PREDICT score

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
CIED
ICD	2
PPM	3
Neither	0
Onset
Community	2
Healthcare	1
Nosocomial	0

Day 5

Item	Score
CIED
ICD	2
PPM	3
Neither	0
Onset
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