HANDOC score
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Background
- Risk stratified for endocarditis that has been validated in a Swedish cohort1
Criteria
- Heart murmur or preexisting valve disease, including prosthetic valve
- Aetiology with the groups of Streptococcus mutans, Streptococcus bovis, Streptococcus sanguinis, or Streptococcus anginosus
- Number of positive blood cultures ≥2
- Duration of symptoms of 7 days or more
- Only 1 species growing in blood cultures
- Community-acquired infection
Interpretation
- Score <3, IE is effectively excluded
- Score ≥3, cannot exclude IE
References
- ^ Torgny Sunnerhagen, Amanda Törnell, Maria Vikbrant, Bo Nilson, Magnus Rasmussen. HANDOC: A Handy Score to Determine the Need for Echocardiography in Non-β-Hemolytic Streptococcal Bacteremia. Clinical Infectious Diseases. 2017;66(5):693-698. doi:10.1093/cid/cix880.
