Point-of-Care Ultrasound (POCUS) as an Extension of the Physical Examination in Patients with Bacteremia or Candidemia
Background: In general, transthoracic echocardiography (TTE) is the first diagnostic test used for patients with bacteremia or candidemia and clinical signs of Infective Endocarditis (IE). Point-of-care ultrasound (POCUS) may be used in addition to physical examination for the detection of structura...
Gespeichert in:
Veröffentlicht in: | Journal of clinical medicine 2022-06, Vol.11 (13), p.3636 |
---|---|
Hauptverfasser: | , , , , , , , , , , , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | |
---|---|
container_issue | 13 |
container_start_page | 3636 |
container_title | Journal of clinical medicine |
container_volume | 11 |
creator | López Palmero, Serafín López Zúñiga, Miguel Angel Rodríguez Martínez, Virginia Reyes Parrilla, Raul Alguacil Muñoz, Ana Maria Sánchez-Yebra Romera, Waldo Martín Rico, Patricia Poquet Catalá, Inmaculada Jiménez Guardiola, Carlos Del Pozo Pérez, Alfonso Lobato Cano, Ruben Lazo Torres, Ana Maria López Martínez, Gines Díez García, Luis Felipe Parrón Carreño, Tesifon |
description | Background: In general, transthoracic echocardiography (TTE) is the first diagnostic test used for patients with bacteremia or candidemia and clinical signs of Infective Endocarditis (IE). Point-of-care ultrasound (POCUS) may be used in addition to physical examination for the detection of structural heart disease and valve abnormalities. Objective: To determine the diagnostic accuracy of POCUS for the detection of signs suggestive of IE, including vegetation, valvular regurgitation, structural heart disease, hepatomegaly, splenomegaly and septic embolisms, in patients with bacteremia or candidemia. Design: Observational, cross-sectional, multicenter study using convenience sampling. Setting: Six Spanish academic hospitals. Patients: Adult patients with bacteremia or candidemia between 1 February 2018 and 31 December 2020. Measurements: The reference test, to evaluate vegetation, valvular regurgitation and structural heart disease, was transesophageal echocardiography (TEE). For patients who did not undergo TEE, transthoracic echocardiography (TTE) was considered the reference test. POCUS was performed by internists, while conventional echocardiography procedures were performed by cardiologists. Results: In 258 patients, for the detection of valvular vegetation, POCUS had sensitivity, specificity, and positive and negative predictive values of 77%, 94%, 82% and 92%, respectively. For valvular regurgitation (more than mild), sensitivity was ≥76% and specificity ≥85%. Sensitivity values for the detection of hepatomegaly and splenomegaly were 92% and 92%, respectively, while those for specificity were 96% and 98%. Conclusion: POCUS could be a valuable tool, as a complement to physical examination, at the hospital bedside for patients with bacteremia or candidemia, helping to identify signs suggestive of IE. |
doi_str_mv | 10.3390/jcm11133636 |
format | Article |
fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9267352</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2686048454</sourcerecordid><originalsourceid>FETCH-LOGICAL-c386t-c9a7bcf23ac9393116531e04bd064a62fb58e3acedcd13e9bced5dc1c71a464c3</originalsourceid><addsrcrecordid>eNpdkV9LHTEQxUOpVFGf-gUCvljKav7sJtmXgl1sKwhe0PscZrPZ3lx2E5tkbf32zUURdV7mDOfHYYZB6DMlZ5y35HxrZkop54KLD-iAESkrwhX_-Ervo-OUtqSUUjWj8hPa540iomXkAD2sgvO5CmPVQbR4PeUIKSx-wKerm259-wVDwuDx5b9sfXLB4zDivLF4tXlMzsBUHJidh7zznMeroqzPCf91eYO_g8k22tkBDhF34Ac37KYjtDfClOzxcz9E6x-Xd92v6vrm51V3cV0ZrkSuTAuyNyPjYFreckpFw6kldT8QUYNgY98oW0w7mIFy2_ZFNYOhRlKoRW34Ifr2lHu_9HOhymYRJn0f3QzxUQdw-q3j3Ub_Dg-6ZULyhpWA0-eAGP4sNmU9u2TsNIG3YUmaCSUlU0TJgp68Q7dhib6ct6MEqVXd1IX6-kSZGFKKdnxZhhK9e6l-9VL-H7Rbk4Q</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2686048454</pqid></control><display><type>article</type><title>Point-of-Care Ultrasound (POCUS) as an Extension of the Physical