Streptococcus bacteremia: Difference between revisions
From IDWiki
Streptococcus bacteremia
No edit summary |
No edit summary |
||
| Line 8: | Line 8: | ||
!Number of BSIs |
!Number of BSIs |
||
|- |
|- |
||
|[[Streptococcus pneumoniae]] |
| style="color:darkgreen" |[[Streptococcus pneumoniae]] |
||
| style="color:darkgreen" |1.2% |
|||
|1.2% |
|||
| style="color:darkgreen" |2,598 |
|||
|2,598 |
|||
|- |
|- |
||
|[[Streptococcus dysgalactiae]] |
| style="color:goldenrod" |[[Streptococcus dysgalactiae]] |
||
| style="color:goldenrod" |6.6% |
|||
|6.6% |
|||
| style="color:goldenrod" |901 |
|||
|901 |
|||
|- |
|- |
||
|[[Streptococcus pyogenes]] |
| style="color:darkgreen" |[[Streptococcus pyogenes]] |
||
| style="color:darkgreen" |1.9% |
|||
|1.9% |
|||
| style="color:darkgreen" |592 |
|||
|592 |
|||
|- |
|- |
||
|[[Streptococcus agalactiae]] |
| style="color:goldenrod" |[[Streptococcus agalactiae]] |
||
| style="color:goldenrod" |9.1% |
|||
|9.1% |
|||
| style="color:goldenrod" |441 |
|||
|441 |
|||
|- |
|- |
||
|[[Streptococcus anginosus group]] |
| style="color:goldenrod" |[[Streptococcus anginosus group]] |
||
| style="color:goldenrod" |4.8% |
|||
|4.8% |
|||
| style="color:goldenrod" |437 |
|||
|437 |
|||
|- |
|- |
||
|[[Streptococcus mitis]] or [[Streptococcus oralis|oralis]] |
| style="color:darkred" |[[Streptococcus mitis]] or [[Streptococcus oralis|oralis]] |
||
| style="color:darkred" |19.4% |
|||
|19.4% |
|||
| style="color:darkred" |408 |
|||
|408 |
|||
|- |
|- |
||
|[[Streptococcus gallolyticus]] |
| style="color:darkred" |'''[[Streptococcus gallolyticus]]''' |
||
| style="color:darkred" |'''30.7%''' |
|||
|30.7% |
|||
| style="color:darkred" |'''225''' |
|||
|225 |
|||
|- |
|- |
||
|[[Streptococcus salivarius]] |
| style="color:goldenrod" |[[Streptococcus salivarius]] |
||
| style="color:goldenrod" |5.8% |
|||
|5.8% |
|||
| style="color:goldenrod" |191 |
|||
|191 |
|||
|- |
|- |
||
|[[Streptococcus sanguinis]] |
| style="color:darkred" |'''[[Streptococcus sanguinis]]''' |
||
| style="color:darkred" |'''34.6%''' |
|||
|34.6% |
|||
| style="color:darkred" |'''133''' |
|||
|133 |
|||
|- |
|- |
||
|[[Streptococcus parasanguinis]] |
| style="color:darkred" |[[Streptococcus parasanguinis]] |
||
| style="color:darkred" |10.3% |
|||
|10.3% |
|||
| style="color:darkred" |107 |
|||
|107 |
|||
|- |
|- |
||
|[[Streptococcus gordonii]] |
| style="color:darkred" |'''[[Streptococcus gordonii]]''' |
||
| style="color:darkred" |'''44.2%''' |
|||
|44.2% |
|||
| style="color:darkred" |'''95''' |
|||
|95 |
|||
|- |
|- |
||
|[[Streptococcus constellatus]] |
| style="color:goldenrod" |[[Streptococcus constellatus]] |
||
| style="color:goldenrod" |<4% |
|||
|<4% |
|||
| style="color:goldenrod" |91 |
|||
|91 |
|||
|- |
|- |
||
|[[Streptococcus mutans]] |
| style="color:darkred" |'''[[Streptococcus mutans]]''' |
||
| style="color:darkred" |'''47.9%''' |
|||
|47.9% |
|||
| style="color:darkred" |'''48''' |
|||
|48 |
|||
|- |
|- |
||
|[[Streptococcus thermophilus]] |
| style="color:goldenrod" |[[Streptococcus thermophilus]] |
||
| style="color:goldenrod" |<4% |
|||
|<4% |
|||
| style="color:goldenrod" |45 |
|||
|45 |
|||
|- |
|- |
||
|[[Granulicatella adiacens]] |
| style="color:darkred" |[[Granulicatella adiacens]] |
||
| style="color:darkred" |12.2% |
|||
|12.2% |
|||
| style="color:darkred" |41 |
|||
|41 |
|||
|- |
|- |
||
|[[Streptococcus intermedius]] |
| style="color:darkgreen" |[[Streptococcus intermedius]] |
||
| style="color:darkgreen" |0% |
|||
|0% |
|||
| style="color:darkgreen" |40 |
|||
|40 |
|||
|- |
|- |
||
|[[Streptococcus vestibularis]] |
| style="color:goldenrod" |[[Streptococcus vestibularis]] |
||
| style="color:goldenrod" |low |
|||
|low |
|||
| style="color:goldenrod" |26 |
|||
|26 |
|||
|- |
|- |
||
|[[Streptococcus lutetiensis]] |
| style="color:goldenrod" |[[Streptococcus lutetiensis]] |
||
| style="color:goldenrod" |low |
|||
|low |
|||
| style="color:goldenrod" |23 |
|||
|23 |
|||
|- |
|- |
||
