Evidence map›Paper›PMID 38634990›Full record

ArticleInfection2024

Non-betahemolytic streptococcal bacteremia, cardiac implantable electronic device, endocarditis, extraction, and outcome; a population-based retrospective cohort study.

Andreas Berge, Johannes Lundin, Anna Bläckberg, Torgny Sunnerhagen, Magnus Rasmussen

Open access · hybridAbstract read
In one paragraph

Article in Infection, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 92% 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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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

5 authors at 2 institutions in 1 country.

Andreas BergeUnit of Infectious Diseases, Department of Medicine, Solna, Karolinska Institutet, 171 76, Stockholm, Sweden. andreas.berge@regionstockholm.se.ORCID http://orcid.org/0000-0002-9561-6814
Johannes LundinDepartment of Clinical Sciences Lund, Division of Infection Medicine, Lund University, 221 00, Lund, Sweden.ORCID http://orcid.org/0009-0006-5157-1817
Anna BläckbergDepartment of Clinical Sciences Lund, Division of Infection Medicine, Lund University, 221 00, Lund, Sweden.ORCID http://orcid.org/0000-0003-2778-5314
Torgny SunnerhagenDepartment of Clinical Sciences Lund, Division of Infection Medicine, Lund University, 221 00, Lund, Sweden.ORCID http://orcid.org/0000-0002-9240-2378
Magnus RasmussenDepartment of Clinical Sciences Lund, Division of Infection Medicine, Lund University, 221 00, Lund, Sweden.ORCID http://orcid.org/0000-0003-1588-5473
Lund University · SEKarolinska University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePatients with non-beta-hemolytic streptococcal bacteremia (NBHSB) are at risk of infective endocarditis (IE). Patients with cardiac implantable electronic device (CIED) have been described to have an increased risk of IE. The aim of the study was to describe a population-based cohort of patients with NBHSB and CIED and variables associated with IE and recurrent NBHSB.

methodsAll episodes with NBHSB in blood culture from 2015 to 2018 in a population of 1.3 million inhabitants were collected from the Clinical Microbiology Laboratory, Lund, Sweden. Through medical records, patients with CIED during NBHSB were identified and clinical data were collected. Patients were followed 365 days after NBHSB.

resultsEighty-five episodes in 79 patients with CIED and NBHSB constituted the cohort. Eight patients (10%) were diagnosed with definite IE during the first episode, five of whom also had heart valve prosthesis (HVP). In 39 patients (49%) transesophageal echocardiography (TEE) was performed of which six indicated IE. Four patients had the CIED extracted. Twenty-four patients did not survive (30%) the study period. Four patients had a recurrent infection with NBHSB with the same species, three of whom had HVP and had been evaluated with TEE with a negative result during the first episode and diagnosed with IE during the recurrency.

conclusionThe study did not find a high risk of IE in patients with NBHSB and CIED. Most cases of IE were in conjunction with a simultaneous HVP. A management algorithm is suggested.

Indexed as

BacteremiaEndocarditis, BacterialPacemaker, ArtificialStreptococcal InfectionsAdultAgedAged, 80 and overCohort StudiesDefibrillators, ImplantableFemaleHumansMaleMiddle AgedProsthesis-Related InfectionsRetrospective StudiesStreptococcusBacteremiaCIEDEndocarditisExtractionNon-beta-hemolytic StreptococcusRecurrent infection

Identifiers

PMID38634990
PMCPMC11499341
OpenAlexW4394921843

What OpenQuestion holds

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LicenceCC BY
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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.