The MEFIER Score-A Risk Score to Stratify Infective Endocarditis in Patients With Bacteremia Based on an 11-Year Territory-Wide Cohort.

Journal: Open forum infectious diseases
Published Date: Jun 1, 2025

Abstract

BACKGROUND: The 2023 Duke-International Society for Cardiovascular Infectious Diseases (ISCVID) guideline included as a typical infective endocarditis (IE) organism irrespective of the primary source and setting of infection. Universal echocardiogram for bacteremia is resource-intensive. Our aim was to develop a risk score that can be applied at the time of bacteremia.

Authors

  • Christopher K C Lai
    Department of Microbiology, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China.
  • Eman Leung
    Department of Management Sciences, City University of Hong Kong, Kowloon, Hong Kong SAR, China.
  • Alfred L H Lee
    Department of Microbiology, Prince of Wales Hospital, Hospital Authority, Hong Kong SAR, China.
  • Qinze Yu
    Department of Computer Science and Engineering, The Chinese University of Hong Kong, Hong Kong SAR, China.
  • Yinan He
    School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China.
  • Yu Li
    Department of Public Health, Shihezi University School of Medicine, 832000, China.
  • Ross K K Leung
    S.H. Ho Centre for Emerging Infectious Diseases, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China.
  • Grace C Y Lui
    Department of Medicine and Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China.
  • Terry C F Yip
    Department of Medicine and Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China.
  • Grace L H Wong
    Department of Medicine and Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China.
  • Alex P W Lee
    Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong.
  • Randolph H L Wong
    Division of Cardiothoracic Surgery, Department of Surgery, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China.
  • Margaret Ip
    Department of Microbiology, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China.

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