VIRSTA ScoreLoading...Cerebral or peripheral emboliNo0Yes+5MeningitisNo0Yes+5Permanent intracardiac device or previous IENo0Yes+4Pre-existing native valve diseaseNo0Yes+3IV drug useNo0Yes+4Persistent bacteremiaNo0Yes+4Vertebral osteomyelitisNo0Yes+2Community or non-nosocomial health care associated acquisitionNo0Yes+2Severe sepsis or shockNo0Yes+1C-reactive protein > 190 mg/LNo0Yes+1