Enterococcus faecalis endocarditis risk assessment in patients with bacteremia: External validation of the DENOVA score.

We read with great interest the article by Vignau et al., which compares the performances of of the various existing scores used to guide echocardiography indication in patients with Staphylococcus aureus bacteremia (SaB), and proposes an algorithm for their use 1 Vignau C. Le Maréchal M. Saunier C. et al. External validation of multiple prognosis scores to guide usage of echocardiography in patients with Staphylococcus aureus bacteremia using a prospective cohort. J Infect. 2023; 87: e45-e47 Abstract Full Text Full Text PDF PubMed Google Scholar . Endocarditis complicates an estimated 5-20% of cases of SaB. Such scores could then be useful in clinical practice because, despite international guidelines, performing an echocardiography for all patients with SaB can be difficult for organizational and financial reasons.