Streptococcus bacteremia: Difference between revisions
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Streptococcus bacteremia
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* Risk stratified for [[endocarditis]] that has been validated in a Swedish cohort [[CiteRef::sunnerhagen2017ha]] |
* Risk stratified for [[endocarditis]] that has been validated in a Swedish cohort [[CiteRef::sunnerhagen2017ha]] |
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* Criteria: |
* Criteria: |
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** Heart murmur or valve disease |
** 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]] |
** Aetiology with the groups of [[Streptococcus mutans]], [[Streptococcus bovis]], [[Streptococcus sanguinis]], or [[Streptococcus anginosus]] |
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** Number of positive blood cultures ≥2 |
** Number of positive blood cultures ≥2 |
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Revision as of 13:45, 6 September 2019
Risk Stratification: HANDOC
- Risk stratified for endocarditis that has been validated in a Swedish cohort 1
- Criteria:
- Heart murmur or preexisting valve disease, including prosthetic valve
- Aetiology with the groups of Streptococcus mutans, Streptococcus bovis, Streptococcus sanguinis, or Streptococcus anginosus
- Number of positive blood cultures ≥2
- Duration of symptoms of 7 days or more
- Only 1 species growing in blood cultures
- Community-acquired infection
- Interpretation:
- Score <3, IE is effectively excluded
- Score ≥3, cannot exclude IE
References
- a b 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.
