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cardiology infectious-disease

2023 Duke-ISCVID Criteria for Infective Endocarditis

Updated 2023 Duke-ISCVID criteria for diagnosis of infective endocarditis (IE), replacing the original 2000 Duke criteria. Incorporates PET/CT and new pathogen definitions.

Score interpretation

Definite Infective Endocarditis 2

Meets the 2023 Duke-ISCVID definite criteria.

→ Treat as IE; endocarditis team.

Possible Infective Endocarditis 1

Meets the possible criteria.

→ Further imaging and cultures; endocarditis team review.

IE Criteria Not Met 0

Does not meet definite or possible criteria.

→ Consider alternative diagnoses; reassess if new findings.

Interpretation bands for the Duke-ISCVID 2023. Apply clinical judgement and local guidance.

References

Related

Curated clinical cross-links plus same-class fallbacks.

📚 MRCEM Revision

Featured in these MRCEM clinical pathways

The Duke-ISCVID 2023 is covered in detail — with RCEM/NICE evidence base, indications and pitfalls — in the following exam-focused pathways on our sister siteReviseMRCEM.

MRCEM Primary / Intermediate / OSCE candidates: each pathway includes exam-style questions, RCEM/NICE citations, and FAQ summaries.

Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.