Enterococcus bacteremia: Difference between revisions
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Enterococcus bacteremia
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== Background == |
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* [[Bacteremia]] caused by an [[Enterococcus species]] |
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* 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. |
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== Management == |
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* Components: |
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** Duration of symptoms (≥7 days) |
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===DENOVA Score=== |
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*Criteria: |
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**Duration of symptoms (≥7 days) |
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**Auscultation of murmur (any) |
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{{DISPLAYTITLE:''Enterococcus'' bacteremia}} |
{{DISPLAYTITLE:''Enterococcus'' bacteremia}} |
Revision as of 10:50, 2 August 2020
Background
- Bacteremia caused by an Enterococcus species
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