Duke Criteria For Endocarditis
Question. Describe the clinical diagnosis of subacute bacterial endocarditis. How will you confim diagnosis?
Or
Write short note on diagnosis of infective endocarditis.
Answer. For clinical diagnosis of subacute bacterial endocarditis,there is a criteria given by Duke, i.e. Duke’s criteria.
Duke’s criteria for clinical diagnosis of sabe
Duke Criteria for Endocarditis: Diagnosis and Application
“Understanding Duke Criteria through FAQs: Major vs minor criteria explained”
Major criteria subacute bacterial endocarditis
- Blood culture: Positive blood culture with typical infective endocarditis microorganisms (Viridans streptococci, S. bovis, HAECK group or community acquired S. aureus orenterococci)
- Endocardial involvement: New regurgitation murmur,positive ECG for SABE.
“Factors influencing success with Duke Criteria knowledge: Q&A”
Minor criteria subacute bacterial endocarditis
- Predisposing cardiac or IV drug abuse.
- Fever
- Vascular phenomenon: Emboli, mycotic aneurysms, petechiae
- Immunologic phenomenon: Glomerulonephritis and rheumatoid factor.
- Echocardiogram: Consistent with infective endocarditis, but not meeting major criteria.
- Microbiology: Positive blood cultures, but not meeting major criteria, serological evidence of active infection with possible microorganisms.
“Importance of studying Duke Criteria for healthcare professionals: Questions explained”
Confimation of Diagnosis subacute bacterial endocarditis
The confimation is of three types, i.e:
1. Definite:
- Pathology or bacteriology of vegetations.
Or - Both major criteria
Or - One major and three minor criteria
Or - Five minor criteria
“Common challenges in applying Duke Criteria effectively: FAQs provided”
2. Possible:
Neither defiite nor rejected
3. Rejected:
- Firm alternative diagnosis
Or - Resolution on less than four days of antibiotics.
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