Examination in Patients with Bacteremia or Candidemia</title><source>PubMed Central(OpenAccess)</source><source>PubMed Central Open Access</source><source>MDPI - Multidisciplinary Digital Publishing Institute</source><source>Free E-Journal (出版社公開部分のみ)</source><creator>López Palmero, Serafín ; López Zúñiga, Miguel Angel ; Rodríguez Martínez, Virginia ; Reyes Parrilla, Raul ; Alguacil Muñoz, Ana Maria ; Sánchez-Yebra Romera, Waldo ; Martín Rico, Patricia ; Poquet Catalá, Inmaculada ; Jiménez Guardiola, Carlos ; Del Pozo Pérez, Alfonso ; Lobato Cano, Ruben ; Lazo Torres, Ana Maria ; López Martínez, Gines ; Díez García, Luis Felipe ; Parrón Carreño, Tesifon</creator><creatorcontrib>López Palmero, Serafín ; López Zúñiga, Miguel Angel ; Rodríguez Martínez, Virginia ; Reyes Parrilla, Raul ; Alguacil Muñoz, Ana Maria ; Sánchez-Yebra Romera, Waldo ; Martín Rico, Patricia ; Poquet Catalá, Inmaculada ; Jiménez Guardiola, Carlos ; Del Pozo Pérez, Alfonso ; Lobato Cano, Ruben ; Lazo Torres, Ana Maria ; López Martínez, Gines ; Díez García, Luis Felipe ; Parrón Carreño, Tesifon</creatorcontrib><description>Background: In general, transthoracic echocardiography (TTE) is the first diagnostic test used for patients with bacteremia or candidemia and clinical signs of Infective Endocarditis (IE). Point-of-care ultrasound (POCUS) may be used in addition to physical examination for the detection of structural heart disease and valve abnormalities. Objective: To determine the diagnostic accuracy of POCUS for the detection of signs suggestive of IE, including vegetation, valvular regurgitation, structural heart disease, hepatomegaly, splenomegaly and septic embolisms, in patients with bacteremia or candidemia. Design: Observational, cross-sectional, multicenter study using convenience sampling. Setting: Six Spanish academic hospitals. Patients: Adult patients with bacteremia or candidemia between 1 February 2018 and 31 December 2020. Measurements: The reference test, to evaluate vegetation, valvular regurgitation and structural heart disease, was transesophageal echocardiography (TEE). For patients who did not undergo TEE, transthoracic echocardiography (TTE) was considered the reference test. POCUS was performed by internists, while conventional echocardiography procedures were performed by cardiologists. Results: In 258 patients, for the detection of valvular vegetation, POCUS had sensitivity, specificity, and positive and negative predictive values of 77%, 94%, 82% and 92%, respectively. For valvular regurgitation (more than mild), sensitivity was ≥76% and specificity ≥85%. Sensitivity values for the detection of hepatomegaly and splenomegaly were 92% and 92%, respectively, while those for specificity were 96% and 98%. Conclusion: POCUS could be a valuable tool, as a complement to physical examination, at the hospital bedside for patients with bacteremia or candidemia, helping to identify signs suggestive of IE.</description><identifier>ISSN: 2077-0383</identifier><identifier>EISSN: 2077-0383</identifier><identifier>DOI: 10.3390/jcm11133636</identifier><identifier>PMID: 35806920</identifier><language>eng</language><publisher>Basel: MDPI AG</publisher><subject>Abdomen ; Abscesses ; Cardiovascular disease ; Catheters ; Clinical medicine ; Data collection ; Embolisms ; Endocarditis ; Heart surgery ; Hemodialysis ; Histology ; Hospitals ; Laboratories ; Microorganisms ; Pacemakers ; Patients ; Point of care testing ; Prostheses ; Ultrasonic imaging ; Vegetation</subject><ispartof>Journal of clinical medicine, 2022-06, Vol.11 (13), p.3636</ispartof><rights>2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 by the authors. