Enterococcus bacteremia: Difference between revisions

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

^ Lauge Østergaard, Niels Eske Bruun, Marianne Voldstedlund, Magnus Arpi, Christian Østergaard Andersen, Henrik C Schønheyder, Lars Lemming, Flemming Rosenvinge, Nana Valeur, Peter Søgaard, Paal Skytt Andersen, Robert Skov, Ming Chen, Kasper Iversen, Sabine Gill, Trine Kiilerich Lauridsen, Anders Dahl, Louise Bruun Oestergaard, Jonas Agerlund Povlsen, Claus Moser, Henning Bundgaard, Lars Køber, Emil Loldrup Fosbøl. Prevalence of infective endocarditis in patients with positive blood cultures: a Danish nationwide study. European Heart Journal. 2019;40(39):3237-3244. doi:10.1093/eurheartj/ehz327.
^ 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.

@@ Line 1: / Line 1: @@
+==Background==
-= ''Enterococcus'' bacteremia =
+*[[Bacteremia]] caused by an [[Enterococcus]]
-== DENOVA Score ==
+*Risk of infective endocarditis of about 17% for [[Enterococcus faecalis]][[CiteRef::Østergaard2019pr]]
+==Management==
-* 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
+===DENOVA Score===
-* Components:
-** Duration of symptoms (≥7 days)
+*Determines need for echocardiography[[CiteRef::berge2018th]]
-** Embolization (clinical or radiographic)
+*Criteria:
-** Number of positive cultures ≥2
+**Duration of symptoms (≥7 days)
-** Origin of infection unknown
+**Embolization (clinical or radiographic)
-** Valve disease: native valve disease, previous IE, or the presence of a valve prosthesis
+**Number of positive cultures ≥2
-** Auscultation of murmur (any)
+**Origin of infection unknown
-* A cutoff of ≥3 had sensitivity of 100% and specificity of 85% for endocarditis
+**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}}
+[[Category:Gram-positive cocci]]
+[[Category:Endovascular infections]]