Streptococcus bacteremia: Difference between revisions
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Streptococcus bacteremia
(ββ: 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 β₯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 β₯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
- ^ Torgny Sunnerhagen, Amanda TΓΆrnell, Maria Vikbrant, Bo Nilson, Magnus Rasmussen. HANDOC: A Handy Score to Determine the Need for Echocardiography in Non-Ξ²-Hemolytic Streptococcal Bacteremia. Clinical Infectious Diseases. 2017;66(5):693-698. doi:10.1093/cid/cix880.
