External validation of the HANDOC score–high sensitivity to identify patients with non-beta-haemolytic streptococcal endocarditis
Sunnerhagen, Torgny LU
; Højgaard Andersen, Malene
; Bruun, Niels Eske
; Bundgaard, Henning
; Iversen, Kasper Karmark
and Rasmussen, Magnus
LU
(2020)
In Infectious Diseases
52(1).
p.54-57
- Abstract
Background: Invasive infections with non-beta-haemolytic streptococci (NBHS) is quite common and presents the clinicians with difficulties regarding which patients are at risk for infective endocarditis (IE). The HANDOC score was developed to identify patients with NBHS bacteraemia who are at low risk of IE. This study was conducted to validate HANDOC in an external cohort. Methods: Patients with NBHS in blood cultures between March and September 2016 in a Danish centre were included as part of an on-going study. Patient characteristics were collected to classify bacteria according to Dukés criteria and the components of the HANDOC score were collected retrospectively from the patients’ medical records. Results: 68 patients were... (More)
Background: Invasive infections with non-beta-haemolytic streptococci (NBHS) is quite common and presents the clinicians with difficulties regarding which patients are at risk for infective endocarditis (IE). The HANDOC score was developed to identify patients with NBHS bacteraemia who are at low risk of IE. This study was conducted to validate HANDOC in an external cohort. Methods: Patients with NBHS in blood cultures between March and September 2016 in a Danish centre were included as part of an on-going study. Patient characteristics were collected to classify bacteria according to Dukés criteria and the components of the HANDOC score were collected retrospectively from the patients’ medical records. Results: 68 patients were included in the cohort, of which 16 fulfilled Dukés criteria for IE. All patients with IE (16 of 16) had a HANDOC score above the predefined cut-off. Cases of IE were found in patients with. Streptococcus mitis, Streptococcus bovis, Streptococcus mutans, Streptococcus anginosus, and Streptococcus sanguinis group streptococci. The HANDOC score thus had a sensitivity of 100% and a specificity of 62% in this cohort. Conclusions: HANDOC has a sensitivity of 100% and a relatively high specificity (62%) also in a prospectively enrolled cohort of patients from another country than its origin. This indicates that HANDOC can be implemented in clinical practice to identify patients with a low risk of IE in whom echocardiography can be omitted.
(Less)- Abstract (Swedish)
- Background: Invasive infections with non-beta-haemolytic streptococci (NBHS) is quite common and presents the clinicians with difficulties regarding which patients are at risk for infective endocarditis (IE). The HANDOC score was developed to identify patients with NBHS bacteraemia who are at low risk of IE. This study was conducted to validate HANDOC in an external cohort.
Methods: Patients with NBHS in blood cultures between March and September 2016 in a Danish centre were included as part of an on-going study. Patient characteristics were collected to classify bacteria according to Dukés criteria and the components of the HANDOC score were collected retrospectively from the patients’ medical records.
Results: 68... (More) - Background: Invasive infections with non-beta-haemolytic streptococci (NBHS) is quite common and presents the clinicians with difficulties regarding which patients are at risk for infective endocarditis (IE). The HANDOC score was developed to identify patients with NBHS bacteraemia who are at low risk of IE. This study was conducted to validate HANDOC in an external cohort.
Methods: Patients with NBHS in blood cultures between March and September 2016 in a Danish centre were included as part of an on-going study. Patient characteristics were collected to classify bacteria according to Dukés criteria and the components of the HANDOC score were collected retrospectively from the patients’ medical records.
Results: 68 patients were included in the cohort, of which 16 fulfilled Dukés criteria for IE. All patients with IE (16 of 16) had a HANDOC score above the predefined cut-off. Cases of IE were found in patients with. Streptococcus mitis, Streptococcus bovis, Streptococcus mutans, Streptococcus anginosus, and Streptococcus sanguinis group streptococci. The HANDOC score thus had a sensitivity of 100% and a specificity of 62% in this cohort.
Conclusions: HANDOC has a sensitivity of 100% and a relatively high specificity (62%) also in a prospectively enrolled cohort of patients from another country than its origin. This indicates that HANDOC can be implemented in clinical practice to identify patients with a low risk of IE in whom echocardiography can be omitted. (Less)
- author
- Sunnerhagen, Torgny
LU
; Højgaard Andersen, Malene
; Bruun, Niels Eske
; Bundgaard, Henning
; Iversen, Kasper Karmark
and Rasmussen, Magnus
LU
- organization
- publishing date
- 2020-01-02
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- bacteraemia, echocardiography, Endocarditis, management score, streptococcus, Endocarditis, Bacteremia, Streptococcus, Echocardiography
- in
- Infectious Diseases
- volume
- 52
- issue
- 1
- pages
- 4 pages
- publisher
- Informa Healthcare
- external identifiers
-
- scopus:85074371310
- pmid:31621444
- ISSN
- 2374-4235
- DOI
- 10.1080/23744235.2019.1679388
- project
- Infections caused by Aerococcus and other endocarditis-causing pathogens
- language
- English
- LU publication?
- yes
- id
- 6c0af0da-67ce-45d0-ada5-b5d3cd397c79
- date added to LUP
- 2020-09-21 11:11:39
- date last changed
- 2024-06-12 21:22:37
@article{6c0af0da-67ce-45d0-ada5-b5d3cd397c79,
abstract = {{<p>Background: Invasive infections with non-beta-haemolytic streptococci (NBHS) is quite common and presents the clinicians with difficulties regarding which patients are at risk for infective endocarditis (IE). The HANDOC score was developed to identify patients with NBHS bacteraemia who are at low risk of IE. This study was conducted to validate HANDOC in an external cohort. Methods: Patients with NBHS in blood cultures between March and September 2016 in a Danish centre were included as part of an on-going study. Patient characteristics were collected to classify bacteria according to Dukés criteria and the components of the HANDOC score were collected retrospectively from the patients’ medical records. Results: 68 patients were included in the cohort, of which 16 fulfilled Dukés criteria for IE. All patients with IE (16 of 16) had a HANDOC score above the predefined cut-off. Cases of IE were found in patients with. Streptococcus mitis, Streptococcus bovis, Streptococcus mutans, Streptococcus anginosus, and Streptococcus sanguinis group streptococci. The HANDOC score thus had a sensitivity of 100% and a specificity of 62% in this cohort. Conclusions: HANDOC has a sensitivity of 100% and a relatively high specificity (62%) also in a prospectively enrolled cohort of patients from another country than its origin. This indicates that HANDOC can be implemented in clinical practice to identify patients with a low risk of IE in whom echocardiography can be omitted.</p>}},
author = {{Sunnerhagen, Torgny and Højgaard Andersen, Malene and Bruun, Niels Eske and Bundgaard, Henning and Iversen, Kasper Karmark and Rasmussen, Magnus}},
issn = {{2374-4235}},
keywords = {{bacteraemia; echocardiography; Endocarditis; management score; streptococcus; Endocarditis; Bacteremia; Streptococcus; Echocardiography}},
language = {{eng}},
month = {{01}},
number = {{1}},
pages = {{54--57}},
publisher = {{Informa Healthcare}},
series = {{Infectious Diseases}},
title = {{External validation of the HANDOC score–high sensitivity to identify patients with non-beta-haemolytic streptococcal endocarditis}},
url = {{https://lup.lub.lu.se/search/files/119180417/External_validation_of_the_HANDOC_score_high_sensitivity_to_identify_patients_with_non_beta_haemolytic_streptococcal_endocarditis.pdf}},
doi = {{10.1080/23744235.2019.1679388}},
volume = {{52}},
year = {{2020}},
}