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Duke Criteria for Infectious Endocarditis Diagnosis

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1. Duke Criteria for Infectious Endocarditis Diagnosis

Duke Criteria for Infectious Endocarditis Diagnosis Duke Criteria for Infectious Endocarditis Diagnosis Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer (...) Administration 4 Duke Criteria for Infectious Endocarditis Diagnosis Duke Criteria for Infectious Endocarditis Diagnosis Aka: Duke Criteria for Infectious Endocarditis Diagnosis , Endocarditis Diagnosis , Modified Duke Criteria for Infectious Endocarditis From Related Chapters II. Criteria: Endocardititis causative organisms (used in criteria below) Viridans bovis Community-acquired enterococci without findings of primary focus species Aggregatibacter actinomycetemcomitans Cardiobacterium hominis Eikenella

2018 FP Notebook

2. The Value of 99mTc-Leukoscan® Scintigraphy in the Diagnosis of Infectious Endocarditis on Surgical Materials

or minus 1 month) ] The presence or not of infectious endocarditis on surgical materials will be measured using Duke's criteria of patients follow-up at 3 months (plus or minus 1 month). Eligibility Criteria Go to Information from the National Library of Medicine Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff (...) The Value of 99mTc-Leukoscan® Scintigraphy in the Diagnosis of Infectious Endocarditis on Surgical Materials The Value of 99mTc-Leukoscan® Scintigraphy in the Diagnosis of Infectious Endocarditis on Surgical Materials - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies

2017 Clinical Trials

3. Prevention, Diagnosis & Management of infective endocarditis

INTRODUCTION 24 2.0 EPIDEMIOLOGY 27 3.0 DIAGNOSIS 29 3.1 Clinical evaluation of suspected infective endocarditis 30 3.1.1 Pre-existing risk factors 30 3.1.2 Clinical manifestations 31 3.2 Investigations 34 3.2.1 Laboratory investigations 34 3.2.2 Microbiological diagnosis 34 3.2.3 Histopathological diagnosis 40 3.3 Imaging 43 3.3.1 Echocardiography 43 3.3.2 Other imaging modalities 50 3.4 Diagnostic criteria 53 3.4.1 The modified Duke criteria and its limitations 53 4.0 MANAGEMENT 57 4.1 Clinical (...) in management strategies would be the development of an Endocarditis Team with multidisciplinary expertise in cardiology, cardiothoracic surgery, infectious disease and other subspecialties as indicated. This is encouraged to enable early diagnosis, optimise treatment and prevent complications in these patients. It also allows for smoother and more efficient referrals to specialised centres. Previously, surgical intervention was delayed because of the high-risk and mortality but, recently published data

2017 Ministry of Health, Malaysia

4. The role of 18F-FDG-PET/CT in the Diagnosis of left-sided Endocarditis: native vs. prosthetic valves endocarditis. (PubMed)

in the PVE group only.The addition of 18F-FDG-PET/CT at the initial presentation of patients with suspected PVE increases the diagnostic capability of the Modified Duke criteria. In patients presenting with suspected NVE, the use of 18F-FDG-PET/CT is less accurate, and could only be considered a complementary diagnostic tool for a specific population of patients with NVE.© The Author(s) 2019. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved (...) The role of 18F-FDG-PET/CT in the Diagnosis of left-sided Endocarditis: native vs. prosthetic valves endocarditis. 18Fluorodeoxyglucose positron emission tomography (18F-FDG-PET/CT) has emerged as a useful diagnostic tool for suspected infective endocarditis (IE) in patients with prosthetic valves or implantable devices. However, there is limited evidence regarding the use of 18F-FDG-PET/CT for the diagnosis of native valve IE (NVE).Between 2014 and 2017, 303 episodes of left-sided suspected IE

