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INTRODUCTION

2/18/2025 - Medical Grand Rounds: The Art of Uncertainty Tackling Gray Zones in Medicine - Endocarditis

QUIZ

EVALUATION

CERTIFICATE

INTRODUCTION

Credit Hours: CME 1.00

Target Audience:

Faculty, residents, fellows, and community physicians in General Internal Medicine and subspecialties.

Educational Objectives:

Upon completion of this activity, participants should be able to:

    • Explore strategies to manage withdrawal in patients admitted to the hospital.
    • Deepen your knowledge of evidence-based approaches for the management of injection drug use related IE
    • Familiarize yourself with recent advancements and research surrounding infective endocarditis.

Suggested Additional Reading & Joint Accreditation Statement - Note: This Accreditation Statement Supersedes All Other Statements:

Suggested Additional Reading:

  • Yucel E, Bearnot B, Paras ML, et al. Diagnosis and Management of Infective Endocarditis in People Who Inject Drugs: JACC State-of-the-Art Review. J Am Coll Cardiol. 2022 May 24 ​
  • Baddour LM, Wilson WR, Bayer AS, et al; American Heart Association Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease of the Council on Cardiovascular Disease in the Young, Council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, and Stroke Council. Infective Endocarditis in Adults: Diagnosis, Antimicrobial Therapy, and Management of Complications: A Scientific Statement for Healthcare Professionals From the American Heart Association. Circulation. 2015 Oct 13​
  • Baddour LM, Weimer MB, Wurcel AG, et al; American Heart Association Rheumatic Fever, Endocarditis and Kawasaki Disease Committee of the Council on Lifelong Congenital Heart Disease and Heart Health in the Young; Council on Cardiovascular Surgery and Anesthesia; Council on Cardiovascular and Stroke Nursing; Council on Clinical Cardiology; and Council on Peripheral Vascular Disease. Management of Infective Endocarditis in People Who Inject Drugs: A Scientific Statement From the American Heart Association. Circulation. 2022 Oct 4​
  • Delgado V, Ajmone Marsan N, de Waha S, Bonaros N, et al; ESC Scientific Document Group. 2023 ESC Guidelines for the management of endocarditis. Eur Heart J. 2023 Oct 14;44(39):3948-4042. doi: 10.1093/eurheartj/ehad193. Erratum in: Eur Heart J. 2023 Dec 1;44(45):4780. doi: 10.1093/eurheartj/ehad625. Erratum in: Eur Heart J. 2024 Jan 1​
  • Kilic A, Huckaby LV, Hong Y, et al. Surgical treatment of infective endocarditis: Results in 831 patients from a single center. J Card Surg. 2020 Oct;35(10):2725-2733. doi: 10.1111/jocs.14893. Epub 2020 Aug 25. PMID: 32840925; PMCID: PMC9015728.​
  • Pettersson GB, Hussain ST. Current AATS guidelines on surgical treatment of infective endocarditis. Ann Cardiothorac Surg. 2019 Nov​
  • Weiss HCUP Statistical Brief #256 2020​
  • Meisner JA, Anesi J, Chen X, Grande D. Changes in Infective Endocarditis Admissions in Pennsylvania During the Opioid Epidemic. Clin Infect Dis. 2020 Oct 23;71(7):1664-1670. doi: 10.1093/cid/ciz1038. PMID: 31630192; PMCID: PMC8241215.​
  • Appa A, Adamo M, Le S, Davis J, Winston L, Doernberg SB, Chambers H, Martin M, Hills NK, Coffin P, Jain V. Patient-Directed Discharges Among Persons Who Use Drugs Hospitalized with Invasive Staphylococcus aureus Infections: Opportunities for Improvement. Am J Med. 2022 Jan;135(1):91-96. doi: 10.1016/j.amjmed.2021.08.007. Epub 2021 Sep 9. PMID: 34508704; PMCID: PMC11552656.​


Joint Accreditation Statement

In support of improving patient care, the University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physician (CME)

The University of Pittsburgh School of Medicine designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credits™.Each physician should only claim credit commensurate with the extent of their participation in the activity.


Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity.

Authors:
Introducer and Co-Moderator: Anne Richardson, MD — Internal Medicine, UPP General Internal Medicine, UPMC
No relationships with industry relevant to the content of this educational activity have been disclosed.
Introducer and Co-Moderator: Kate Amondei, MD — Internal Medicine, University of Pittsburgh Physicians, Department of Medicine, Division of General Internal Medicine and is affiliated with UPMC Magee-Womens Hospital
No relationships with industry relevant to the content of this educational activity have been disclosed.
Panelist: Aryan Meknat, MD — Aortic Surgery Fellow, Department of Cardiothoracic Surgery, University of Pittsburgh
No relationships with industry relevant to the content of this educational activity have been disclosed.
Panelist: Payel Jhoom Roy, MD, MSc — Clinical Director, Inpatient Substance Treatment & Recovery Service, Assistant Professor of Medicine, Center for Research on Health Care, University of Pittsburgh
No relationships with industry relevant to the content of this educational activity have been disclosed.
Panelist: Simi Padival, MD — Clinical Assistant Professor of Medicine, Medical Director, Endovascular Infections, Division of Infectious Diseases, University of Pittsburgh
No relationships with industry relevant to the content of this educational activity have been disclosed.
No other members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships with any companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

This activity is approved for AMA PRA Category 1 Credit™

The University of Pittsburgh is an affirmative action, equal opportunity institution.