Endocarditis: Effects of routine echocardiography during Gram-positive bacteraemia

F J Vos; C P Bleeker-Rovers; P D Sturm; P F M Krabbe; A P J van Dijk; W J G Oyen; B J Kullberg

Endocarditis: Effects of routine echocardiography during Gram-positive bacteraemia

F J Vos, C P Bleeker-Rovers, P D Sturm, P F M Krabbe, A P J van Dijk, W J G Oyen, B J Kullberg

Research output: Contribution to journal › Article › Academic › peer-review

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Abstract

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.

Original language	English
Pages (from-to)	335-340
Number of pages	6
Journal	The Netherlands Journal of Medicine
Volume	69
Issue number	7
Publication status	Published - 22-Sept-2011

Keywords

Bacteremia
Case-Control Studies
Delayed Diagnosis
Echocardiography
Endocarditis, Bacterial
Enterococcus
Female
Gram-Positive Bacterial Infections
Humans
Male
Matched-Pair Analysis
Middle Aged
Prospective Studies
Staphylococcus aureus
Streptococcus
Survival Analysis

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title = "Endocarditis: Effects of routine echocardiography during Gram-positive bacteraemia",

abstract = "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.",

keywords = "Bacteremia, Case-Control Studies, Delayed Diagnosis, Echocardiography, Endocarditis, Bacterial, Enterococcus, Female, Gram-Positive Bacterial Infections, Humans, Male, Matched-Pair Analysis, Middle Aged, Prospective Studies, Staphylococcus aureus, Streptococcus, Survival Analysis",

author = "Vos, {F J} and Bleeker-Rovers, {C P} and Sturm, {P D} and Krabbe, {P F M} and {van Dijk}, {A P J} and Oyen, {W J G} and Kullberg, {B J}",

year = "2011",

month = sep,

day = "22",

language = "English",

volume = "69",

pages = "335--340",

journal = "The Netherlands Journal of Medicine",

issn = "0300-2977",

publisher = "van Zuiden Communications BV.",

number = "7",

}

TY - JOUR

T1 - Endocarditis

T2 - Effects of routine echocardiography during Gram-positive bacteraemia

AU - Vos, F J

AU - Bleeker-Rovers, C P

AU - Sturm, P D

AU - Krabbe, P F M

AU - van Dijk, A P J

AU - Oyen, W J G

AU - Kullberg, B J

PY - 2011/9/22

Y1 - 2011/9/22

N2 - 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.

AB - 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.

KW - Bacteremia

KW - Case-Control Studies

KW - Delayed Diagnosis

KW - Echocardiography

KW - Endocarditis, Bacterial

KW - Enterococcus

KW - Female

KW - Gram-Positive Bacterial Infections

KW - Humans

KW - Male

KW - Matched-Pair Analysis

KW - Middle Aged

KW - Prospective Studies

KW - Staphylococcus aureus

KW - Streptococcus

KW - Survival Analysis

M3 - Article

C2 - 21934179

SN - 0300-2977

VL - 69

SP - 335

EP - 340

JO - The Netherlands Journal of Medicine

JF - The Netherlands Journal of Medicine

IS - 7

ER -

Endocarditis: Effects of routine echocardiography during Gram-positive bacteraemia

Abstract

Keywords

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