Enterococcus bacteremia

DENOVA Score

Berge A, Krantz A, Östlund H, Nauclér P, Rasmussen M. The DENOVA score efficiently identifies patients with monomicrobial Enterococcus faecalis bacteremia where echocardiography is not necessary.. Infection. 2019 Feb;47(1):45-50.
Determines need for echocardiography
Components:
- 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