Research Article

Advantages and Limitations of Direct PCR Amplification of Bacterial 16S-rDNA from Resected Heart Tissue or Swabs Followed by Direct Sequencing for Diagnosing Infective Endocarditis: A Retrospective Analysis in the Routine Clinical Setting

Table 2

Overview of PCR results and preoperative antibiotic treatment. Crude numbers refer to number of patients; numbers in parentheses indicate the proportion of valve tissue samples versus swabs.

Tissue samples/swabs1
Number of patientsPCR
PositiveNegative

Total11440 (28/12)74 (42/32)
⁢Preoperative antibiotic treatment10133 ND 768 ND 4

IEDefinite10036 (25/11)64 (35/29)
Possible44 (3/1)0
No evidence10010 (7/3)

ND: no data available; for 2 patients a preoperative antibiotic treatment could be excluded by medical chart.
1Positive tissue/swab cultures were available for 11 specimens that were exceptionally analyzed using broad-range PCR before a negative culture result was obtained. These data were described but not used for the computation of sensitivity, specificity, and positive and negative predictive values of broad-range PCR.