Enterococcus bacteremia

Background

• Bacteremia caused by an Enterococcus species

Management

DENOVA Score

• Determines need for echocardiographyCiteRef:berge2018th
• Criteria:
  • Duration of symptoms (≥7 days)
  • Embolization (clinical or radiographic)
  • Number of positive cultures ≥2
  • Origin of infection unknown
  • Valve disease: native valve disease, previous IE, or the presence of a valve prosthesis
  • Auscultation of murmur (any)
• A cutoff of ≥3 had sensitivity of 100% and specificity of 85% for endocarditis