What question did this study set out to answer?

April 1, 2026Open Access

Systematic echocardiography in patients with hematological malignancies and Gram-positive bacteremia, is it really needed?

Puntos clave

To assess the necessity of echocardiography in patients with hematological malignancies and Gram-positive bacteremia.
Analyzed prevalence of infective endocarditis (IE) in hematologic patients with Gram-positive cocci (GPC) bacteremia.
Conducted echocardiographic examinations to detect cases of IE.
Compared IE prevalence to a general hospital cohort.
IE prevalence was very low at 1.1% among hematologic patients with GPC bacteremia.
Echocardiography identified IE in only 2.5% of cases examined.
All detected IE cases exhibited high-risk features like persistent bacteremia.

Resumen

Highlights-IE prevalence was very low 1.1% among hematologic patients with GPC bacteremia -Echocardiography detected IE in just 2.5% of echocardiographic examination -All IE cases showed high-risk features like persistent bacteremia -IE prevalence was markedly lower than in the general hospital cohort -Pathogen-specific risk scores may help reduce unnecessary echocardiographic studies

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