Low Yield of Blood Cultures After End of Therapy of an Episode of Infective Endocarditis: 12 Years’ Experience From a Referral Center

Background: Infective endocarditis (IE) carries a significant risk of recurrence. European clinical guidelines recommend performing follow-up blood cultures (BCs), although evidence regarding their utility is limited. We aimed to assess the yield of follow-up BCs in these patients. Methods: Single-center post hoc analysis of a prospective cohort including IE survivors diagnosed between 2012 and 2023 with at least 12 months of follow-up. Results: = .012) endocarditis. Conclusions: Follow-up BC after an IE episode appears to have low utility, with similar rates of true positives and contaminants. Patients with follow-up BCs did not have more recurrences diagnosed or lower mortality during follow-up.

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Publication Details

Journal
Open Forum Infectious Diseases
Published
2026-04-17
DOI
https://doi.org/10.1093/ofid/ofag228
Primary Topic
Infective Endocarditis Diagnosis and Management
Type
article
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article

Low Yield of Blood Cultures After End of Therapy of an Episode of Infective Endocarditis: 12 Years’ Experience From a Referral Center

Fernando Domínguez-Rodríguez, Itziar Yagüe-Diego, María Isabel Sánchez-Romero, Marta Cobo-Marcos et al.
Open Forum Infectious Diseases
Infective Endocarditis Diagnosis and Management
article

Low Yield of Blood Cultures After End of Therapy of an Episode of Infective Endocarditis: 12 Years’ Experience From a Referral Center

Fernando Domínguez-Rodríguez, Itziar Yagüe-Diego, María Isabel Sánchez-Romero, Marta Cobo-Marcos, Juan Carlos Lopez-Azor, Javier Alfonso De Rotaeche-Revilla, Antonio Ramos-Martínez, Jorge Calderón-Parra
article en

Abstract

Background: Infective endocarditis (IE) carries a significant risk of recurrence. European clinical guidelines recommend performing follow-up blood cultures (BCs), although evidence regarding their utility is limited. We aimed to assess the yield of follow-up BCs in these patients. Methods: Single-center post hoc analysis of a prospective cohort including IE survivors diagnosed between 2012 and 2023 with at least 12 months of follow-up. Results: = .012) endocarditis. Conclusions: Follow-up BC after an IE episode appears to have low utility, with similar rates of true positives and contaminants. Patients with follow-up BCs did not have more recurrences diagnosed or lower mortality during follow-up.

Open Forum Infectious DiseasesVol. 13(5)
Hospital Universitario Puerta de Hierro Majadahonda (ES), Universidad Autónoma de Madrid (ES)
Good health and well-being
Openalex Percentile: Top 25%
Infective Endocarditis Diagnosis and Management
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