Title |
The 2023 Duke-International Society for Cardiovascular Infectious Diseases Criteria for Infective Endocarditis: Updating the Modified Duke Criteria
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Published in |
Clinical Infectious Diseases, May 2023
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DOI | 10.1093/cid/ciad271 |
Pubmed ID | |
Authors |
Vance G Fowler, David T Durack, Christine Selton-Suty, Eugene Athan, Arnold S Bayer, Anna Lisa Chamis, Anders Dahl, Louis DiBernardo, Emanuele Durante-Mangoni, Xavier Duval, Claudio Querido Fortes, Emil Fosbøl, Margaret M Hannan, Barbara Hasse, Bruno Hoen, Adolf W Karchmer, Carlos A Mestres, Cathy A Petti, María Nazarena Pizzi, Stephen D Preston, Albert Roque, Francois Vandenesch, Jan T M van der Meer, Thomas W van der Vaart, Jose M Miro |
Abstract |
The microbiology, epidemiology, diagnostics, and treatment of infective endocarditis (IE) have changed significantly since the Duke Criteria were published in 1994 and modified in 2000. The International Society for Cardiovascular Infectious Diseases (ISCVID) convened a multidisciplinary Working Group to update the diagnostic criteria for IE. The resulting 2023 Duke-ISCVID IE Criteria propose significant changes, including new microbiology diagnostics (enzyme immunoassay for Bartonella species, PCR, amplicon/metagenomic sequencing, in situ hybridization), imaging ([18F]FDG PET/CT, Cardiac Computed Tomography), and inclusion of intraoperative inspection as a new Major Clinical Criterion. The list of "typical" microorganisms causing IE was expanded and includes pathogens to be considered as typical only in the presence of intracardiac prostheses. The requirements for timing and separate venipunctures for blood cultures were removed. Last, additional predisposing conditions (transcatheter valve implants, endovascular cardiac implantable electronic devices, prior IE) were clarified. These diagnostic criteria should be updated periodically by making the ISCVID-Duke Criteria available online as a "Living Document". |
X Demographics
Geographical breakdown
Country | Count | As % |
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United States | 110 | 12% |
Mexico | 72 | 8% |
Spain | 59 | 6% |
Colombia | 28 | 3% |
India | 18 | 2% |
Venezuela, Bolivarian Republic of | 17 | 2% |
United Kingdom | 14 | 2% |
Ecuador | 14 | 2% |
Japan | 13 | 1% |
Other | 132 | 14% |
Unknown | 438 | 48% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 723 | 79% |
Practitioners (doctors, other healthcare professionals) | 128 | 14% |
Scientists | 60 | 7% |
Science communicators (journalists, bloggers, editors) | 3 | <1% |
Unknown | 1 | <1% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 167 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 22 | 13% |
Unspecified | 17 | 10% |
Other | 17 | 10% |
Student > Doctoral Student | 8 | 5% |
Student > Postgraduate | 8 | 5% |
Other | 30 | 18% |
Unknown | 65 | 39% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 62 | 37% |
Unspecified | 19 | 11% |
Immunology and Microbiology | 4 | 2% |
Agricultural and Biological Sciences | 2 | 1% |
Economics, Econometrics and Finance | 2 | 1% |
Other | 13 | 8% |
Unknown | 65 | 39% |