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Since the recent evidence-based medicine guidelines on bacterial
endocarditis management and prophylaxis (Durack DT et al 1998), successive updates and expert panels have described new aspects in
primary and secondary prophylaxis. The state-of-the-art paper of Durack DT (Prevention of infective endocarditis. NEJM 1995; 332: 38-44) is a well-stablished description. Bayer AS et al described the diagnosis and
management of infective endocarditis and its complications integrated in prevention (Circulation 1998).
The state-of-the-art paper of the Task Force on Infective Endocarditis of the
ESC (guidelines on prevention, diagnosis and treatment. Eur Heart J 2004; 25: 267-76) would be another example of consensus.
No competing interests
24 June 2011
Sabino G Echebarria Mendieta
H San Eloy( Barakaldo-Bizkaia )district clinics.Osakidetza-Basque Health Service