Study note

Eligibility for short-course treatment of fully sensitive streptococcal endocarditis

THE CONTEXT
Short-course treatment requires the listed microbiological, cardiac and clinical conditions to be satisfied.

Infection and susceptibility requirements

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The infection must involve a native valve.
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The organism's minimum inhibitory concentration must be ≤0.125 mg/L.

Absence of adverse features

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Heart failure, aortic regurgitation and conduction defects must be absent because they are adverse prognostic factors.
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There must be no evidence of thromboembolic disease.
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There must be no vegetation larger than 5 mm in diameter.

Treatment response

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A clinical response must occur within 7 days.
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