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The VIRSTA score, a prediction score to estimate risk of infective endocarditis and determine priority for echocardiography in patients with Staphylococcus aureus bacteremia.

Identifieur interne : 001242 ( PubMed/Corpus ); précédent : 001241; suivant : 001243

The VIRSTA score, a prediction score to estimate risk of infective endocarditis and determine priority for echocardiography in patients with Staphylococcus aureus bacteremia.

Auteurs : Sarah Tubiana ; Xavier Duval ; François Alla ; Christine Selton-Suty ; Pierre Tattevin ; François Delahaye ; Lionel Piroth ; Catherine Chirouze ; Jean-Philippe Lavigne ; Marie-Line Erpelding ; Bruno Hoen ; François Vandenesch ; Bernard Iung ; Vincent Le Moing

Source :

RBID : pubmed:26916042

English descriptors

Abstract

To develop and validate a prediction score, to quantify, within 48 h of Staphylococcus aureus bacteremia (SAB) diagnosis, the risk of IE, and therefore determine priority for urgent echocardiography.

DOI: 10.1016/j.jinf.2016.02.003
PubMed: 26916042

Links to Exploration step

pubmed:26916042

Le document en format XML

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<name sortKey="Hoen, Bruno" sort="Hoen, Bruno" uniqKey="Hoen B" first="Bruno" last="Hoen">Bruno Hoen</name>
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<nlm:affiliation>Université des Antilles et de la Guyane, Faculté de Médecine Hyacinthe Bastaraud, EA 4537, France; Centre Hospitalier Universitaire de Pointe-à-Pitre, Inserm CIC1424, Service de Maladies Infectieuses et Tropicales, Dermatologie, Médecine Interne, Pointe-à-Pitre, France.</nlm:affiliation>
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<name sortKey="Iung, Bernard" sort="Iung, Bernard" uniqKey="Iung B" first="Bernard" last="Iung">Bernard Iung</name>
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<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Bacteremia (complications)</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Decision Support Techniques</term>
<term>Echocardiography</term>
<term>Endocarditis (diagnosis)</term>
<term>France</term>
<term>Heart (diagnostic imaging)</term>
<term>Hospitals, University</term>
<term>Humans</term>
<term>Longitudinal Studies</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
<term>Risk Assessment</term>
<term>Staphylococcal Infections (diagnosis)</term>
<term>Staphylococcal Infections (microbiology)</term>
<term>Staphylococcus aureus (isolation & purification)</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Bacteremia</term>
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<term>Endocarditis</term>
<term>Staphylococcal Infections</term>
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<term>Heart</term>
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<keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en">
<term>Staphylococcus aureus</term>
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<term>Staphylococcal Infections</term>
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<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Child</term>
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<term>Decision Support Techniques</term>
<term>Echocardiography</term>
<term>France</term>
<term>Hospitals, University</term>
<term>Humans</term>
<term>Longitudinal Studies</term>
<term>Middle Aged</term>
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<front>
<div type="abstract" xml:lang="en">To develop and validate a prediction score, to quantify, within 48 h of Staphylococcus aureus bacteremia (SAB) diagnosis, the risk of IE, and therefore determine priority for urgent echocardiography.</div>
</front>
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<DateCompleted>
<Year>2016</Year>
<Month>12</Month>
<Day>23</Day>
</DateCompleted>
<DateRevised>
<Year>2016</Year>
<Month>12</Month>
<Day>30</Day>
</DateRevised>
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<Journal>
<ISSN IssnType="Electronic">1532-2742</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>72</Volume>
<Issue>5</Issue>
<PubDate>
<Year>2016</Year>
<Month>May</Month>
</PubDate>
</JournalIssue>
<Title>The Journal of infection</Title>
<ISOAbbreviation>J. Infect.</ISOAbbreviation>
</Journal>
<ArticleTitle>The VIRSTA score, a prediction score to estimate risk of infective endocarditis and determine priority for echocardiography in patients with Staphylococcus aureus bacteremia.</ArticleTitle>
<Pagination>
<MedlinePgn>544-53</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jinf.2016.02.003</ELocationID>
<ELocationID EIdType="pii" ValidYN="Y">S0163-4453(16)00051-7</ELocationID>
<Abstract>
<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To develop and validate a prediction score, to quantify, within 48 h of Staphylococcus aureus bacteremia (SAB) diagnosis, the risk of IE, and therefore determine priority for urgent echocardiography.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Consecutive adult patients with SAB in 8 French university hospitals between 2009 and 2011 were prospectively enrolled and followed-up 3 months. A predictive model was developed and internally validated using bootstrap procedures.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Among the 2008 patients enrolled, 221 (11.0%) had definite IE of whom 39 (17.6%) underwent valve surgery, 25% of them within 6 days of SAB diagnosis. Ten predictors independently associated with IE were used to build up the prediction score: intracardiac device or previous IE, native valve disease, intravenous drug use, community or non-nosocomial-acquisition, cerebral or extracerebral emboli, vertebral osteomyelitis, severe sepsis, meningitis, C-reactive protein above 190 mg/L, and H48-persistent bacteremia. Patients with a score ≤2 (n = 792, 39.4%) were at low IE-risk (1.1%; negative predictive value: 98.8% (95% CI, 98.4-99.4)) compared to those ≥3 who were at higher risk (17.4%).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Physicians must be strongly encouraged to urgently perform echocardiography in SAB patients with a score ≥3 to establish IE diagnosis, to orient antimicrobial therapy and to help determine the need for valvular surgery.</AbstractText>
