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. 2025 Aug 22;15(1):108. doi: 10.1007/s44197-025-00455-1

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]