Table 3.
Summary of current IE diagnosis and treatment strategies by major global cardiovascular organizations
| Organization | Diagnostic Criteria | Diagnostic Methods | Treatment Strategies | Key Guidelines & Updates | Reference |
|---|---|---|---|---|---|
| American Heart Association (AHA) | Modified Duke Criteria | Blood cultures, Echocardiography (TTE/TEE), Serology | Empirical broad-spectrum antibiotics, Valve surgery in severe cases | 2020 Update: Emphasis on early surgery for certain high-risk patients | [1] |
| European Society of Cardiology (ESC) | Modified Duke Criteria with emphasis on imaging | Blood cultures, Echocardiography, 18F-FDG PET/CT for prosthetic valve IE | Targeted antibiotic therapy based on culture results, Early surgery for complications | 2015 Guidelines: Inclusion of 18F-FDG PET/CT in diagnostic criteria | [4] |
| British Society for Antimicrobial Chemotherapy (BSAC) | Modified Duke Criteria | Blood cultures, Echocardiography, Molecular methods (PCR) | Combination antibiotic therapy, Consideration for surgery | 2020 Guidelines: Updated antibiotic regimens, More emphasis on molecular diagnostics | [70] |
| World Health Organization (WHO) | Adaptation of Duke Criteria | Blood cultures, Echocardiography, Emerging molecular diagnostics (mNGS) | Standardized antibiotic protocols, Surgical intervention in severe cases | 2018 REASSURED: Promotion of molecular diagnostics in resource-limited settings | [71] |
| Infectious Diseases Society of America (IDSA) | Modified Duke Criteria | Blood cultures, Echocardiography, Histopathology | Empirical antibiotics, Custom therapy post-identification, Valve replacement | 2015 Guidelines: Integration of newer diagnostic techniques, Aggressive surgical approach in high-risk patients | [1] |