Streptococcus bacteremia: Difference between revisions
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Streptococcus bacteremia
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+ | == Background == |
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+ | |||
+ | * Among all patients with [[Streptococcus]] bacteremia, the prevalence of [[infective endocarditis]] is about 7%[[CiteRef::chamat-hedemand2020pr]] |
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+ | |||
+ | {| class="wikitable" |
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+ | !Species |
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+ | !Risk of IE |
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+ | !Number of BSIs |
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+ | |- |
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+ | |[[Streptococcus pneumoniae]] |
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+ | |1.2% |
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+ | |2,598 |
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+ | |- |
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+ | |[[Streptococcus dysgalactiae]] |
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+ | |6.6% |
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+ | |901 |
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+ | |- |
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+ | |[[Streptococcus pyogenes]] |
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+ | |1.9% |
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+ | |592 |
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+ | |- |
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+ | |[[Streptococcus agalactiae]] |
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+ | |9.1% |
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+ | |441 |
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+ | |- |
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+ | |[[Streptococcus anginosus group]] |
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+ | |4.8% |
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+ | |437 |
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+ | |- |
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+ | |[[Streptococcus mitis]] or [[Streptococcus oralis|oralis]] |
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+ | |19.4% |
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+ | |408 |
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+ | |- |
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+ | |[[Streptococcus gallolyticus]] |
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+ | |30.7% |
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+ | |225 |
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+ | |- |
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+ | |[[Streptococcus salivarius]] |
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+ | |5.8% |
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+ | |191 |
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+ | |- |
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+ | |[[Streptococcus sanguinis]] |
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+ | |34.6% |
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+ | |133 |
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+ | |- |
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+ | |[[Streptococcus parasanguinis]] |
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+ | |10.3% |
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+ | |107 |
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+ | |- |
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+ | |[[Streptococcus gordonii]] |
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+ | |44.2% |
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+ | |95 |
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+ | |- |
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+ | |[[Streptococcus constellatus]] |
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+ | |<4% |
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+ | |91 |
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+ | |- |
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+ | |[[Streptococcus mutans]] |
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+ | |47.9% |
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+ | |48 |
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+ | |- |
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+ | |[[Streptococcus thermophilus]] |
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+ | |<4% |
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+ | |45 |
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+ | |- |
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+ | |[[Granulicatella adiacens]] |
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+ | |12.2% |
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+ | |41 |
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+ | |- |
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+ | |[[Streptococcus intermedius]] |
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+ | |0% |
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+ | |40 |
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+ | |- |
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+ | |[[Streptococcus vestibularis]] |
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+ | |low |
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+ | |26 |
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+ | |- |
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+ | |[[Streptococcus lutetiensis]] |
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+ | |low |
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+ | |23 |
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+ | |- |
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+ | |[[Streptococcus infantarius]] |
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+ | |low |
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+ | |14 |
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+ | |- |
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+ | |[[Streptococcus equinus]] |
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+ | |low |
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+ | |12 |
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+ | |- |
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+ | |[[Streptococcus peroris]] |
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+ | |0 |
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+ | |10 |
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+ | |- |
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+ | |[[Streptococcu cristatus]] or [[Streptococcus sinensis|sinensis]] |
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+ | |44% |
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+ | |9 |
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+ | |- |
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+ | |[[Streptococcus massiliensis]] |
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+ | |0 |
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+ | |5 |
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+ | |- |
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+ | |[[Granulicatella elegans]] |
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+ | |0 |
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+ | |5 |
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+ | |- |
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+ | |[[Streptococcus pluranimalium]] |
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+ | |0 |
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+ | |<4 |
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+ | |- |
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+ | |[[Streptococcus equi]] |
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+ | |0 |
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+ | |<4 |
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+ | |- |
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+ | |[[Streptococcus sobrinus]] |
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+ | |0 |
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+ | |<4 |
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+ | |- |
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+ | |[[Streptococcus suis]] |
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+ | |0 |
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+ | |<4 |
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+ | |- |
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+ | |[[Streptococcus alactolyticus]] |
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+ | |0 |
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+ | |<4 |
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+ | |} |
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+ | |||
== Investigations == |
== Investigations == |
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Revision as of 12:13, 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
- ^ 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.