Evidence map›Paper›PMID 37607797›Full record

SynthesisBMJ open2023

Prophylactic antibiotic use for infective endocarditis: a systematic review and meta-analysis.

Sue S H Lean, Eric Jou, Jamie Sin Ying Ho, Ernest G L Jou

Registry-linked trialOpen access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06422221 (An Oral Doxycycline Regimen to Prevent Bacteremia Following Dental Procedures), which is not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 6% 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.

NCT06422221 phase4unknown statusnot on this mapstarted 2024, after this paper: background citation

An Oral Doxycycline Regimen to Prevent Bacteremia Following Dental Procedures

TypeinterventionalSponsorUniversity of Santiago de CompostelaRan2024 to 2025Enrolled150ConditionsBacteremia, EndocarditisArmsClindamycin, Doxycycline
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Mitral valve repair and replacement in infectious endocarditis: a systematic review and meta-analysis of clinical outcome.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2024
    Review
  6. Review
  7. In Reply.Deutsches Arzteblatt international · 2024
    Article
  8. Endocarditis prevention: time for a review of NICE guidance.The Lancet regional health. Europe · 2024
    Review
  9. Article
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

4 authors at 2 institutions in 3 countries.

Sue S H Lean *Department of Dental Medicine, Wei Gong Memorial Hospital, Miaoli, Taiwan.
Eric Jou *Queens' College, University of Cambridge, Cambridge, UK ej290@cam.ac.uk.ORCID 0000-0002-6259-4874
Jamie Sin Ying Ho *Department of Medicine, National University Health System, Singapore.ORCID 0000-0002-1180-6902
Ernest G L Jou *Department of Dental Medicine, Wei Gong Memorial Hospital, Miaoli, Taiwan.
University of Cambridge · GBNational University Health System · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesInfective endocarditis (IE) is a devastating disease with a 50% 1-year mortality rate. In recent years, medical authorities across the globe advised stricter criteria for antibiotic prophylaxis in patients with high risk of IE undergoing dental procedures. Whether such recommendations may increase the risk of IE in at-risk patients must be investigated.

designProspectively registered systematic review and meta-analysis. DATA SOURCES: Medline, Embase, Scopus and ClinicalTrials.gov were searched through 23 May 2022, together with an updated search on 5 August 2023. ELIGIBILITY CRITERIA: All primary studies reporting IE within 3 months of dental procedures in adults >18 years of age were included, while conference abstracts, reviews, case reports and case series involving fewer than 10 cases were excluded. DATA EXTRACTION AND SYNTHESIS: All studies were assessed by two reviewers independently, and any discrepancies were further resolved through a third researcher.

resultsOf the 3771 articles screened, 38 observational studies fit the inclusion criteria and were included in the study for subsequent analysis. Overall, 11% (95% CI 0.08 to 0.16, I

conclusionsAlthough there is a lack of randomised control trials due to logistic difficulties in the literature on this topic, antibiotic prophylaxis are likely of benefit in reducing the incidence of IE in high-risk patients after dental procedures. Further well-designed high-quality case-control studies are required. TRIAL REGISTRATION NUMBER: CRD42022326664.

Indexed as

Anti-Bacterial AgentsEndocarditisAdultAntibiotic ProphylaxisCase-Control StudiesGroup ProcessesHumansAnti-Bacterial Agentscardiologyimmunologyinfectious diseasesvalvular heart disease

Identifiers

PMID37607797
PMCPMC10445353
OpenAlexW4386071270

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.