2019 Clinical Infectious Diseases

5. Duke Criteria for Infectious Endocarditis Diagnosis

Duke Criteria for Infectious Endocarditis Diagnosis Duke Criteria for Infectious Endocarditis Diagnosis Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer (...) Administration 4 Duke Criteria for Infectious Endocarditis Diagnosis Duke Criteria for Infectious Endocarditis Diagnosis Aka: Duke Criteria for Infectious Endocarditis Diagnosis , Endocarditis Diagnosis , Modified Duke Criteria for Infectious Endocarditis From Related Chapters II. Criteria: Endocardititis causative organisms (used in criteria below) Viridans bovis Community-acquired enterococci without findings of primary focus species Aggregatibacter actinomycetemcomitans Cardiobacterium hominis Eikenella

2015 FP Notebook

6. Diagnosis of Bacteremia/Septicemia and Culture Negative Endocarditis by the Karius Sequencing-Based Infectious Disease Diagnostic Assay

Diagnosis of Bacteremia/Septicemia and Culture Negative Endocarditis by the Karius Sequencing-Based Infectious Disease Diagnostic Assay Diagnosis of Bacteremia/Septicemia and Culture Negative Endocarditis by the Karius Sequencing-Based Infectious Disease Diagnostic Assay - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning (...) You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Diagnosis of Bacteremia/Septicemia and Culture Negative Endocarditis by the Karius Sequencing-Based Infectious Disease Diagnostic Assay The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier

2016 Clinical Trials

7. Infective Endocarditis in Adults: Diagnosis, Antimicrobial Therapy, and Management of Complications

of IE at surgery or autopsy with antibiotic therapy for ≤4 d; or does not meet criteria for possible IE as above IE indicates infective endocarditis. Modifications appear in boldface. *These criteria have been universally accepted and are in current use. Reprinted from Li et al 24 by permission of the Infectious Diseases Society of America. Copyright © 2000, the Infectious Diseases Society of America. Table 3. Definition of Terms Used in the Modified Duke Criteria for the Diagnosis of IE Major (...) , and Kingella species; IDU, injection drug use; IE, infective endocarditis; IgG, immunoglobulin G; TEE transesophageal echocardiography; and TTE, transthoracic echocardiography. Modifications appear in boldface. *These criteria have been universally accepted and are in current use. Reprinted from Li et al 24 by permission of the Infectious Diseases Society of America. Copyright © 2000, the Infectious Diseases Society of America. A diagnosis of IE with the original Duke criteria was based on the presence

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2016 Infectious Diseases Society of America

8. Infective Endocarditis: How Do We Currently Interpret the Duke Minor Criterion “Predisposing Heart Condition” in Native Valves? (PubMed)

Infective Endocarditis: How Do We Currently Interpret the Duke Minor Criterion “Predisposing Heart Condition” in Native Valves? The term "predisposing heart condition" is used as an indication of antimicrobial prophylaxis to prevent infective endocarditis (IE) and as a criterion for diagnosing IE according to modified Duke criteria. The purpose of this survey was to elaborate clinician's knowledge and opinion on relevant heart conditions as a Duke minor criterion for the diagnosis of IE.A (...) questionnaire was created that consisted of two knowledge and two opinion questions on the term predisposing heart condition. The survey included results from 318 questionnaires with responses from specialists in the field of internal medicine, infectious diseases, and cardiology.The answers of what participants believed to be currently a Duke minor criterion and what they thought should be minor criterion were very distributed with a median accordance of 33%.The survey indicates that there is significant

