TABLE 1.
Organism | Microorganisms identified by blood culture (%) in various studiesa
|
||||||
---|---|---|---|---|---|---|---|
Yuan (39), n = 167 | Murdoch et al. (2), n = 2,781 | Farag et al. (40), n = 360 | Munoz et al. (41), n = 1,804 | Xu et al. (42), n = 105 | Selton-Suty et al. (43), n = 497 | Yombi et al. (44), n = 212 | |
S. aureus | 44.3 | 31.0 | 24.7 | 40.3 | 10.4 | 26.6 | 23.6 |
S. epidermidis | 1.8 | 6.4 | 6.1 | ||||
S. lugdunensis | 1.8 | 1.4 | 0.9 | ||||
Other CoNSb | 3.0 | 11.0 | 4.6 | 16.7* | 12.4* | 9.7* | 5.3 |
Streptococcus viridansc | 6.6 | 17.0 | 38.6 | 12.3 | 58.1 | 16.0 | |
S. agalactiae | 3.0 | 1.4 | 2.4 | ||||
S. pyogenes | 0.9 | ||||||
S. pneumoniae | 0.6 | ||||||
S. gallolyticus | 6 | 6.1 | 6.4 | 12.5 | 7.1 | ||
“Oral” streptococcid | 18.7 | ||||||
Streptococcus group G | 1.4 | ||||||
Enterococcus faecalis | 6.6 | 11.1 | 4.8 | 11.8 | |||
Enterococcus spp.e | 12.7 |
References for each study are indicated (n, number of patients in each study). A set of references were chosen based on a literature review of PubMed performed in 2018 focusing on the most common causes of IE that provided an overall prevalence of each pathogen that was encountered. The findings are consistent with the general understanding of pathogens associated with IE (3, 4, 38). *, studies that grouped all CoNS species together.
Some studies here distinguish S. epidermidis and S. lugdunensis from other more infrequent CoNS organisms associated with IE, including S. capitis, S. warneri, and S. haemolyticus (25, 40, 45).
The viridans group streptococci causing IE include S. mitis, S. sanguinis, S. mutans, S. salivarius, S. gordonii, S. intermedius, and S. anginosus (28, 46–48).
Viridans streptococci are referred to as oral streptococci in the indicated study.
Species not provided; however, E. faecalis causes ∼97% of IE cases associated with enterococci (3).