RT Journal A1 Scudeller L, Badano L, Crapis M, Pagotto A, Viale P T1 POpulation-based surveillance of infectious endocarditis in an italian region JF Archives of Internal Medicine JO Archives of Internal Medicine YR 2009 FD October 12 VO 169 IS 18 SP 1718 OP 1725 DO 10.1001/archinternmed.2009.307 UL http://dx.doi.org/10.1001/archinternmed.2009.307 AB In a recent article, Murdoch and coworkers1 report on a prospective cohort of 2781 adults with definite infectious endocarditis (IE), admitted to 58 hospitals in 25 countries from June 1, 2000, through September 1, 2005. As they acknowledge, one major limitation of the study is the “catchment area” of enrolled patients, namely centers with a particular interest in IE, typically referral centers with cardiac surgical programs. Admittedly, the study population was unlikely to be a true population-based sample, thereby limiting epidemiologic inferences. This is a common issue in most literature regarding IE.2