Evidence map›Paper›PMID 41164785›Full record

ArticleOpen forum infectious diseases2025

Partial Oral Versus Intravenous Antibiotic Therapy for Endocarditis With Management by a Multidisciplinary Team: A Retrospective Cohort Study.

Sami El-Dalati, Bennett Collis, Takaaki Kobayashi, Evan Hall, Talal Alnabelsi, Chloe Cao, Meredith Johnson, John Gurley, Luke Strnad, Corey Adams and 15 more

Abstract read
In one paragraph

Article in Open forum infectious diseases, 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. Review
  2. Review
  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

25 authors.

Sami El-DalatiDivision of Infectious Diseases, Department of Internal Medicine, University of Kentucky Medical Center, Lexington, Kentucky, USA.ORCID https://orcid.org/0000-0003-2603-2951
Bennett CollisUniversity of Kentucky College of Medicine, Lexington, Kentucky, USA.
Takaaki KobayashiDivision of Infectious Diseases, Department of Internal Medicine, University of Kentucky Medical Center, Lexington, Kentucky, USA.ORCID https://orcid.org/0000-0003-4751-6859
Evan HallUniversity of Kentucky College of Medicine, Lexington, Kentucky, USA.
Talal AlnabelsiDivision of Cardiology, Department of Internal Medicine, University of Kentucky Medical Center, Lexington, Kentucky, USA.
Chloe CaoDepartment of Internal Medicine, HCA Healthcare/University of South Florida Morsani College of Medicine Graduate Medical Education/HCA Florida Trinity, Tampa, Florida, USA.ORCID https://orcid.org/0009-0000-8256-9353
Meredith JohnsonDepartment of Surgery, University of Kentucky Medical Center, Lexington, Kentucky, USA.
John GurleyDivision of Cardiology, Department of Internal Medicine, University of Kentucky Medical Center, Lexington, Kentucky, USA.
Luke StrnadDivision of Infectious Diseases, Department of Internal Medicine, Oregon Health and Science University, Portland, Oregon, USA.ORCID https://orcid.org/0000-0002-1583-9453
Corey AdamsDepartment of Cardiac Sciences, Libin Cardiovascular Institute, University of Calgary, Calgary, Alberta, Canada.
Victoria WeaverDivision of Infectious Diseases, Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Hassan RedaDivision of Infectious Diseases, Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Michael SekelaDivision of Cardiac Surgery, University of Kentucky Medical Center, Lexington, Kentucky, USA.
Tessa LondonDivision of Infectious Diseases, Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Kara KennedyDepartment of Neurology, University of Kentucky, Lexington, Kentucky, USA.ORCID https://orcid.org/0009-0001-2428-5261
Armaghan-E Rehman MansoorDivision of Infectious Diseases, Department of Internal Medicine, University of Kentucky Medical Center, Lexington, Kentucky, USA.ORCID https://orcid.org/0000-0002-2087-187X
David OlafssonDivision of Infectious Diseases, Department of Internal Medicine, University of Kentucky Medical Center, Lexington, Kentucky, USA.
Grant LaughertyDivision of Infectious Diseases, Department of Internal Medicine, University of Kentucky Medical Center, Lexington, Kentucky, USA.
Alyssa TremblayDivision of Infectious Diseases, Department of Internal Medicine, University of Kentucky Medical Center, Lexington, Kentucky, USA.
Angella LinderDivision of Infectious Diseases, Department of Internal Medicine, University of Kentucky Medical Center, Lexington, Kentucky, USA.
Deborah GillDivision of Infectious Diseases, Department of Internal Medicine, University of Kentucky Medical Center, Lexington, Kentucky, USA.
Nicholas J Van SickelsDivision of Infectious Diseases, Department of Internal Medicine, University of Kentucky Medical Center, Lexington, Kentucky, USA.ORCID https://orcid.org/0009-0000-1435-0720
Alexander PomakovDivision of Infectious Diseases, Department of Internal Medicine, University of Kentucky Medical Center, Lexington, Kentucky, USA.
William HarrisUniversity of Kentucky College of Pharmacy, Lexington, Kentucky, USA.ORCID https://orcid.org/0009-0004-0979-3841
Bobbi Jo StonerUniversity of Kentucky College of Pharmacy, Lexington, Kentucky, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Despite trial data supporting oral stepdown therapy for infective endocarditis (IE), its use remains limited, especially in North America. We evaluated outcomes of patients with IE managed by a multidisciplinary team and treated with either intravenous (IV) or partial oral antibiotics. Methods: This was a single-center retrospective study of patients with definite IE identified from an institutional registry between 7 September 2021 and 1 March 2025. Clinical and outcomes data were analyzed using multivariable logistic regression. Results: Of 236 patients, 143 received IV therapy alone and 93 were transitioned to partial oral therapy. Baseline characteristics were similar, though valve surgery was more frequent in the oral group (40.9% vs 28.0%; Conclusions: In selected patients managed by a multidisciplinary team, partial oral therapy for IE appears to be safe and effective, with outcomes comparable to exclusive IV treatment, consistent with European guidelines.

Indexed as

endocarditismultidisciplinary teamsoral antibiotic treatmentpatients who inject drugs

Identifiers

PMID41164785
PMCPMC12560757

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.