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2016 Cardiology and therapy

9. What Is the Role of Procalcitonin in Early Diagnosis of Infective Endocarditis?

review snapshotis:YuC-W,JuanL-I, HsuS-C,etal.Roleofprocalcitonin in the diagnosis of infective endocarditis: a meta-analysis. AmJEmergMed.2013;31:935-941. 1. Pierce D, Calkins BC, Thornton K. Infectious endocarditis: diagnosis and treatment. Am Fam Physician. 2012;85:10. 2. Durack DT, Lukes AS, Bright DK. New criteria for diagnosis of infective endocarditis: utilization of speci?c echocardiographic ?ndings. Am J Med. 1994;96:200-209. 3. Li JS, Sexton DJ, Mick N, et al. Proposed modi?cations (...) to the Duke criteria for the diagnosis of infective endocarditis. Clin Infect Dis. 2000;30:633-638. 4. Hoen B, Duval X. Infective endocarditis. N Engl J Med. 2013;368:1425-1433. 5. Tleyjeh IM, Abdel-Latif A, Rahbi H, et al. A systematic review of population-based studies of infective endocarditis. Chest. 2007;132:1025-1035. 6. Timsit JF, Dubois Y, Minet C, et al. New challenges in the diagnosis, management, and prevention of central venous catheter–related infections. Semin Respir Crit Care Med. 2011;32

2015 Annals of Emergency Medicine Systematic Review Snapshots

10. Guidelines on Prevention, Diagnosis and Treatment of Infective Endocarditis

= infectious disease; IE = infective endocarditis. a Class of recommendation. b Level of evidence. c Reference(s) supporting recommendations. 5. Diagnosis 5.1 Clinical features The diverse nature and evolving epidemiological profile of IE ensure that it remains a diagnostic challenge. The clinical history of IE is highly variable according to the causative microorganism, the presence or absence of pre-existing cardiac disease, the presence or absence of prosthetic valves or cardiac devices and the mode (...) , owing to their poor positive predictive value for the diagnosis of sepsis and lack of specificity for endocarditis, these biomarkers have been excluded from being major diagnostic criteria and are only used to facilitate risk stratification. Sepsis severity may be indicated by the demonstration of a number of laboratory investigations, including the degree of leucocytosis/leucopoenia, the number of immature white cell forms, concentrations of CRP and procalcitonin, ESR and markers of end-organ

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2015 European Society of Cardiology

11. Study of the Prognosis of Infectious Endocarditis (EPEI)

Accepts Healthy Volunteers: No Sampling Method: Probability Sample Study Population patients with certain infectious endocarditis according to Duke's criteria Criteria Inclusion Criteria: all patients with certain infectious endocarditis according to Duke's criteria, confirmed by the presence of evocative images on the transthoracic and / or transesophageal ultrasound or by the data collected on the surgical specimens. Exclusion Criteria: Patients with an infection not meeting the Duke IE criteria (...) all, an aging population with an increase in degenerative diseases such as aortic stenosis and l Mitral insufficiency. The diagnosis of IA is based on DUKE criteria. But the clinical presentation is sometimes atypical especially in case of infection on prosthesis where the diagnosis is based mainly on the results of the blood cultures and the ultrasound data. The lesions visualized in ultrasound are: vegetations, abscesses, pseudo-aneurysms and fistulas constituting the degenerated abscess

2017 Clinical Trials

12. Impact of the Blood Culture Technique on the Diagnosis of Infective Endocarditis

each, numbered), and then 2 samples of 16 to 20 mL (one aerobic bottle and one anaerobic for each sample). Outcome Measures Go to Primary Outcome Measures : Diagnosis of infective endocarditis: confirmed, possible or excluded [ Time Frame: At the end of the hospitalization, or at the time of death if occurred during hospitalization; i.e. an average of 6 weeks after the inclusion ] Applying the Classification of Duke-Li according to the modified diagnostic criteria of the European Society (...) , 2017 Last Update Posted : August 9, 2017 See Sponsor: Central Hospital, Nancy, France Information provided by (Responsible Party): Central Hospital, Nancy, France Study Details Study Description Go to Brief Summary: To evaluate the performance of a single high volume blood culture sampling strategy versus the actually used multiple sampling strategy for the diagnosis and categorization of infective endocarditis according to the Duke-Li classification in a Population of adults suspected of infective

