Enterococcus bacteremia: Difference between revisions

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

Revision as of 06:50, 2 August 2020

Background

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

References

  1. ^  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.