Duke Criteria for Infective Endocarditis (IE)

Major criteria:
A. Positive blood culture for Infective Endocarditis
1- Typical microorganism consistent with IE from 2 separate blood cultures as noted
below!
viridans streptococci "treptococcus bovis or #A$E%& group or
community-ac'uired "taphylococcus aureus or enterococci in the absence of a
primary focus
or
2- (icroorganisms consistent with IE from persistently positive blood cultures defined
as!
2 positive cultures of blood samples drawn )12 hours apart or
all of * or a ma+ority of , separate cultures of blood -with first and last sample drawn
1 hour apart.
/. Evidence of endocardial involvement
1- Positive echocardiogram for IE defined as !
0 oscillating intracardiac mass on valve or supporting structures in the path of
regurgitant +ets or on implanted material in the absence of an alternative anatomic
e1planation or
0 abscess or
0 new partial dehiscence of prosthetic valve
or
2- 2ew valvular regurgitation -worsening or changing of pree1isting murmur not
sufficient.
Minor criteria:
Predisposition! predisposing heart condition or intravenous drug use
3ever! temperature ) *4.56 $ -155.,6 3.
7ascular phenomena! ma+or arterial emboli septic pulmonary infarcts mycotic
aneurysm intracranial hemorrhage con+unctival hemorrhages and 8aneway lesions
Immunologic phenomena! glomerulonephritis 9sler:s nodes ;oth spots and
rheumatoid factor
(icrobiological evidence! positive blood culture but does not meet a ma+or criterion
as noted above< or serological evidence of active infection with organism consistent
with IE
Echocardiographic findings! consistent with IE but do not meet a ma+or criterion as
noted above
Clinical criteria for infective endocarditis requires:
= Two ma+or criteria or
= 9ne ma+or and three minor criteria or
= 3ive minor criteria
Rheumatic fever: Revised Jones' criteria JONES crITERIA:
Major criteria:
Joint (arthritis)
Obvious (Cardiac)
Nodule (Rheumatic)
Erythema marginatum
Sydenham chorea
Minor criteria:
Infammatory cells (leukocytosis)
Temperature (fever)
ESR/CRP elevated
Raised PR interval
Itself (previous Hx of Rheumatic fever)
Arthralgia

Prednison diberikan selama kurang lebih dua minggu dan tapering of (dikurangi
bertahap) Dosis awal prednison 2 mg/kg BB/hari. Sebagai pencegahan komplikasi
karditis