Implementation of the 2015 European Society of Cardiology guidelines for the management of infective endocarditis in the Netherlands.

Implementation of the 2015 European Society of Cardiology guidelines for the management of infective endocarditis in the Netherlands. Neth Heart J. 2020 Sep 09;: Authors: Wahadat AR, Deckers JW, Budde RPJ, van der Meer JTM, Natour EH, Ten Oever J, Kortlever-van der Spek ALJ, Stegeman BH, Verkaik NJ, Roos-Hesselink JW, Tanis W Abstract Because the occurrence of infective endocarditis (IE) continues to be associated with high mortality, a working group was created by the Dutch Society of Cardiology to examine how the most recent European Society of Cardiology (ESC) guidelines for IE management could be implemented most effectively in the Netherlands. In order to investigate current Dutch IE practices, the working group conducted a country-wide survey. Based on the results obtained, it was concluded that most ESC recommendations could be endorsed, albeit with some adjustments. For instance, the suggested pre-operative screening and treatment of nasal carriers of Staphylococcus aureus as formulated in the ESC guideline was found to be dissimilar to current Dutch practice, and was therefore made less restrictive. The recently adapted ESC diagnostic criteria for IE were endorsed, while the practical employment of the relevant diagnostic techniques was simplified in an adapted flowchart. In addition, the presence of a multidisciplinary, so-called 'endocarditis team' in tertiary centres was proposed as a quality indicator. An adapted flo...
Source: Netherlands Heart Journal - Category: Cardiology Authors: Tags: Neth Heart J Source Type: research