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Lint: hacek-organisms

Acronyms
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"The HACEK organisms, or HACEK group, is an acronym for Haemophilus spp., Aggregatibacter spp., Cardiobacterium hominis, Eikenella corrodens, and Kingella kingae, a group of Gram-negative common oral commensal bacteria which are associated with infective endocarditis."

Line 1:16 · 'HACEK' has no definition. Spell it out if it's unfamiliar to the audience.

"The HACEK organisms, or HACEK group, is an acronym for Haemophilus spp., Aggregatibacter spp., Cardiobacterium hominis, Eikenella corrodens, and Kingella kingae, a group of Gram-negative common oral commensal bacteria which are associated with infective endocarditis."

Line 1:53 · 'HACEK' has no definition. Spell it out if it's unfamiliar to the audience.

"Infective endocarditis is usually caused by Staphylococcus or Streptococcus Gram-positive bacteria, with only 1.4-6% of cases attributable to HACEK organisms 1,7,8. Infective endocarditis more broadly has a male-to-female ratio of 2:1 2,3. Those who are infected by HACEK organisms tend to be slightly younger (median 47 years old) than those infected by other organisms (median 61 years) 1."

Line 3:164 · 'HACEK' has no definition. Spell it out if it's unfamiliar to the audience.

"Infective endocarditis is usually caused by Staphylococcus or Streptococcus Gram-positive bacteria, with only 1.4-6% of cases attributable to HACEK organisms 1,7,8. Infective endocarditis more broadly has a male-to-female ratio of 2:1 2,3. Those who are infected by HACEK organisms tend to be slightly younger (median 47 years old) than those infected by other organisms (median 61 years) 1."

Line 3:310 · 'HACEK' has no definition. Spell it out if it's unfamiliar to the audience.

"Kingella kingae, one of the HACEK organisms, is also frequently implicated in paediatric bone and joint infections, being the main cause of osteomyelitis and septic arthritis for children aged 6 months to 3 years 8,9."

Line 4:41 · 'HACEK' has no definition. Spell it out if it's unfamiliar to the audience.

"Osler nodes (red-purple tender subcutaneous nodules on the fingers and toes) are more common in HACEK related bacterial endocarditis, which is also more commonly associated with mechanical heart valves, and vascular immunologic phenomena 1-3. Diabetes mellitus is a risk factor for infective endocarditis, but is more often associated with non-HACEK infection 1,3."

Line 6:100 · 'HACEK' has no definition. Spell it out if it's unfamiliar to the audience.

"Osler nodes (red-purple tender subcutaneous nodules on the fingers and toes) are more common in HACEK related bacterial endocarditis, which is also more commonly associated with mechanical heart valves, and vascular immunologic phenomena 1-3. Diabetes mellitus is a risk factor for infective endocarditis, but is more often associated with non-HACEK infection 1,3."

Line 6:373 · 'HACEK' has no definition. Spell it out if it's unfamiliar to the audience.

"HACEK organisms are usually asymptomatic oropharyngeal commensal bacteria, which can cause infection through haematologic spread to the heart (endocarditis), bone (septic arthritis and osteomyelitis), and central nervous system (abscess, meningitis) 1,9."

Line 8:4 · 'HACEK' has no definition. Spell it out if it's unfamiliar to the audience.

"Treatment for infective endocarditis often includes a second agent for HACEK organism coverage such as ceftriaxone 4. The duration of treatment may be shortened to 4 weeks in confirmed HACEK infection or extended to 6 weeks with prosthetic valve involvement, although the evidence for this is limited 4. There are ongoing clinical trials evaluating shorter treatment durations for infective endocarditis 5,6."

Line 10:82 · 'HACEK' has no definition. Spell it out if it's unfamiliar to the audience.

"Treatment for infective endocarditis often includes a second agent for HACEK organism coverage such as ceftriaxone 4. The duration of treatment may be shortened to 4 weeks in confirmed HACEK infection or extended to 6 weeks with prosthetic valve involvement, although the evidence for this is limited 4. There are ongoing clinical trials evaluating shorter treatment durations for infective endocarditis 5,6."

