Enterococcus bacteremia: Difference between revisions

Latest revision as of 12:24, 12 March 2022

^ 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.

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