Practice Variation in Infective Endocarditis Prophylaxis for Pediatric and Congenital Heart Disease Patients with Cardiac Implantable Electronic Devices: An International Survey - Report - MDSpire

Practice Variation in Infective Endocarditis Prophylaxis for Pediatric and Congenital Heart Disease Patients with Cardiac Implantable Electronic Devices: An International Survey

  • By

  • Anjan S. Batra

  • Morcel Hamidy

  • Anthony McCanta

  • Lauren Sell

  • Michael J. Silka

  • July 9, 2026

  • 0 min

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Global Survey on Variability in Prophylactic Approaches for Infective Endocarditis

Overview

This study assesses global practice patterns related to infective endocarditis (IE) prophylaxis among clinicians managing pediatric and congenital heart disease patients with cardiac implantable electronic devices (CIEDs).

Background

Infective endocarditis is a serious complication associated with CIEDs, particularly in pediatric and congenital heart disease patients who may have complex anatomical and procedural histories. Current guidelines for IE prophylaxis are primarily based on adult data, which may not adequately address the unique needs of these younger populations. Understanding contemporary prophylaxis practices is essential.

Data Highlights

No specific numerical data was provided in the source material.

Key Findings

  • Infective endocarditis is a rare but serious complication in patients with CIEDs.
  • Current guidelines recommend limited antibiotic prophylaxis, primarily for high-risk patients.
  • Pediatric and congenital heart disease populations have unique risk factors that differ from adults.
  • There is a lack of understanding regarding contemporary prophylaxis practices among clinicians caring for these patients.
  • Survey responses were collected anonymously from members of the Pediatric and Congenital Electrophysiology Society.

Clinical Implications

Clinicians should be aware of the evolving guidelines regarding IE prophylaxis.

Conclusion

The findings from this survey highlight variability in prophylactic approaches for infective endocarditis among clinicians.

Related Resources & Content

  1. BMC Cardiovascular Disorders, 2026 -- Trends in cardiac implantable electronic device infections: 2015 to 2019
  2. Infection, 2023 -- Recent Developments in the Treatment and Management of Infections Related to Cardiac Implantable Electronic Devices
  3. Open Forum Infectious Diseases -- Approach to Infections in Cardiovascular Implantable Electronic Devices Through a Collaborative Team: Findings from a Retrospective Cohort Analysis
  4. Pediatric Cardiology -- Clinical Outcomes of Pediatric Cardiac Surgery for Acute Infective Endocarditis in Patients with Congenital Heart Disease During Hospitalization
  5. ESC GUIDELINES -- 2023 European Society of Cardiology IE Guidelines
  6. Update on Cardiovascular Implantable Electronic Device Infections and Their Prevention, Diagnosis, and Management: A Scientific Statement From the American Heart Association
  7. ESC GUIDELINES
  8. Update on Cardiovascular Implantable Electronic Device Infections and Their Prevention, Diagnosis, and Management: A Scientific Statement From the American Heart Association

Original Source(s)

Practice Variation in Infective Endocarditis Prophylaxis for Pediatric and Congenital Heart Disease Patients with Cardiac Implantable Electronic Devices: An International Survey

  • by Anjan S. Batra, Morcel Hamidy, Anthony McCanta, Lauren Sell, Michael J. Silka

  • July 9, 2026

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