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Modified Duke criteria for diagnosis of infective endocarditis: Table A

Modified Duke criteria for diagnosis of infective endocarditis: Table A
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
IE: infective endocarditis.
* The category of possible IE represents a modification from the previous published Duke criteria.
Reproduced with permission from: Li JS, Sexton DJ, Mick N, et al. Clin Infect Dis 2000; 30:633. Copyright © 2000 University of Chicago Press.
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