The Use of Clinical Prediction Rules without Echocardiographic Evaluation in Staphylococcus aureus bacteraemia may not be Enough to Exclude Infective Endocarditis and be Associated with Increased Mortality
Abstract:Background. It is unclear whether the use of clinical prediction rules is sufficient to rule out infective endocarditis (IE) in patients with Staphylococcus aureus bacteremia (SAB) without an echocardiogram evaluation, either transthoracic (TTE) and/or transesophageal (TEE). Our primary purpose was to test the usefulness of PREDICT, POSITIVE and VIRSTA scores to rule out IE without echocardiography. Our secondary purpose was to evaluate whether not performing an echocardiogram evaluation is associated with hig… Show more
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