NOVA Score

bedside clinical score for prediction of endocarditis in enterococcal bacteremia


  • number of positive blood cultures [3/3 or the majority if more than 3], 5 points
  • unknown origin of bacteremia, 4 points
  • prior heart valve disease, 2 points
  • auscultation of a heart murmur, 1 point

cutoff score <4 points suggested a very low risk for enterococcal IE

useful for avoiding unnecessary TEE in enterococcal bacteremia

Uptodate.  Accessed 06/22/2016


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