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 |
|---|---|
| Intracardiac Prosthesis | |
| ICD or prosthetic heart valve | 2 |
| PPM | 3 |
| None | 0 |
| Onset of Bacteremia | |
| Community | 2 |
| Healthcare | 1 |
| Nosocomial | 0 |
Day 5
| Item | Score |
|---|---|
| Intracardiac Prosthesis | |
| ICD or prosthetic heart valve | 2 |
| PPM | 3 |
| None | 0 |
| Onset of Bacteremia | |
| 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