<CopyrightInformation>Copyright © 2016 The British Infection Association. Published by Elsevier Ltd. All rights reserved.</CopyrightInformation>
</Abstract>
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<LastName>Tubiana</LastName>
<ForeName>Sarah</ForeName>
<Initials>S</Initials>
<AffiliationInfo>
<Affiliation>IAME, Inserm UMR 1137, Univ. Paris Diderot, Sorbonne Paris Cité, Paris, France; Inserm Clinical Investigation Center 1425, Paris, France.</Affiliation>
</AffiliationInfo>
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<LastName>Duval</LastName>
<ForeName>Xavier</ForeName>
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<AffiliationInfo>
<Affiliation>IAME, Inserm UMR 1137, Univ. Paris Diderot, Sorbonne Paris Cité, Paris, France; Inserm Clinical Investigation Center 1425, Paris, France. Electronic address: xavier.duval@bch.aphp.fr.</Affiliation>
</AffiliationInfo>
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<ForeName>François</ForeName>
<Initials>F</Initials>
<AffiliationInfo>
<Affiliation>Université de Lorraine, Université Paris Descartes, Apemac, EA 4360, France; Inserm, CIC-EC, CIE6, Nancy, F-54000, France; CHU Nancy, Pôle S2R, Épidémiologie et Évaluation Cliniques, Nancy, F-54000, France.</Affiliation>
</AffiliationInfo>
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<ForeName>Christine</ForeName>
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<Affiliation>Centre Hospitalier Universitaire de Nancy, Nancy, France.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Tattevin</LastName>
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<Initials>P</Initials>
<AffiliationInfo>
<Affiliation>Hôpital Pontchaillou, Inserm U835, Faculté de Médecine, Université Rennes 1, IFR140, Rennes, France.</Affiliation>
</AffiliationInfo>
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<LastName>Delahaye</LastName>
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<AffiliationInfo>
<Affiliation>Hospices Civils de Lyon, Université Claude Bernard, Lyon, France.</Affiliation>
</AffiliationInfo>
</Author>
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<ForeName>Lionel</ForeName>
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<AffiliationInfo>
<Affiliation>CHU de Dijon, UMR 1347-MERS, Université de Bourgogne, Dijon, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Chirouze</LastName>
<ForeName>Catherine</ForeName>
<Initials>C</Initials>
<AffiliationInfo>
<Affiliation>UMR CNRS 6249 Chrono-environnement, Université de Franche-Comté, CHU de Besançon, Besançon, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Lavigne</LastName>
<ForeName>Jean-Philippe</ForeName>
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<AffiliationInfo>
<Affiliation>CHU Carémeau, INSERM U1047, Université Montpellier 1, Nîmes, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Erpelding</LastName>
<ForeName>Marie-Line</ForeName>
<Initials>ML</Initials>
<AffiliationInfo>
<Affiliation>Inserm, CIC-EC, CIE6, Nancy, F-54000, France; Centre Hospitalier Universitaire de Nancy, Nancy, France.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y">
<LastName>Hoen</LastName>
<ForeName>Bruno</ForeName>
<Initials>B</Initials>
<AffiliationInfo>
<Affiliation>Université des Antilles et de la Guyane, Faculté de Médecine Hyacinthe Bastaraud, EA 4537, France; Centre Hospitalier Universitaire de Pointe-à-Pitre, Inserm CIC1424, Service de Maladies Infectieuses et Tropicales, Dermatologie, Médecine Interne, Pointe-à-Pitre, France.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y">
<LastName>Vandenesch</LastName>
<ForeName>François</ForeName>
<Initials>F</Initials>
<AffiliationInfo>
<Affiliation>Centre National de Référence des Staphylocoques, Hospices Civils de Lyon, Centre International de Recherche en Infectiologie, INSERM U1111, Université Lyon 1, CNRS, UMR 5308, Lyon, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Iung</LastName>
<ForeName>Bernard</ForeName>
<Initials>B</Initials>
<AffiliationInfo>
<Affiliation>Cardiology Department, AP-HP, Bichat Hospital Paris, France; DHU Fire, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Le Moing</LastName>
<ForeName>Vincent</ForeName>
<Initials>V</Initials>
<AffiliationInfo>
<Affiliation>CHU de Montpellier, UMI 233 Université Montpellier 1, Institut de Recherche pour le Développement, Montpellier, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<CollectiveName>VIRSTA/AEPEI Study Group</CollectiveName>
</Author>
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<Language>eng</Language>
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<PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
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<Year>2016</Year>
<Month>02</Month>
<Day>22</Day>
</ArticleDate>
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<Country>England</Country>
<MedlineTA>J Infect</MedlineTA>
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   |texte=   The VIRSTA score, a prediction score to estimate risk of infective endocarditis and determine priority for echocardiography in patients with Staphylococcus aureus bacteremia.
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