Endocarditis: effects of routine echocardiography during Gram-positive bacteraemia
until further notice
SourceNetherlands Journal of Medicine, 69, 7, (2011), pp. 335-340
Article / Letter to editor
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Epidemiology, Biostatistics & HTA
Netherlands Journal of Medicine
SubjectN4i 1: Pathogenesis and modulation of inflammation; N4i 1: Pathogenesis and modulation of inflammation NCMLS 1: Infection and autoimmunity; N4i 2: Invasive mycoses and compromised host NCMLS 1: Infection and autoimmunity; NCEBP 14: Cardiovascular diseases
BACKGROUND: Despite firm recommendations to perform echocardiography in high-risk patients with Gram-positive bacteraemia, routine echocardiography is not embedded in daily practice in many settings. The aim of this study was to evaluate whether a regime including routine echocardiography results in better outcome. METHODS: A total of 115 patients with Gram-positive bacteraemia and at least one risk factor for developing metastatic infection were prospectively included. Routine echocardiography was advocated and facilitated in these patients. Results were compared with a matched historical control group of 230 patients in whom echocardiography was performed at the discretion of the attending physician. Endocarditis was diagnosed according to the Duke criteria. RESULTS: Echocardiography was performed more often in the study group (82 vs 27%, p.
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