Streptococcus bacteremia: Difference between revisions
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Streptococcus bacteremia
(→â€: clarified valve disease) |
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== Investigations == |
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* Consider using the [[HANDOC score]] to risk stratify for need for [[echocardiography]] |
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== Risk Stratification: HANDOC == |
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* Risk stratified for [[endocarditis]] that has been validated in a Swedish cohort [[CiteRef::sunnerhagen2017ha]] |
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* Criteria: |
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** Heart murmur or preexisting valve disease, including prosthetic valve |
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** Aetiology with the groups of [[Streptococcus mutans]], [[Streptococcus bovis]], [[Streptococcus sanguinis]], or [[Streptococcus anginosus]] |
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** Number of positive blood cultures ≥2 |
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** Duration of symptoms of 7 days or more |
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** Only 1 species growing in blood cultures |
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** Community-acquired infection |
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* Interpretation: |
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** Score <3, IE is effectively excluded |
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** Score ≥3, cannot exclude IE |
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Revision as of 22:35, 13 September 2020
Investigations
- Consider using the HANDOC score to risk stratify for need for echocardiography
References
- ^ Sandra Chamat-Hedemand, Anders Dahl, Lauge Østergaard, Magnus Arpi, Emil Fosbøl, Jonas Boel, Louise Bruun Oestergaard, Trine K. Lauridsen, Gunnar Gislason, Christian Torp-Pedersen, Niels Eske Bruun. Prevalence of Infective Endocarditis in Streptococcal Bloodstream Infections Is Dependent on Streptococcal Species. Circulation. 2020;142(8):720-730. doi:10.1161/circulationaha.120.046723.
