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Rethinking the Routine: Are Repeat Blood Cultures Necessary After Completion of Infective Endocarditis Treatment?

 Published on 14/05/2026 |  Original article (Full-text)  | Jean Regina et al. | Clinical infectious diseases. Volume 82(3).

Among 598 infective endocarditis (IE) episodes, follow-up blood cultures within 14 days of antimicrobial treatment completion were performed in 135 (23%) cases and detected only 2 (1.5%) recurrences. This strategy failed to identify 8 (6%) additional IE recurrences diagnosed between days 15 and 120,...

Frequency of Antibiotic Overtreatment and Associated Harms in Patients Presenting With Suspected Sepsis to the Emergency Department: A Retrospective Cohort Study

 Published on 07/05/2026 |  Original article (Full-text)  | Claire N Shappell et al. | Clinical infectious diseases. Volume 80(6).

Treatment guidelines recommend rapidly treating all patients with suspected sepsis with broad-spectrum antibiotics. This may contribute to antibiotic overuse. We quantified the incidence of antibiotic overtreatment and possible antibiotic-associated harms among patients with suspected sepsis. Methods:...

Infective endocarditis and spondylodiscitis-impact of sequence of surgical therapy on survival and recurrence rate

 Published on 30/04/2026 |  Original article (Full-text)  | Carolyn Weber et al. | European journal of cardio-thoracic surgery. Volume 66(1).

To date, there are no standardized treatment algorithms or recommendations for patients with infective endocarditis (IE) and concomitant spondylodiscitis (SD). Therefore, our aim was to analyse whether the sequence of surgical treatment of IE and SD has an impact on postoperative outcome and to identify...

Current status of immunomodulatory therapies in adult sepsis patients: where do we stand?

 Published on 23/04/2026 |  Original article (Full-text)  | Dimitra Papatheodosiou et al. | Expert Review of Anti-infective Therapy 2026; 24(2): 239-57

Despite advances, sepsis remains a leading cause of morbidity and mortality worldwide. Dysregulated host responses are known to characterize sepsis, and while numerous clinical trials using immunomodulatory strategies have been attempted, most fail to show benefit. An important reason for their failure...

Surgical Implications of the 2023 ESC Endocarditis Guidelines Endorsed by EACTS: Bridging Guidelines and Practice

 Published on 16/04/2026 |  Original article (Full-text)  | Manuela de la Cuesta et al. | European journal of cardio-thoracic surgery. Volume 67(7).

Role of the multidisciplinary "Endocarditis Team": All patients with complicated infective endocarditis (IE) should be managed by a specialized Endocarditis Team to improve diagnosis, optimize treatment, and enhance outcomes (Figure 1). Indications for surgery: The main surgical indications for IE include...