INTRODUCTION AND OBJECTIVES: To describe international practices in the management and follow-up of infective endocarditis. METHODS: We conducted an anonymous web-based survey between October 15 and November 15, 2025, disseminated through European Society for Clinical Microbiology and Infectious Diseases (ESCMID) study groups and national and international societies. The questionnaire comprised 7 sections covering endocarditis team and cardiac surgery availability, inpatient management, and follow-up. Responses were described and compared according to country income (chi-square or Fisher's exact test, P 6 months for 44% (129). Centers in high-income countries more frequently had an endocarditis team (138/218 63% vs 21/80 26%; P < .001), transesophageal echocardiography (210/218 96% vs 61/80 76%; P < .001), and positron emission tomography-computed tomography (175/218 80% vs 36/80 45%; P < .001) and performed serial blood cultures (186/218 85% vs 56/80 70%; P = .007) and post-treatment blood cultures (67/218 31% vs 7/80 9%; P < .001). CONCLUSIONS: Substantial variability exists in the organization, monitoring, and follow-up of endocarditis. Consensus-based and evidence-informed strategies are needed to harmonize care.
Escolà-Vergé et al. (Tue,) studied this question.