ESC 2023 IE Risk: Risk features from contemporary infective endocarditis guidance to prioritise urgent imaging and specialist referral.
Assessment Tier
Lower
Score 0
Lower immediate IE risk profile. Continue diagnostic workup if suspicion persists.
Verified
Last Review: 2026-07-17
Use during early bedside triage when infection severity or treatment escalation is uncertain.
Support clinician judgement with a structured review of the highest-yield risk factors.
Standardise communication between admitting, ID, ICU, and pharmacy teams.
Prosthetic valve or intracardiac device (+2)
Staphylococcus aureus bacteraemia (+2)
Embolic event or stroke (+2)
Heart failure from suspected IE (+3)
Persistent positive blood cultures (+2)
New murmur or echo vegetation suspicion (+1)
Interpret the result together with source control, microbiology, host factors, and trajectory.
Escalate imaging, cultures, or specialist review when the tool lands in a high-risk tier.
Reassess dynamically if the patient deteriorates or new microbiology becomes available.
This tool supports structured infectious-disease decision making but does not replace clinician judgement or local guideline pathways.
This OpiCalc infectious-disease entry reflects commonly used guideline criteria and bedside risk features used in contemporary clinical practice.
Last Comprehensive Review: 2026-07-17