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c386t-c9a7bcf23ac9393116531e04bd064a62fb58e3acedcd13e9bced5dc1c71a464c3</citedby><cites>FETCH-LOGICAL-c386t-c9a7bcf23ac9393116531e04bd064a62fb58e3acedcd13e9bced5dc1c71a464c3</cites><orcidid>0000-0002-1695-0911 ; 0000-0001-8546-1989 ; 0000-0003-0219-4745</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9267352/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9267352/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids></links><search><creatorcontrib>López Palmero, Serafín</creatorcontrib><creatorcontrib>López Zúñiga, Miguel Angel</creatorcontrib><creatorcontrib>Rodríguez Martínez, Virginia</creatorcontrib><creatorcontrib>Reyes Parrilla, Raul</creatorcontrib><creatorcontrib>Alguacil Muñoz, Ana Maria</creatorcontrib><creatorcontrib>Sánchez-Yebra Romera, Waldo</creatorcontrib><creatorcontrib>Martín Rico, Patricia</creatorcontrib><creatorcontrib>Poquet Catalá, Inmaculada</creatorcontrib><creatorcontrib>Jiménez Guardiola, Carlos</creatorcontrib><creatorcontrib>Del Pozo Pérez, Alfonso</creatorcontrib><creatorcontrib>Lobato Cano, Ruben</creatorcontrib><creatorcontrib>Lazo Torres, Ana Maria</creatorcontrib><creatorcontrib>López Martínez, Gines</creatorcontrib><creatorcontrib>Díez García, Luis Felipe</creatorcontrib><creatorcontrib>Parrón Carreño, Tesifon</creatorcontrib><title>Point-of-Care Ultrasound (POCUS) as an Extension of the Physical Examination in Patients with Bacteremia or Candidemia</title><title>Journal of clinical medicine</title><description>Background: In general, transthoracic echocardiography (TTE) is the first diagnostic test used for patients with bacteremia or candidemia and clinical signs of Infective Endocarditis (IE). Point-of-care ultrasound (POCUS) may be used in addition to physical examination for the detection of structural heart disease and valve abnormalities. Objective: To determine the diagnostic accuracy of POCUS for the detection of signs suggestive of IE, including vegetation, valvular regurgitation, structural heart disease, hepatomegaly, splenomegaly and septic embolisms, in patients with bacteremia or candidemia. Design: Observational, cross-sectional, multicenter study using convenience sampling. Setting: Six Spanish academic hospitals. Patients: Adult patients with bacteremia or candidemia between 1 February 2018 and 31 December 2020. Measurements: The reference test, to evaluate vegetation, valvular regurgitation and structural heart disease, was transesophageal echocardiography (TEE). For patients who did not undergo TEE, transthoracic echocardiography (TTE) was considered the reference test. POCUS was performed by internists, while conventional echocardiography procedures were performed by cardiologists. Results: In 258 patients, for the detection of valvular vegetation, POCUS had sensitivity, specificity, and positive and negative predictive values of 77%, 94%, 82% and 92%, respectively. For valvular regurgitation (more than mild), sensitivity was ≥76% and specificity ≥85%. Sensitivity values for the detection of hepatomegaly and splenomegaly were 92% and 92%, respectively, while those for specificity were 96% and 98%. Conclusion: POCUS could be a valuable tool, as a complement to physical examination, at the hospital bedside for patients with bacteremia or candidemia, helping to identify signs suggestive of IE.</description><subject>Abdomen</subject><subject>Abscesses</subject><subject>Cardiovascular disease</subject><subject>Catheters</subject><subject>Clinical medicine</subject><subject>Data collection</subject><subject>Embolisms</subject><subject>Endocarditis</subject><subject>Heart surgery</subject><subject>Hemodialysis</subject><subject>Histology</subject><subject>Hospitals</subject><subject>Laboratories</subject><subject>Microorganisms</subject><subject>Pacemakers</subject><subject>Patients</subject><subject>Point of care testing</subject><subject>Prostheses</subject><subject>Ultrasonic