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An evaluation of the Duke criteria in 25 pathologically confirmed cases of prosthetic valve endocarditis.

Publication ,  Journal Article
Nettles, RE; McCarty, DE; Corey, GR; Li, J; Sexton, DJ
Published in: Clin Infect Dis
December 1997

Six studies have compared the sensitivity of the Duke criteria with that of the Beth Israel criteria for the diagnosis of infective endocarditis without attempting to distinguish between native valve and prosthetic valve cases. After reviewing clinical data from 372 cases of suspected prosthetic valve endocarditis, we selected 25 cases in which pathological confirmation of prosthetic valve endocarditis was obtained. By using the Duke criteria and then the Beth Israel criteria, we reassigned a diagnostic classification to these 25 cases on the basis of clinical parameters alone. Using the Duke criteria, we correctly classified 19 cases (76%) as definite endocarditis and rejected none, while the Beth Israel criteria correctly classified six cases as probable endocarditis (24%) and rejected five cases (20%). Similar to previous investigators who examined the diagnostic sensitivity of the Duke criteria and Beth Israel criteria, we found that the Duke criteria appear more sensitive than the Beth Israel criteria in pathologically confirmed cases of prosthetic valve endocarditis.

Duke Scholars

Published In

Clin Infect Dis

DOI

ISSN

1058-4838

Publication Date

December 1997

Volume

25

Issue

6

Start / End Page

1401 / 1403

Location

United States

Related Subject Headings

  • Ultrasonography
  • Retrospective Studies
  • Prosthesis-Related Infections
  • Microbiology
  • Male
  • Humans
  • Heart Valve Prosthesis
  • Female
  • Endocarditis, Bacterial
  • Drug Resistance, Microbial
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Nettles, R. E., McCarty, D. E., Corey, G. R., Li, J., & Sexton, D. J. (1997). An evaluation of the Duke criteria in 25 pathologically confirmed cases of prosthetic valve endocarditis. Clin Infect Dis, 25(6), 1401–1403. https://doi.org/10.1086/516145
Nettles, R. E., D. E. McCarty, G. R. Corey, J. Li, and D. J. Sexton. “An evaluation of the Duke criteria in 25 pathologically confirmed cases of prosthetic valve endocarditis.Clin Infect Dis 25, no. 6 (December 1997): 1401–3. https://doi.org/10.1086/516145.
Nettles RE, McCarty DE, Corey GR, Li J, Sexton DJ. An evaluation of the Duke criteria in 25 pathologically confirmed cases of prosthetic valve endocarditis. Clin Infect Dis. 1997 Dec;25(6):1401–3.
Nettles, R. E., et al. “An evaluation of the Duke criteria in 25 pathologically confirmed cases of prosthetic valve endocarditis.Clin Infect Dis, vol. 25, no. 6, Dec. 1997, pp. 1401–03. Pubmed, doi:10.1086/516145.
Nettles RE, McCarty DE, Corey GR, Li J, Sexton DJ. An evaluation of the Duke criteria in 25 pathologically confirmed cases of prosthetic valve endocarditis. Clin Infect Dis. 1997 Dec;25(6):1401–1403.

Published In

Clin Infect Dis

DOI

ISSN

1058-4838

Publication Date

December 1997

Volume

25

Issue

6

Start / End Page

1401 / 1403

Location

United States

Related Subject Headings

  • Ultrasonography
  • Retrospective Studies
  • Prosthesis-Related Infections
  • Microbiology
  • Male
  • Humans
  • Heart Valve Prosthesis
  • Female
  • Endocarditis, Bacterial
  • Drug Resistance, Microbial