2017 Clinical Trials

13. Guidelines for the diagnosis and antibiotic treatment of endocarditis in adults: a report of the working party of BSAC

for baseline evaluation. Figure 4. Summaryofechocardiographyrecommendations ininfective endocarditis (IE). TTE,transthoracicechocardiography; TOE,transoesophageal echocardiography. Table 1. Modi?ed Duke criteria for diagnosis of infective endocarditis a (reproduced with permission from Table 4,Li et al. 12 ) Criterion Diagnostic Type Tick if met a Major criteria Positive blood culture for infective endocarditis typical microorganism consistent with IE from two separate blood cultures, as noted below (...) effects once intracardiac infection is established and/or the need for surgery. 9 Sometimes multiple scans are needed to demonstrate vegetations. Echocardiographic ?ndings are major criteria in the diagnosis of IE, and may include the presence of a vegetation, abscess, new dehiscence of a prosthetic valve and newly noted valvular regurgitation. The sensitivity of TTE ranges from 70% to 80% and that of TOE from 90% to 100%. 2.3 Diagnostic criteria and their limitations Recommendation 2.9: Duke criteria

2012 British Infection Association

14. CRACKCast E083 – Infective Endocarditis and Valvular Disease

infarcts “classic” symptoms are rare: unexplained fever, osler nodes, janeway lesions, petechiae, splinter hemorrhages, glomerulonephritis, splenomegaly, retinal hemorrhages, roth spots 5) What are the diagnostic criteria for endocarditis, and how are they used? The DUKE Criteria! Definite Unlikely …but it’s still possible KNOT endocarditis …..rejected!! = DUKE Three categories: And Major and minor criteria 6) List 5 lab or investigative findings in bacterial endocarditis Diagnostic Strategies: usually (...) nonspecific leukocytosis, CRP elevated, anemia, microscopic hematuria, abnormal CXR or ECG **need three (3) blood cultures from separate sites** TTE non-diagnostic in 20% of people (60% sens) TEE much better Duke Criteria are the best: 95% sens, 99% spec. Don’t forget about the culture negative IE patient – the patient with negative blood cultures and persistent fevers AND at least one or more clinical findings of IE. This category also includes people with ECHO findings of vegetations on echo. 7

2017 CandiEM

15. Infectious endocarditis caused by Helcococcus kunzii in a vascular patient: a case report and literature review. (PubMed)

to be considered as an opportunistic pathogen that can be involved in severe infections in human. To the best of our knowledge, we describe here the first known case of infectious endocarditis caused by H. kunzii.A 79 year-old man reporting severe polyvascular medical history attended the emergency ward for rapid deterioration of his general state of health. After physical examination and paraclinical investigations, the diagnosis of infectious endocarditis on native mitral valve caused by Helcococcus kunzii (...) Infectious endocarditis caused by Helcococcus kunzii in a vascular patient: a case report and literature review. Helcococcus kunzii is a facultative anaerobic bacterium that was first described by Collins et al. in 1993, and was initially considered as a commensal of the human skin, in particular of lower extremities. Human infections caused by H. kunzii remain rare with only a few cases published in the pubmed database. Nevertheless recent reports indicate that this microorganism has

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2015 BMC Infectious Diseases

16. Infectious endocarditis caused by Helcococcus kunzii in a vascular patient: a case report and literature review (PubMed)

to be considered as an opportunistic pathogen that can be involved in severe infections in human. To the best of our knowledge, we describe here the first known case of infectious endocarditis caused by H. kunzii.A 79 year-old man reporting severe polyvascular medical history attended the emergency ward for rapid deterioration of his general state of health. After physical examination and paraclinical investigations, the diagnosis of infectious endocarditis on native mitral valve caused by Helcococcus kunzii (...) Infectious endocarditis caused by Helcococcus kunzii in a vascular patient: a case report and literature review Helcococcus kunzii is a facultative anaerobic bacterium that was first described by Collins et al. in 1993, and was initially considered as a commensal of the human skin, in particular of lower extremities. Human infections caused by H. kunzii remain rare with only a few cases published in the pubmed database. Nevertheless recent reports indicate that this microorganism has

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2015 BMC infectious diseases