imaging</subject><subject>Vegetation</subject><issn>2077-0383</issn><issn>2077-0383</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkV9LHTEQxUOpVFGf-gUCvljKav7sJtmXgl1sKwhe0PscZrPZ3lx2E5tkbf32zUURdV7mDOfHYYZB6DMlZ5y35HxrZkop54KLD-iAESkrwhX_-Ervo-OUtqSUUjWj8hPa540iomXkAD2sgvO5CmPVQbR4PeUIKSx-wKerm259-wVDwuDx5b9sfXLB4zDivLF4tXlMzsBUHJidh7zznMeroqzPCf91eYO_g8k22tkBDhF34Ac37KYjtDfClOzxcz9E6x-Xd92v6vrm51V3cV0ZrkSuTAuyNyPjYFreckpFw6kldT8QUYNgY98oW0w7mIFy2_ZFNYOhRlKoRW34Ifr2lHu_9HOhymYRJn0f3QzxUQdw-q3j3Ub_Dg-6ZULyhpWA0-eAGP4sNmU9u2TsNIG3YUmaCSUlU0TJgp68Q7dhib6ct6MEqVXd1IX6-kSZGFKKdnxZhhK9e6l-9VL-H7Rbk4Q</recordid><startdate>20220623</startdate><enddate>20220623</enddate><creator>López Palmero, Serafín</creator><creator>López Zúñiga, Miguel Angel</creator><creator>Rodríguez Martínez, Virginia</creator><creator>Reyes Parrilla, Raul</creator><creator>Alguacil Muñoz, Ana Maria</creator><creator>Sánchez-Yebra Romera, Waldo</creator><creator>Martín Rico, Patricia</creator><creator>Poquet Catalá, Inmaculada</creator><creator>Jiménez Guardiola, Carlos</creator><creator>Del Pozo Pérez, Alfonso</creator><creator>Lobato Cano, Ruben</creator><creator>Lazo Torres, Ana Maria</creator><creator>López Martínez, Gines</creator><creator>Díez García, Luis Felipe</creator><creator>Parrón Carreño, Tesifon</creator><general>MDPI AG</general><general>MDPI</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-1695-0911</orcidid><orcidid>https://orcid.org/0000-0001-8546-1989</orcidid><orcidid>https://orcid.org/0000-0003-0219-4745</orcidid></search><sort><creationdate>20220623</creationdate><title>Point-of-Care Ultrasound (POCUS) as an Extension of the Physical Examination in Patients with Bacteremia or Candidemia</title><author>López Palmero, Serafín ; López Zúñiga, Miguel Angel ; Rodríguez Martínez, Virginia ; Reyes Parrilla, Raul ; Alguacil Muñoz, Ana Maria ; Sánchez-Yebra Romera, Waldo ; Martín Rico, Patricia ; Poquet Catalá, Inmaculada ; Jiménez Guardiola, Carlos ; Del Pozo Pérez, Alfonso ; Lobato Cano, Ruben ; Lazo Torres, Ana Maria ; López Martínez, Gines ; Díez García, Luis Felipe ; Parrón Carreño, Tesifon</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-c9a7bcf23ac9393116531e04bd064a62fb58e3acedcd13e9bced5dc1c71a464c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Abdomen</topic><topic>Abscesses</topic><topic>Cardiovascular disease</topic><topic>Catheters</topic><topic>Clinical medicine</topic><topic>Data collection</topic><topic>Embolisms</topic><topic>Endocarditis</topic><topic>Heart surgery</topic><topic>Hemodialysis</topic><topic>Histology</topic><topic>Hospitals</topic><topic>Laboratories</topic><topic>Microorganisms</topic><topic>Pacemakers</topic><topic>Patients</topic><topic>Point of care testing</topic><topic>Prostheses</topic><topic>Ultrasonic imaging</topic><topic>Vegetation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>López Palmero, Serafín</creatorcontrib><creatorcontrib>López Zúñiga, Miguel Angel</creatorcontrib><creatorcontrib>Rodríguez Martínez, Virginia</creatorcontrib><creatorcontrib>Reyes Parrilla, Raul</creatorcontrib><creatorcontrib>Alguacil Muñoz, Ana Maria</creatorcontrib><creatorcontrib>Sánchez-Yebra Romera, Waldo</creatorcontrib><creatorcontrib>Martín Rico, Patricia</creatorcontrib><creatorcontrib>Poquet Catalá, Inmaculada</creatorcontrib><creatorcontrib>Jiménez Guardiola, Carlos</creatorcontrib><creatorcontrib>Del Pozo Pérez, Alfonso</creatorcontrib><creatorcontrib>Lobato Cano, Ruben</creatorcontrib><creatorcontrib>Lazo Torres, Ana Maria</creatorcontrib><creatorcontrib>López Martínez, Gines</creatorcontrib><creatorcontrib>Díez García, Luis Felipe</creatorcontrib><creatorcontrib>Parrón Carreño, Tesifon</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest_Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of clinical medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>López Palmero, Serafín</au><au>López Zúñiga, Miguel Angel</au><au>Rodríguez Martínez, Virginia</au><au>Reyes Parrilla, Raul</au><au>Alguacil Muñoz, Ana Maria</au><au>Sánchez-Yebra Romera, Waldo</au><au>Martín Rico, Patricia</au><au>Poquet Catalá, Inmaculada</au><au>Jiménez Guardiola, Carlos</au><au>Del Pozo Pérez, Alfonso</au><au>Lobato Cano, Ruben</au><au>Lazo Torres, Ana Maria</au><au>López Martínez, Gines</au><au>Díez García, Luis Felipe</au><au>Parrón