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This is a really interesting article for the endocarditis fans out there like me:
"Time to blood culture positivity in Staphylococcus aureus bacteremia is useful to determine the risk for infective endocarditis" https://www.clinicalmicrobiologyandinfection.com/article/S1198-743X(20)30700-X/fulltext#.X7Be_9nYFCo.twitter
"Time to blood culture positivity in Staphylococcus aureus bacteremia is useful to determine the risk for infective endocarditis" https://www.clinicalmicrobiologyandinfection.com/article/S1198-743X(20)30700-X/fulltext#.X7Be_9nYFCo.twitter
"No episode of IE had a TTP longer than 12 hours and 36
minutes and employing this single parameter with a cut-off of 13 hours, TTP results in a sensitivity of 100% (CI, 91-100) and a specificity of 52% (CI, 47-57) when used to classify
167 IE."
minutes and employing this single parameter with a cut-off of 13 hours, TTP results in a sensitivity of 100% (CI, 91-100) and a specificity of 52% (CI, 47-57) when used to classify
167 IE."
Here is the POSITIVE SCORE, add it to the mix with PREDICT & VIRSTA. I don't think its anything too ground breaking, other than the TTP factor. POSITIVE has 93% sensitivity with 70% specificity for IE
What do I take from this study?
For SAB, if TTP>13 hours, much less likely to have IE. If TTP<9 hours, increases my threshold to get a TEE quite a bit. Just another factor to include in our clinical decision making.
Thoughts on this study & my take aways?
For SAB, if TTP>13 hours, much less likely to have IE. If TTP<9 hours, increases my threshold to get a TEE quite a bit. Just another factor to include in our clinical decision making.
Thoughts on this study & my take aways?
