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]] |
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*Risk of infective endocarditis of about 17% for [[Enterococcus faecalis]][[CiteRef::Østergaard2019pr]] |
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==Management== |
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===DENOVA Score=== |
===DENOVA Score=== |
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*Determines need for echocardiography[[CiteRef:berge2018th]] |
*Determines need for echocardiography[[CiteRef::berge2018th]] |
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*Criteria: |
*Criteria: |
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**Duration of symptoms (≥7 days) |
**Duration of symptoms (≥7 days) |
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Latest revision as of 16:24, 12 March 2022
Background
- Bacteremia caused by an Enterococcus
- Risk of infective endocarditis of about 17% for Enterococcus faecalis1
Management
DENOVA Score
- Determines need for echocardiography2
- 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
References
- ^ Andreas Berge, Andrea Krantz, Helena Östlund, Pontus Nauclér, Magnus Rasmussen. The DENOVA score efficiently identifies patients with monomicrobial Enterococcus faecalis bacteremia where echocardiography is not necessary. Infection. 2018;47(1):45-50. doi:10.1007/s15010-018-1208-3.
