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Clinical utility of the DENOVA score for predicting infective endocarditis in Enterococcus faecalis bacteremia: external validation with decision curve analysis - PubMed

5 hours ago
  • #Enterococcus faecalis
  • #Risk stratification
  • #Infective endocarditis
  • The DENOVA score was externally validated for predicting infective endocarditis (IE) in patients with Enterococcus faecalis bacteremia (EfB).
  • The study included 543 patients from 23 centers across six countries, with 23.0% diagnosed with IE.
  • The DENOVA score showed an AUC of 0.871, with sensitivity of 79.2% and specificity of 83.0% at the threshold of ≥3.
  • Decision curve analysis (DCA) indicated positive net clinical benefit, reducing unnecessary transesophageal echocardiograms (TEEs).
  • The DENOVA score supports risk stratification and clinical decision-making for IE in EfB patients.