PREDICT score: Difference between revisions
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+ | ==Background== |
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+ | *Tool used to predict risk of [[infective endocarditis]] in patients with [[Staphylococcus aureus bacteremia]] and therefore the need for transesophageal echocardiography (TEE) |
| − | == |
+ | ==Criteria== |
| − | === |
+ | ===Day 1=== |
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| − | == |
+ | ==Interpretation== |
| − | * |
+ | *Day 1 ≥4: needs TEE |
| − | * |
+ | *Day 1 <4: reassess at day 5 |
| − | ** |
+ | **Day 5 ≥2 (community-onset or CIED or prolonged bacteremia): needs TEE |
| − | ** |
+ | **Day 5 <2 (nosocomial or healthcare-associated without CIED and bacteremia resolves quickly): can defer TEE |
| − | == |
+ | ==Further Reading== |
| − | * |
+ | *Predicting Risk of Endocarditis Using a Clinical Tool (PREDICT): Scoring System to Guide Use of Echocardiography in the Management of Staphylococcus aureus Bacteremia. ''Clin Infect Dis''. 2015;61(1):18-28. doi: [https://doi.org/10.1093/cid/civ235 10.1093/cid/civ235] |
Latest revision as of 09:53, 6 February 2021
Background
- Tool used to predict risk of infective endocarditis in patients with Staphylococcus aureus bacteremia and therefore the need for transesophageal echocardiography (TEE)
Criteria
Day 1
| Item | Score |
|---|---|
| Intracardiac Prosthesis | |
| ICD or prosthetic heart valve | 2 |
| PPM | 3 |
| None | 0 |
| Onset of Bacteremia | |
| Community | 2 |
| Healthcare | 1 |
| Nosocomial | 0 |
Day 5
| Item | Score |
|---|---|
| Intracardiac Prosthesis | |
| ICD or prosthetic heart valve | 2 |
| PPM | 3 |
| None | 0 |
| Onset of Bacteremia | |
| Community | 2 |
| Healthcare | 1 |
| Nosocomial | 0 |
| Other | |
| Bacteremia ≥72 hours | 2 |
Interpretation
- Day 1 ≥4: needs TEE
- Day 1 <4: reassess at day 5
- Day 5 ≥2 (community-onset or CIED or prolonged bacteremia): needs TEE
- Day 5 <2 (nosocomial or healthcare-associated without CIED and bacteremia resolves quickly): can defer TEE
Further Reading
- Predicting Risk of Endocarditis Using a Clinical Tool (PREDICT): Scoring System to Guide Use of Echocardiography in the Management of Staphylococcus aureus Bacteremia. Clin Infect Dis. 2015;61(1):18-28. doi: 10.1093/cid/civ235
