Last updated: Thursday, 29, July, 2010
|Key Information||Appropriate Tests|
|Initial assessment (diagnosis) and monitoring|
Three sets of blood cultures should be taken.
Each set of blood cultures should be collected by a separate venepuncture.
Urine microscopy and culture.
FBC, blood film; CRP or ESR.
Diagnostic imaging may also support or confirm the diagnosis of endocarditis.
|If blood culture positive||MIC (minimum inhibitory concentration) of chosen antibiotics.|
|If blood culture negative|
A number of organisms, especially Coxiella burnetii, Legionella spp, Chlamydia spp, Mycoplasma spp do not grow in blood cultures. Q fever antibodies, Legionella spp antibodies, Chlamydia antibodies, Mycoplasma pneumoniae antibodies; blood culture for mycobacteria.
Molecular genetics - microbial