Carreño, Tesifon</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Point-of-Care Ultrasound (POCUS) as an Extension of the Physical Examination in Patients with Bacteremia or Candidemia</atitle><jtitle>Journal of clinical medicine</jtitle><date>2022-06-23</date><risdate>2022</risdate><volume>11</volume><issue>13</issue><spage>3636</spage><pages>3636-</pages><issn>2077-0383</issn><eissn>2077-0383</eissn><abstract>Background: In general, transthoracic echocardiography (TTE) is the first diagnostic test used for patients with bacteremia or candidemia and clinical signs of Infective Endocarditis (IE). Point-of-care ultrasound (POCUS) may be used in addition to physical examination for the detection of structural heart disease and valve abnormalities. Objective: To determine the diagnostic accuracy of POCUS for the detection of signs suggestive of IE, including vegetation, valvular regurgitation, structural heart disease, hepatomegaly, splenomegaly and septic embolisms, in patients with bacteremia or candidemia. Design: Observational, cross-sectional, multicenter study using convenience sampling. Setting: Six Spanish academic hospitals. Patients: Adult patients with bacteremia or candidemia between 1 February 2018 and 31 December 2020. Measurements: The reference test, to evaluate vegetation, valvular regurgitation and structural heart disease, was transesophageal echocardiography (TEE). For patients who did not undergo TEE, transthoracic echocardiography (TTE) was considered the reference test. POCUS was performed by internists, while conventional echocardiography procedures were performed by cardiologists. Results: In 258 patients, for the detection of valvular vegetation, POCUS had sensitivity, specificity, and positive and negative predictive values of 77%, 94%, 82% and 92%, respectively. For valvular regurgitation (more than mild), sensitivity was ≥76% and specificity ≥85%. Sensitivity values for the detection of hepatomegaly and splenomegaly were 92% and 92%, respectively, while those for specificity were 96% and 98%. Conclusion: POCUS could be a valuable tool, as a complement to physical examination, at the hospital bedside for patients with bacteremia or candidemia, helping to identify signs suggestive of IE.</abstract><cop>Basel</cop><pub>MDPI AG</pub><pmid>35806920</pmid><doi>10.3390/jcm11133636</doi><orcidid>https://orcid.org/0000-0002-1695-0911</orcidid><orcidid>https://orcid.org/0000-0001-8546-1989</orcidid><orcidid>https://orcid.org/0000-0003-0219-4745</orcidid><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 2077-0383 |
ispartof | Journal of clinical medicine, 2022-06, Vol.11 (13), p.3636 |
issn | 2077-0383 2077-0383 |
language | eng |
recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9267352 |
source | PubMed Central(OpenAccess); PubMed Central Open Access; MDPI - Multidisciplinary Digital Publishing Institute; Free E-Journal (出版社公開部分のみ) |
subjects | Abdomen Abscesses Cardiovascular disease Catheters Clinical medicine Data collection Embolisms Endocarditis Heart surgery Hemodialysis Histology Hospitals Laboratories Microorganisms Pacemakers Patients Point of care testing Prostheses Ultrasonic imaging Vegetation |
title | Point-of-Care Ultrasound (POCUS) as an Extension of the Physical Examination in Patients with Bacteremia or Candidemia |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T06%3A28%3A32IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Point-of-Care%20Ultrasound%20(POCUS)%20as%20an%20Extension%20of%20the%20Physical%20Examination%20in%20Patients%20with%20Bacteremia%20or%20Candidemia&rft.jtitle=Journal%20of%20clinical%20medicine&rft.au=L%C3%B3pez%20Palmero,%20Seraf%C3%ADn&rft.date=2022-06-23&rft.volume=11&rft.issue=13&rft.spage=3636&rft.pages=3636-&rft.issn=2077-0383&rft.eissn=2077-0383&rft_id=info:doi/10.3390/jcm11133636&rft_dat=%3Cproquest_pubme%3E2686048454%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2686048454&rft_id=info:pmid/35806920&rfr_iscdi=true |