Definite IE is established in the presence of any of the following: |
Pathologic criteria |
Pathologic lesions – Vegetation or intracardiac abscess demonstrating active endocarditis on histology, OR |
Microorganism – Demonstrated by culture or histology of a vegetation or intracardiac abscess |
Clinical criteria |
Using specific definitions listed in Table B: |
2 major clinical criteria, OR |
1 major and 3 minor clinical criteria, OR |
5 minor clinical criteria |
Possible IE* |
Presence of 1 major and 1 minor clinical criteria OR presence of 3 minor clinical criteria |
Rejected IE |
A firm alternate diagnosis is made, OR |
Resolution of clinical manifestations occurs after ≤4 days of antibiotic therapy, OR |
No pathologic evidence of infective endocarditis is found at surgery or autopsy after antibiotic therapy for 4 days or less |
Clinical criteria for possible or definite IE not met |