924Clinical Decision Rule to Guide Use of Echocardiography in the Management of Staphylococcus aureus Bacteremia
نویسندگان
چکیده
Management of Staphylococcus aureus Bacteremia Bharath Raj Palraj, MBBS; Larry M. Baddour, MD; Erik Hess, MD; James Steckelberg, MD; Walter R. Wilson, MD; Brian Lahr, MS; Muhammad R. Sohail, MD; Department of Medicine, Division of Infectious Diseases, Mayo Clinic, Rochester, MN; Division of Infectious Diseases, Mayo Clinic, Rochester, MN; Department of Emergency Medicine, Mayo Clinic, Rochester, MN; Infectious Diseases, Mayo School of Graduate Medical Education, Rochester, MN; Mayo Clinic, Rochester, MN; Mayo School of Graduate Medical Education, Rochester, MN
منابع مشابه
Predicting Risk of Endocarditis Using a Clinical Tool (PREDICT): Scoring System to Guide Use of Echocardiography in the Management of Staphylococcus aureus Bacteremia.
BACKGROUND Infective endocarditis (IE) is a serious complication of Staphylococcus aureus bacteremia (SAB). There is limited clinical evidence to guide use of echocardiography in the management of SAB cases. METHODS Baseline and 12-week follow-up data of all adults hospitalized at our institution with SAB from 2006 to 2011 were reviewed. Clinical predictors of IE were identified using multiva...
متن کاملClinical Reasoning of Infectious Diseases Physicians Behind the Use or Nonuse of Transesophageal Echocardiography in Staphylococcus aureus Bacteremia
In this prospective cohort with Staphylococcus aureus bacteremia, transesophageal echocardiography (TEE) was performed in 24% of cases. Consulting Infectious Diseases physicians most frequently cited low suspicion for endocarditis due to rapid clearance of blood cultures and the presence of a secondary focus requiring an extended treatment duration as reasons for foregoing TEE.
متن کاملUse of Transthoracic Echocardiography in the Management of Low-Risk Staphylococcus aureus Bacteremia: Results From a Retrospective Multicenter Cohort Study.
OBJECTIVES The aim of this study was to develop a prediction model to identify patients with low-risk Staphylococcus aureus bacteremia (SAB), in whom infective endocarditis (IE) can be ruled out based on transthoracic echocardiogram (TTE). BACKGROUND S. aureus is a major cause of bacteremia and often leads to IE. Current guidelines recommend performing transesophageal echocardiography on all ...
متن کاملAntibiogram pattern of isolated bacteria from bacteremia in hospitalized children – Bandar Abbas, Iran
Introduction: Presence of bacteria in blood is a serious cause of hospitalization, morbidity and mortality in pediatric. Microbial culture of blood samples is the most reliable technique to identify the responsible bacteria and determine antibiotic susceptibility. Extensive use of antibiotics and increasing prevalence of resistant organisms urged us to expand our knowledge about antibioti...
متن کاملComparative Sensitivity of Transthoracic and Transesophageal Echocardiography in Diagnosis of Infective Endocarditis Among Veterans With Staphylococcus aureus Bacteremia
BACKGROUND Echocardiography is fundamental for diagnosing infective endocarditis (IE) in patients with Staphylococcus aureus bacteremia (SAB), but whether all such patients require transesophageal echocardiography (TEE) is controversial. METHODS We identified SAB cases between February 2008 and April 2012. We compared sensitivity and specificity of transthoracic echocardiography (TTE) and TEE...
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