379 results
My Patient with Infective Endocarditis (IE) Has Negative Blood Cultures
 - Did they receive antibiotics prior
with Infective Endocarditis ... Negative Blood Cultures ... antibiotics prior to cultures ... Number one cause of culture ... #Infective #Endocarditis
Duke's Criteria for Infective Endocarditis
Definite IE - Pathologic Criteria:
 • Pathologic lesions - vegetation or intracardiac
for Infective Endocarditis ... demonstrating active endocarditis ... demonstrated by culture ... positive blood culture ... criteria #Infective #Endocarditis
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... Peripheral blood cultures ... • Additional culture ... suspect right-sided endocarditis ... Critical Care #Endocarditis
Endocarditis - Duke Criteria - Major and Minor

MAJOR CRITERIA: 
 - Persistently +ve blood culture for
Endocarditis - Duke ... Persistently +ve blood culture ... Positive blood cultures ... criteria #Endocarditis
Blood Culture Collection Algorithm - Adult Patients with Suspected Systemic Infection 

Pawlowicz et al evidenced based
Blood Culture Collection ... to obtain blood cultures ... drawing blood cultures ... warrant blood cultures ... tract infection, endocarditis
Epidemiological Clues That May be Helpful in Defining the Etiological Diagnosis of Culture-Negative Endocarditis

#Endocarditis #Bacteria #Differential
Etiological Diagnosis of Culture-Negative ... Endocarditis ... #Endocarditis #Bacteria
Infective Endocarditis - Diagnosis and Management Summary
Pearls:
 - Consider non-infectious endocarditis in pts with cancer/SLE and
Infective Endocarditis ... non-infectious endocarditis ... cancer/SLE and - cultures ... #Infective #Endocarditis
DENOVA score to predict endocarditis in patients with Enterococcus faecalis bacteremia
 • Duration of symptoms ≥
score to predict endocarditis ... Number of positive cultures ... DENOVA #score #endocarditis
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Endocarditis Summary ... Microbiology: Blood cultures ... 90% of IE cases Culture ... staphylococci Culture ... • Blood cultures
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
from Infective Endocarditis ... dysfunction + • Blood cultures ... negative blood cultures ... Negative blood cultures ... #NonInfective #Endocarditis