英国联合学会关于提供感染性心内膜炎服务的专家共识声明

Editorial1Expert consensus statement from thethese publications helped inform recom-mendations based on a consensus buildingJoint British Societies for provision ofprocess with final revision after review bythe stakeholder organisations.first publishedinfective endocarditis servicesKey points (figure 1)in the detailedrecommendations include:Endocarditis teams:Patients with IECatherine M Ottoshould be treated as a hospital with an IEteam,which includes (at a minimum)aninfection specialist and a cardiac imagingGuidelines for management of patientsThis document is published online only inspecialist,and should have access to cardiacthis issue of Heart.10.1136/heartinl-with infective endocarditis (IE)from thesurgeons and cardiologists with expertiseEuropean Society of Cardiology,Amer-The clinical guidance for provisionin removal of infected implantable cardiacican College of Cardiology/Americanof care to patients with IE in the UK inHeart Association?3 and British Societyelectronic devices.Local guidelines for20223this document was developed by a jointdiagnosis and antibiotic treatment of IEfor Antimicrobial Chemotherapyprovideworking party of the British Society forand at least weekly review of treatment bydetailed recommendations for preventionAntimicrobialChemotherapy,British322621of IE;diagnosis based on cinical,bacteri-Cardiovascular Society,British Heartthe IE team are recommended.HospitalsValve Society,British Society of Echo-that treat paediatric patients or patientsological and imaging findings;medical)therapy including the type,route andcardiography,Society of Cardiothoracicwith adult congenital heart disease shouldSurgeons of Great Britain and Ireland,have access to appropriate expertise.duration of antibiotic administration;andAprilthe indications,type and timing of surgicalBritish Congenital Cardiac AssociationInfrastructure and support:Hospi-and British Infection Association.Thesetals treating patients with confirmed orintervention.These guideline documents2023suspected IE should have rapid access tohave the goal to base each specific recom-experts worked together to define andmendation on the published evidence andprioritise the key questions regardingcardiac surgery,including the ability tofollow a formal development process withdelivery of specialist IE services to patientsperform emergency and urgent cardiacinclusion of appropriateexpertise,in the UK National Health Service (NHS).surgery.Specialist support should includemanagement of potential conflicts ofThe three key questions identified were:spinal surgery,neurology,neurosurgery,loadedinterest,evidence summaries,consensusHow should IE services be delivered?renal medicine,radiology expertise inbuilding,a standardised scale for class of4What outpatient follow-up should be cardiac imaging and infectious diseaserecommendation and level of evidence,provided?specialists to guide antimicrobial phar-and internal and external review followedWhat information should be given tomacy.Services