Rapid responses are electronic comments to the editor. They enable our users to debate issues raised in articles published on bmj.com. A rapid response is first posted online. If you need the URL (web address) of an individual response, simply click on the response headline and copy the URL from the browser window. A proportion of responses will, after editing, be published online and in the print journal as letters, which are indexed in PubMed. Rapid responses are not indexed in PubMed and they are not journal articles. The BMJ reserves the right to remove responses which are being wilfully misrepresented as published articles.
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