|[[Streptococcus infantarius]] |
| style="color:darkred" |[[Streptococcus infantarius]] |
||
| style="color:darkred" |low |
|||
|low |
|||
| style="color:darkred" |14 |
|||
|14 |
|||
|- |
|- |
||
|[[Streptococcus equinus]] |
| style="color:darkred" |[[Streptococcus equinus]] |
||
| style="color:darkred" |low |
|||
|low |
|||
| style="color:darkred" |12 |
|||
|12 |
|||
|- |
|- |
||
|[[Streptococcus peroris]] |
| style="color:darkgreen" |[[Streptococcus peroris]] |
||
| style="color:darkgreen" |0 |
|||
|0 |
|||
| style="color:darkgreen" |10 |
|||
|10 |
|||
|- |
|- |
||
|[[Streptococcu cristatus]] or [[Streptococcus sinensis|sinensis]] |
| style="color:darkred" |'''[[Streptococcu cristatus]] or [[Streptococcus sinensis|sinensis]]''' |
||
| style="color:darkred" |'''44%''' |
|||
|44% |
|||
| style="color:darkred" |'''9''' |
|||
|9 |
|||
|- |
|- |
||
|[[Streptococcus massiliensis]] |
| style="color:darkgreen" |[[Streptococcus massiliensis]] |
||
| style="color:darkgreen" |0 |
|||
|0 |
|||
| style="color:darkgreen" |5 |
|||
|5 |
|||
|- |
|- |
||
|[[Granulicatella elegans]] |
| style="color:darkgreen" |[[Granulicatella elegans]] |
||
| style="color:darkgreen" |0 |
|||
|0 |
|||
| style="color:darkgreen" |5 |
|||
|5 |
|||
|- |
|- |
||
|[[Streptococcus pluranimalium]] |
| style="color:darkgreen" |[[Streptococcus pluranimalium]] |
||
| style="color:darkgreen" |0 |
|||
|0 |
|||
| style="color:darkgreen" |<4 |
|||
|<4 |
|||
|- |
|- |
||
|[[Streptococcus equi]] |
| style="color:darkgreen" |[[Streptococcus equi]] |
||
| style="color:darkgreen" |0 |
|||
|0 |
|||
| style="color:darkgreen" |<4 |
|||
|<4 |
|||
|- |
|- |
||
|[[Streptococcus sobrinus]] |
| style="color:darkgreen" |[[Streptococcus sobrinus]] |
||
| style="color:darkgreen" |0 |
|||
|0 |
|||
| style="color:darkgreen" |<4 |
|||
|<4 |
|||
|- |
|- |
||
|[[Streptococcus suis]] |
| style="color:darkgreen" |[[Streptococcus suis]] |
||
| style="color:darkgreen" |0 |
|||
|0 |
|||
| style="color:darkgreen" |<4 |
|||
|<4 |
|||
|- |
|- |
||
|[[Streptococcus alactolyticus]] |
| style="color:darkgreen" |[[Streptococcus alactolyticus]] |
||
| style="color:darkgreen" |0 |
|||
|0 |
|||
| style="color:darkgreen" |<4 |
|||
|<4 |
|||
|} |
|} |
||
Revision as of 16:18, 12 March 2022
Background
- Among all patients with Streptococcus bacteremia, the prevalence of infective endocarditis is about 7%1
| Species | Risk of IE | Number of BSIs |
|---|---|---|
| Streptococcus pneumoniae | 1.2% | 2,598 |
| Streptococcus dysgalactiae | 6.6% | 901 |
| Streptococcus pyogenes | 1.9% | 592 |
| Streptococcus agalactiae | 9.1% | 441 |
| Streptococcus anginosus group | 4.8% | 437 |
| Streptococcus mitis or oralis | 19.4% | 408 |
| Streptococcus gallolyticus | 30.7% | 225 |
| Streptococcus salivarius | 5.8% | 191 |
| Streptococcus sanguinis | 34.6% | 133 |
| Streptococcus parasanguinis | 10.3% | 107 |
| Streptococcus gordonii | 44.2% | 95 |
| Streptococcus constellatus | <4% | 91 |
| Streptococcus mutans | 47.9% | 48 |
| Streptococcus thermophilus | <4% | 45 |
| Granulicatella adiacens | 12.2% | 41 |
| Streptococcus intermedius | 0% | 40 |
| Streptococcus vestibularis | low | 26 |
| Streptococcus lutetiensis | low | 23 |
| Streptococcus infantarius | low | 14 |
| Streptococcus equinus | low | 12 |
| Streptococcus peroris | 0 | 10 |
| Streptococcu cristatus or sinensis | 44% | 9 |
| Streptococcus massiliensis | 0 | 5 |
| Granulicatella elegans | 0 | 5 |
| Streptococcus pluranimalium | 0 | <4 |
| Streptococcus equi | 0 | <4 |
| Streptococcus sobrinus | 0 | <4 |
| Streptococcus suis | 0 | <4 |
| Streptococcus alactolyticus | 0 | <4 |
Investigations
- Consider using the HANDOC score to risk stratify for need for echocardiography
References
- ^ Torgny Sunnerhagen, Amanda Törnell, Maria Vikbrant, Bo Nilson, Magnus Rasmussen. HANDOC: A Handy Score to Determine the Need for Echocardiography in Non-β-Hemolytic Streptococcal Bacteremia. Clinical Infectious Diseases. 2017;66(5):693-698. doi:10.1093/cid/cix880.
