Evidence map›Paper›PMID 36124844›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2023

Impact of Enterococcus faecalis Endocarditis Treatment on Risk of Relapse.

Pierre Danneels, Jean-François Hamel, Léa Picard, Schéhérazade Rezig, Pauline Martinet, Aurélien Lorleac'h, Jean-Philippe Talarmin, Rodolphe Buzelé, Thomas Guimard, Gwenaël Le Moal and 11 more

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
10.0field-weighted citation impact, top 1% 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

30 citing papers in PubMed, 61 citations in OpenAlex.

  1. Article
  2. Article
  3. Changing antimicrobial prescribing patterns, and laboratory reporting in Enterococcus faecalis infective endocarditis at a tertiary Australian centre.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  4. Clinical characteristics, treatment, and outcomes in CIED-related vs. left-sided infective endocarditis: a nationwide study from the NIDUS registry.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2026
    Article
  5. Rethinking the Routine: Are Repeat Blood Cultures Necessary After Completion of Infective Endocarditis Treatment?Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  6. Article
  7. Article
  8. 2023 European Society of Cardiology guidelines for the management of infective endocarditis : Statement of endorsement by the NVVC Full version.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2026
    Review
  9. Article
  10. BMJ case reports · 2025
    Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. The emerging challenge ofClinical microbiology reviews · 2024
    Review
  19. Outcomes ofJAC-antimicrobial resistance · 2024
    Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors at 15 institutions in 1 country.

Pierre DanneelsInfectious Diseases and Tropical Medicine, Angers University Hospital, Angers, France.ORCID 0000-0002-8387-8761
Jean-François HamelBiostatistics Department, Angers University Hospital, Angers, France.
Léa PicardInfectious Diseases and Intensive Care Unit, Pontchaillou University Hospital, Rennes, France.
Schéhérazade RezigInfectious Diseases and Tropical Medicine, La Cavale Blanche University Hospital, Brest, France.
Pauline MartinetInfectious Diseases and Tropical Medicine, La Cavale Blanche University Hospital, Brest, France.
Aurélien Lorleac'hInfectious Diseases and Tropical Medicine, Groupe Hospitalier Bretagne Sud, Lorient, France.
Jean-Philippe TalarminInfectious Diseases and Tropical Medicine, Cornouaille Hospital, Quimper, France.
Rodolphe BuzeléInfectious Diseases and Tropical Medicine, Saint-Brieuc General Hospital, Saint-Brieuc, France.
Thomas GuimardInfectious Diseases and Tropical Medicine, Vendée Departmental Hospital, La Roche Sur Yon, France.
Gwenaël Le MoalInfectious Diseases and Tropical Medicine, Poitiers University Hospital, Poitiers, France.
Julia Brochard-LiboisInfectious Diseases and Tropical Medicine, Saint Nazaire General Hospital, St-Nazaire, France.
Aurélie BeaudronDepartment of Bacteriology, Le Mans General Hospital, Le Mans, France.
Julien LetheulleService de médecine polyvalente, Centre Hospitalier de Laval, Laval, France.
Cyrielle CoddeInfectious Diseases and Tropical Medicine, Limoges University Hospital, Limoges, France.
Rachel ChenouardDepartment of Bacteriology, Angers University Hospital, Angers, France.
David BoutoilleService des Maladies Infectieuses et Tropicales, Centre Hospitalier Universitaire, CIC-UIC 1413 INSERM, Centre Hospitalier Universitaire de Nantes, Nantes, France.ORCID 0000-0001-9722-2029
Adrien LemaignenInfectious Diseases and Tropical Medicine, Tours University Hospital, Tours, France.
Louis BernardInfectious Diseases and Tropical Medicine, Tours University Hospital, Tours, France.
Vincent CattoirDepartment of Bacteriology, Pontchaillou University Hospital, Rennes, France.ORCID 0000-0003-4026-9912
Vincent DubéeInfectious Diseases and Tropical Medicine, Angers University Hospital, Angers, France.ORCID 0000-0002-9982-4741
EFEMER study group
Université d'Angers · FRInserm · FRUniversité de Tours · FRCentre Hospitalier de Bretagne Sud · FRHôpital Maison Blanche · FRCentre Hospitalier de Cornouaille · FRCentre Hospitalier du Mans · FRCentre National de la Recherche Scientifique · FRLaval Mayenne Technopole · FRRoche (France) · FRUniversité de Poitiers · FRCentre Hospitalier de Saint-Brieuc · FRCentre Hospitalier Saint-Nazaire · FRHôpital Pontchaillou · FRUniversité de Limoges · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEnterococcus faecalis infective endocarditis (EFIE) is characterized by a higher frequency of relapses than other infective endocarditis. The role of the treatment on its occurrence remains poorly understood. The aim of this study was to investigate whether the antibiotic regimen could impact the risk of relapse in EFIE. MATERIALS: This was a multicenter retrospective study of patients diagnosed with definite EFIE between 2015 and 2019 in 14 French hospitals. The primary endpoint was the occurrence of relapses within the year following endocarditis diagnosis. As death was a competing risk for relapse, Fine and Gray models were used for studying risk factors and impact of treatment.

resultsOf the 279 patients included, 83 (29.7%) received the amoxicillin-gentamicin (A-G) combination, 114 (40.9%) amoxicillin-ceftriaxone (A-C), 63 (22.6%) A-G and A-C (A-G/A-C) sequentially, 9 (3.2%) amoxicillin (A), and 10 received other treatments. One-year-relapse rate was 9.3% (26 patients). Relapse occurred after a median delay of 107 days from EFIE diagnosis; 6 occurred after 6 months, and 6 were diagnosed by blood cultures in asymptomatic patients. In multivariate analysis, surgery during treatment was a protective factor against one-year relapse and death.The cumulative incidence of relapse 1 year after endocarditis was 46.2% for patients treated with amoxicillin, 13.4% with A-G, 14.7% with A-C, and 4.3% with A-G/A-C (P≥.05 in multivariate analysis).

conclusionsRelapses after treatment of EFIE are frequent, frequently asymptomatic, and may occur more than 6 months after the initial episode.

Indexed as

EndocarditisEndocarditis, BacterialGram-Positive Bacterial InfectionsAmoxicillinAnti-Bacterial AgentsDrug Therapy, CombinationEnterococcus faecalisGentamicinsHumansRecurrenceRetrospective StudiesAmoxicillinAnti-Bacterial AgentsGentamicinsamoxicillindrug therapy combinatione. faecalisendocarditisrelapse

Identifiers

PMID36124844
PMCPMC9839190
OpenAlexW4296776281

What OpenQuestion holds

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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.