcomes were infection relapse and mortality during follow-up.

resultsAmong 32 patients, 21 had IE associated with prostheses. Of the latter, 8 had an ascending aorta prosthetic graft. In 24 patients, a switch to long-term oral suppressive antibiotic treatment (LOSAT) was considered. The median duration of LOSAT was 277 days. Four patients experienced a relapse during follow-up. One patient died within 60 days, and 12 patients died between 60 days and 3 years. However, only 4 deaths were related to IE.

conclusionsThe present study results suggest that a LTAT strategy, including LOSAT, might be considered for patients with IE that cannot undergo an indicated surgery. After hospitalization, they should be followed by a multidisciplinary endocarditis team.

Indexed as

EndocarditisEndocarditis, BacterialAgedAnti-Bacterial AgentsFemaleHumansMalePrognosisRetrospective StudiesAnti-Bacterial Agentsinfective endocarditissuppressive antibiotic treatmentsurgery

Identifiers

PMID34031866
PMCPMC8276997
OpenAlexW3164535465

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.