Evidence map›Paper›PMID 41054437›Full record

ArticleEClinicalMedicine2025

Streptococcal endocarditis: a meta-analysis of species dependant risk.

Gavin Deas, Todd C Lee, Julia Colston, Mahableshwar Albur, Julia Vasant, Angela H Nobbs, Philip Williams, Fergus Hamilton

Abstract read
In one paragraph

Article in EClinicalMedicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Choice of antimicrobial therapy for infective endocarditis caused by viridans streptococci: an international practice survey.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  2. Article
  3. 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

8 authors.

Gavin DeasUniversity Hospitals Bristol & Weston NHS Trust, Marlborough Street, Bristol, BS2 8HW, UK.
Todd C LeeClinical Practice Assessment Unit, Department of Medicine, McGill University, Montreal, H4A 3S1, Canada.
Julia ColstonNorth Bristol NHS Trust, Southmead Hospital, Southmead Road, Bristol, Avon, BS10 5NB, UK.
Mahableshwar AlburNorth Bristol NHS Trust, Southmead Hospital, Southmead Road, Bristol, Avon, BS10 5NB, UK.
Julia VasantRoyal United Hospital Bath NHS Foundation Trust, Combe Park, Bath, BA1 3NG, UK.
Angela H NobbsOral Microbiology, Bristol Dental School Research Laboratories, University of Bristol, Bristol, BS1 3NY, UK.
Philip WilliamsUniversity Hospitals Bristol & Weston NHS Trust, Marlborough Street, Bristol, BS2 8HW, UK.
Fergus HamiltonUniversity Hospitals Bristol & Weston NHS Trust, Marlborough Street, Bristol, BS2 8HW, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Streptococcal infective endocarditis (IE) is a devastating disease. In international guidance, the risk of IE from streptococci is considered the same regardless of species (excluding Methods: We first conducted a scoping review for publications that reported cases of streptococcal bacteraemia differentiated by species and estimated the risk of IE between 1994 and October 2024. Then we supplemented this data with our own laboratory data from four large hospitals. We meta-analysed the risk of IE. Two sensitivity analyses were performed to deal with one manuscript which excluded cultures considered as contaminants: first, by excluding that publication, and second by adjusting for blood culture contamination using our local estimated contamination rates. Findings: Four studies met inclusion criteria comprising a total of 14,183 isolates with 1028 endocarditis cases (7.25% absolute risk of IE). The highest risk species were: Interpretation: The 'small five' streptococci: Funding: FH was funded by the NIHR Clinical Lectureship Scheme. TL has salary support from Fonds de Recherche Québec - Santé. PW is funded by a Medical Research Council grant MR/T005408/1.

Indexed as

BacteraemiaEndocarditisInfectionStreptococcal species

Identifiers

PMID41054437
PMCPMC12496199

What OpenQuestion holds

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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.