Line 10:207 · 'HACEK' has no definition. Spell it out if it's unfamiliar to the audience.

"A national cohort study found that infective endocarditis caused by HACEK organisms had a better outcome than that caused by non-HACEK organisms (3% in-hospital mortality compared with 18%) 1. The incidence of stroke, particularly haemorrhagic stroke, is higher in cases of infective endocarditis caused by HACEK organisms, which notably affects a slightly younger demographic, and increases hospital stay by ~20 days 1."

Line 11:79 · 'HACEK' has no definition. Spell it out if it's unfamiliar to the audience.

"A national cohort study found that infective endocarditis caused by HACEK organisms had a better outcome than that caused by non-HACEK organisms (3% in-hospital mortality compared with 18%) 1. The incidence of stroke, particularly haemorrhagic stroke, is higher in cases of infective endocarditis caused by HACEK organisms, which notably affects a slightly younger demographic, and increases hospital stay by ~20 days 1."

Line 11:140 · 'HACEK' has no definition. Spell it out if it's unfamiliar to the audience.

"A national cohort study found that infective endocarditis caused by HACEK organisms had a better outcome than that caused by non-HACEK organisms (3% in-hospital mortality compared with 18%) 1. The incidence of stroke, particularly haemorrhagic stroke, is higher in cases of infective endocarditis caused by HACEK organisms, which notably affects a slightly younger demographic, and increases hospital stay by ~20 days 1."

Line 11:350 · 'HACEK' has no definition. Spell it out if it's unfamiliar to the audience.
Emphasis
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"The HACEK organisms, or HACEK group, is an acronym for Haemophilus spp., Aggregatibacter spp., Cardiobacterium hominis, Eikenella corrodens, and Kingella kingae, a group of Gram-negative common oral commensal bacteria which are associated with infective endocarditis."

Line 1:93 · Italics should be used only in exceptional circumstances: '<em>Haemophilus</em> spp., <em>Aggregatibacter</em> spp., <em>Cardiobacterium hominis</em>, <em>Eikenella corrodens</em>, and <em>Kingella kingae</em>'

"Infective endocarditis is usually caused by Staphylococcus or Streptococcus Gram-positive bacteria, with only 1.4-6% of cases attributable to HACEK organisms 1,7,8. Infective endocarditis more broadly has a male-to-female ratio of 2:1 2,3. Those who are infected by HACEK organisms tend to be slightly younger (median 47 years old) than those infected by other organisms (median 61 years) 1."

Line 3:48 · Italics should be used only in exceptional circumstances: '<em>Staphylococcus</em> or <em>Streptococcus</em>'

"Kingella kingae, one of the HACEK organisms, is also frequently implicated in paediatric bone and joint infections, being the main cause of osteomyelitis and septic arthritis for children aged 6 months to 3 years 8,9."

Line 4:4 · Italics should be used only in exceptional circumstances: '<em>Kingella kingae</em>'
List Caps
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"Duke criteria for infective endocarditis"

Line 15:11 · In general, we don't start a list item with a capital letter. Exceptions are proper nouns.
Commas
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"The HACEK organisms, or HACEK group, is an acronym for Haemophilus spp., Aggregatibacter spp., Cardiobacterium hominis, Eikenella corrodens, and Kingella kingae, a group of Gram-negative common oral commensal bacteria which are associated with infective endocarditis."

Line 1:40 · More than 5 commas in a single sentence might make it more difficult to read.
There Is
suggestion

"Treatment for infective endocarditis often includes a second agent for HACEK organism coverage such as ceftriaxone 4. The duration of treatment may be shortened to 4 weeks in confirmed HACEK infection or extended to 6 weeks with prosthetic valve involvement, although the evidence for this is limited 4. There are ongoing clinical trials evaluating shorter treatment durations for infective endocarditis 5,6."

Line 10:337 · Don't start a sentence with 'There are'.