Evaluation of the Duke Criteria Versus the Beth Israel Criteria for the Diagnosis of Infective Endocarditis

New diagnostic criteria for infective endocarditis (IE) have been proposed by the Duke University Endocarditis Service (Durham, NC) to update the widely used Beth Israel (Boston) criteria. We compared the Duke criteria with the Beth Israel criteria in a series of 115 consecutive patients with suspec...

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Bibliographic Details
Published in:Clinical infectious diseases 1995-10, Vol.21 (4), p.905-909
Main Authors: Hoen, Bruno, Selton-Suty, Christine, Danchin, Nicolas, Weber, Michèle, Villemot, Jean-Pierre, Mathieu, Pierre, Floquet, Jean, Canton, Philippe
Format: Article
Language:English
Subjects:
Abscesses
Adult
Autopsies
Bacterial diseases
Bacterial endocarditis, myocarditis and pericarditis. Bacterial diseases of the aorta, limb vessels and lymphatic vessels
Biological and medical sciences
Blood
Clinical Articles
Echocardiography
Endocarditis
Endocarditis, Bacterial - diagnosis
Evaluation Studies as Topic
Female
Fever
Histology
Hospitals
Human bacterial diseases
Humans
Infectious diseases
Male
Medical sciences
Middle Aged
Pathology
Vegetation
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Summary:New diagnostic criteria for infective endocarditis (IE) have been proposed by the Duke University Endocarditis Service (Durham, NC) to update the widely used Beth Israel (Boston) criteria. We compared the Duke criteria with the Beth Israel criteria in a series of 115 consecutive patients with suspected IE who were hospitalized in a referral center. The diagnosis of IE was histologically and/ or bacteriologically confirmed for 27 operated patients. If surgery had not been performed on these 27 patients, 22 vs. 12 would have been classified as having “clinically definite” and “probable” IE by the Duke vs. the Beth Israel criteria, respectively, whereas 0 vs. 5 would have been “rejected” by the Duke vs. the Beth Israel criteria, respectively. The improvement in sensitivity of the criteria from 44% (Beth Israel) to 82% (Duke) was statistically significant (P < .01). We confirm that the Duke criteria improve the sensitivity of diagnosis of IE. The specificity of these criteria should be further evaluated.
ISSN:1058-4838
1537-6591
DOI:10.1093/clinids/21.4.905