HANDOC score: Difference between revisions
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*Heart murmur or preexisting valve disease, including prosthetic valve |
*Heart murmur or preexisting valve disease, including prosthetic valve |
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| + | *Aetiology |
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| − | * |
+ | **[[Streptococcus mutans]], [[Streptococcus bovis]], [[Streptococcus sanguinis]]: +1 |
| + | **[[Streptococcus anginosus]]: -1 |
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| + | **Other [[streptococci]], including [[Streptococcus mitis]] and [[Streptococcus salivarius]]: 0 |
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*Number of positive blood cultures ≥2 |
*Number of positive blood cultures ≥2 |
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*Duration of symptoms of 7 days or more |
*Duration of symptoms of 7 days or more |
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Latest revision as of 11:15, 9 March 2022
Background
- Risk stratified for endocarditis that has been validated in a Swedish cohort1
Criteria
- Heart murmur or preexisting valve disease, including prosthetic valve
- Aetiology
- Streptococcus mutans, Streptococcus bovis, Streptococcus sanguinis: +1
- Streptococcus anginosus: -1
- Other streptococci, including Streptococcus mitis and Streptococcus salivarius: 0
- 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.
