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.
|Number of pages||6|
|Journal||The Netherlands Journal of Medicine|
|Publication status||Published - 22-Sep-2011|
- Case-Control Studies
- Delayed Diagnosis
- Endocarditis, Bacterial
- Gram-Positive Bacterial Infections
- Matched-Pair Analysis
- Middle Aged
- Prospective Studies
- Staphylococcus aureus
- Survival Analysis