Endocarditis: Effects of routine echocardiography during Gram-positive bacteraemia

Vos, F. J., Bleeker-Rovers, C. P., Sturm, P. D., Krabbe, P. F. M., van Dijk, A. P. J., Oyen, W. J. G. & Kullberg, B. J., 22-Sep-2011, In : The Netherlands Journal of Medicine. 69, 7, p. 335-340 6 p.

Research output: Contribution to journalArticleAcademicpeer-review

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 languageEnglish
Pages (from-to)335-340
Number of pages6
JournalThe Netherlands Journal of Medicine
Issue number7
Publication statusPublished - 22-Sep-2011


  • 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

ID: 13829376