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

^ 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]]