17. Case report: Staphylococcus aureus endocarditis in 2 premature newborns. (PubMed)

Duke diagnostic criteria-from clinical, echocardiogram and microbiological findings-based on those used for adults, can be used for children and newborns, but the very low prevalence of neonatal IE often delays diagnosis. Diagnosis on the basis of transthoracic heart ultrasound requires an extension report, given the very high embolic risk.In the large majority of cases, long-term antibiotic therapy efficaciously treats the infection, although sometimes surgery is necessary. These 2 newborns needed (...) Case report: Staphylococcus aureus endocarditis in 2 premature newborns. Neonatal infectious endocarditis (IE) in a healthy heart is rare. The infectious agents most frequently found in newborns are Staphylococcus aureus and fungi. Infection at the site of central intravenous catheter is generally thought to be the cause of this pathology.We present 2 cases of premature newborns whose condition is evolving positively. They presented S aureus endocarditis during their first week of life.Modified

2019 Medicine

18. Infective Endocarditis in Childhood: 2015 Update

staphylococci and organisms that do not cause endocarditis. Modified from Durack et al (copyright © 1994, Elsevier) and Li et al (copyright © 2000, Oxford University Press) with permission from the publishers. Table 4. Duke Clinical Criteria for Diagnosis of IE Definite IE Pathological criteria Microorganisms: demonstrated by culture or histology in a vegetation, a vegetation that has embolized, or an intracardiac abscess or Pathological lesions: vegetation or intracardiac abscess present, confirmed (...) The modifications of the Duke criteria for diagnosis of IE have been demonstrated to be helpful in diagnosing IE in children, although the number of patients in these studies has been small, and there have been questions of specificity ( and ). , – The presence of a CVC may prolong a bacteremic state, thus requiring the removal of the CVC before criteria are met. The incorporation into the modified Duke criteria of new molecular diagnostic methods on surgical specimens (eg, polymerase chain reaction [PCR]) has

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2015 American Heart Association

19. Suspected Infective Endocarditis

[22,23]. This situation has been shown to occur in nearly 30% of cases [11]. A larger prospective study with 72 patients showed that adding abnormal FDG uptake around a prosthetic valve to the modified Duke criteria at admission increased the sensitivity for the diagnosis of prosthetic valve endocarditis to 97% from 70% [24]. However, when looking at a cohort of patients with native and prosthetic valves, one study showed a relatively low sensitivity of 39% for the diagnosis of infectious (...) of infective endocarditis. The demonstration of vegetations by echocardiography is 1 of the 2 major modified Duke criteria required for the diagnosis of a definite endocarditis [5,6]. Studies show that criteria for the diagnosis, which include the findings on TTE [6,7] and particularly on transesophageal echocardiography (TEE) [6], were significantly better than traditional criteria based on clinical and bacteriologic criteria. Although TEE has been shown to have significantly higher sensitivity than TTE

2014 American College of Radiology

20. Guidelines on Prevention, Diagnosis and Treatment of Infective Endocarditis

Guidelines on Prevention, Diagnosis and Treatment of Infective Endocarditis ESC GUIDELINES Guidelines on the prevention, diagnosis, and treatment of infective endocarditis (new version 2009) The Task Force on the Prevention, Diagnosis, and Treatment of Infective Endocarditis of the European Society of Cardiology (ESC) Endorsed by the European Society of Clinical Microbiology and Infectious Diseases (ESCMID) and by the International Society of Chemotherapy (ISC) for Infection and Cancer Authors (...) ESC Guidelines . . . . . . . . . . . . . 2376 Limitations and consequences of the new ESC Guidelines 2378 F. Diagnosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2378 Clinical features . . . . . . . . . . . . . . . . . . . . . . . . . . . 2378 Echocardiography . . . . . . . . . . . . . . . . . . . . . . . . . . 2379 Microbiological diagnosis . . . . . . . . . . . . . . . . . . . . . . 2380 Diagnostic criteria and their limitations . . . . . . . . . . . . 2382 G. Prognostic

2009 European Society of Cardiology

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