Streptococcus bacteremia
From IDWiki
Streptococcus bacteremia
Risk Stratification: HANDOC
- Risk stratified for endocarditis that has been validated in a Swedish cohort 1
- 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
- ^ 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.
