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September 27, 2025Open Access

Assessing Need for Transesophageal Echocardiography in Clinically Improving Patients at Risk for Infective Endocarditis: A Preliminary Retrospective Cohort Study in a Community Based Health System

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Retrospective cohort study shows antibiotic treatment patterns impact transesophageal echocardiography in patients, suggesting tailored guidance.

Transesophageal echocardiography showed no significant impact on antibiotic management in clinically improving patients.
Among 134 patients, significant associations were noted between antibiotic treatment and definitive infective endocarditis diagnosis (p < 0.001).
Repeating positive blood cultures and failure to defervesce were identified as strong predictors for diagnosing infective endocarditis (p < 0.001).
Findings indicate transesophageal echocardiography may be unnecessary for non-surgically indicated patients, needing further objective guidance.

Lee et al. (2025) studied this question.

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Retrospective cohort study shows antibiotic treatment patterns impact transesophageal echocardiography in patients, suggesting tailored guidance.