Enterococcus bacteremia: Difference between revisions

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Enterococcus bacteremia
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== DENOVA Score ==
== Background ==


* [[Bacteremia]] caused by an [[Enterococcus species]]
* Berge A, Krantz A, Östlund H, Nauclér P, Rasmussen M. [https://doi.org/10.1007/s15010-018-1208-3 The DENOVA score efficiently identifies patients with monomicrobial Enterococcus faecalis bacteremia where echocardiography is not necessary]. ''Infection''. 2019 Feb;47(1):45-50.

* Determines need for echocardiography
== Management ==
* Components:

** Duration of symptoms (≥7 days)
===DENOVA Score===
** Embolization (clinical or radiographic)

** Number of positive cultures ≥2
*Determines need for echocardiography[[CiteRef:berge2018th]]
** Origin of infection unknown
*Criteria:
** Valve disease: native valve disease, previous IE, or the presence of a valve prosthesis
** Auscultation of murmur (any)
**Duration of symptoms (≥7 days)
**Embolization (clinical or radiographic)
* A cutoff of ≥3 had sensitivity of 100% and specificity of 85% for endocarditis
**Number of positive cultures ≥2
**Origin of infection unknown
**Valve disease: native valve disease, previous IE, or the presence of a valve prosthesis
**Auscultation of murmur (any)
*A cutoff of ≥3 had sensitivity of 100% and specificity of 85% for endocarditis


{{DISPLAYTITLE:''Enterococcus'' bacteremia}}
{{DISPLAYTITLE:''Enterococcus'' bacteremia}}

Revision as of 10:50, 2 August 2020

Background

Management

DENOVA Score

  • Determines need for echocardiographyCiteRef:berge2018th
  • Criteria:
    • Duration of symptoms (≥7 days)
    • Embolization (clinical or radiographic)
    • Number of positive cultures ≥2
    • Origin of infection unknown
    • Valve disease: native valve disease, previous IE, or the presence of a valve prosthesis
    • Auscultation of murmur (any)
  • A cutoff of ≥3 had sensitivity of 100% and specificity of 85% for endocarditis