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) |
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==Criteria== |
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===Day 1=== |
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{| class="wikitable" |
{| class="wikitable" |
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!Item |
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!Score |
!Score |
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! colspan="2" |Intracardiac Prosthesis |
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|ICD or prosthetic heart valve |
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|ICD |
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|2 |
|2 |
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|3 |
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|None |
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|Neither |
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|0 |
|0 |
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! colspan="2" |Onset |
! colspan="2" |Onset of Bacteremia |
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|Community |
|Community |
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===Day 5=== |
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{| class="wikitable" |
{| class="wikitable" |
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!Item |
!Item |
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!Score |
!Score |
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! colspan="2" | |
! colspan="2" |Intracardiac Prosthesis |
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|ICD or prosthetic heart valve |
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|ICD |
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|2 |
|2 |
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|3 |
|3 |
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|None |
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|Neither |
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|0 |
|0 |
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! colspan="2" |Onset |
! colspan="2" |Onset of Bacteremia |
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|Community |
|Community |
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==Interpretation== |
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*Day 1 ≥4: needs TEE |
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*Day 1 <4: reassess at day 5 |
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**Day 5 ≥2 (community-onset or CIED or prolonged bacteremia): needs TEE |
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**Day 5 <2 (nosocomial or healthcare-associated without CIED and bacteremia resolves quickly): can defer TEE |
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==Further Reading== |
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*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] |
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Latest revision as of 13:53, 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
