Clinical Pulmonary Infection Score - Revision history

Aidan at 10:58, 3 August 2020

2020-08-03T10:58:56Z

← Older revision		Revision as of 10:58, 3 August 2020
Line 4:		Line 4:
	! align="center" \|Points		! align="center" \|Points
	\|-		\|-
	\|'''Temperature'''		\| rowspan="3" \|'''Temperature'''
	\|36.5-38.4		\|36.5-38.4
	\| align="center" \|0		\| align="center" \|0
	\|-		\|-
	\|
	\|38.5-38.9		\|38.5-38.9
	\| align="center" \|1		\| align="center" \|1
	\|-		\|-
	\|
	\|≥39 or ≤36		\|≥39 or ≤36
	\| align="center" \|2		\| align="center" \|2
	\|-		\|-
	\|'''WBC'''		\| rowspan="3" \|'''WBC'''
	\|4-11		\|4-11
	\| align="center" \|0		\| align="center" \|0
	\|-		\|-
	\|
	\|<4 or >11		\|<4 or >11
	\| align="center" \|1		\| align="center" \|1
	\|-		\|-
	\|
	\|Above plus bands ≥500		\|Above plus bands ≥500
	\| align="center" \|2		\| align="center" \|2
	\|-		\|-
	\|'''Tracheal secretions'''		\| rowspan="3" \|'''Tracheal secretions'''
	\|> 14		\|> 14
	\| align="center" \|0		\| align="center" \|0
	\|-		\|-
	\|
	\|≥14		\|≥14
	\| align="center" \|1		\| align="center" \|1
	\|-		\|-
	\|
	\|≥14 and purulent		\|≥14 and purulent
	\| align="center" \|2		\| align="center" \|2
	\|-		\|-
	\|'''PaO2/FiO2'''		\| rowspan="2" \|'''PaO2/FiO2'''
	\|>240 or ARDS		\|>240 or ARDS
	\| align="center" \|0		\| align="center" \|0
	\|-		\|-
	\|
	\|≤240 and no ARDS		\|≤240 and no ARDS
	\| align="center" \|2		\| align="center" \|2
	\|-		\|-
	\|'''CXR'''		\| rowspan="3" \|'''CXR'''
	\|No infiltrate		\|No infiltrate
	\| align="center" \|0		\| align="center" \|0
	\|-		\|-
	\|
	\|Diffuse or patchy		\|Diffuse or patchy
	\| align="center" \|1		\| align="center" \|1
	\|-		\|-
	\|
	\|Localized		\|Localized
	\| align="center" \|2		\| align="center" \|2
	\|-		\|-
	\|'''ETT culture'''		\| rowspan="3" \|'''ETT culture'''
	\|Little or no growth		\|Little or no growth
	\| align="center" \|0		\| align="center" \|0
	\|-		\|-
	\|
	\|1+ growth		\|1+ growth
	\| align="center" \|1		\| align="center" \|1
	\|-		\|-
	\|
	\|Above plus visible on Gram stain		\|Above plus visible on Gram stain
	\| align="center" \|2		\| align="center" \|2

Aidan at 10:58, 3 August 2020

2020-08-03T10:58:23Z

← Older revision		Revision as of 10:58, 3 August 2020
Line 1:		Line 1:
			{\| class="wikitable"
	{\|
	! Clinical Sign		!Clinical Sign
	! Cuttoff		!Cuttoff
	!align="center"\| Points		! align="center" \|Points
	\|-		\|-
	\| '''Temperature'''		\|'''Temperature'''
	\| 36.5-38.4		\|36.5-38.4
	\|align="center"\| 0		\| align="center" \|0
	\|-		\|-
	\|		\|
	\| 38.5-38.9		\|38.5-38.9
	\|align="center"\| 1		\| align="center" \|1
	\|-		\|-
	\|		\|
	\| ≥39 or ≤36		\|≥39 or ≤36
	\|align="center"\| 2		\| align="center" \|2
	\|-		\|-
	\| '''WBC'''		\|'''WBC'''
	\| 4-11		\|4-11
	\|align="center"\| 0		\| align="center" \|0
	\|-		\|-
	\|		\|
	\| <4 or >11		\|<4 or >11
	\|align="center"\| 1		\| align="center" \|1
	\|-		\|-
	\|		\|
	\| Above plus bands ≥500		\|Above plus bands ≥500
	\|align="center"\| 2		\| align="center" \|2
	\|-		\|-
	\| '''Tracheal secretions'''		\|'''Tracheal secretions'''
	\| > 14		\|> 14
	\|align="center"\| 0		\| align="center" \|0
	\|-		\|-
	\|		\|
	\| ≥14		\|≥14
	\|align="center"\| 1		\| align="center" \|1
	\|-		\|-
	\|		\|
	\| ≥14 and purulent		\|≥14 and purulent
	\|align="center"\| 2		\| align="center" \|2
	\|-		\|-
	\| '''PaO2/FiO2'''		\|'''PaO2/FiO2'''
	\| >240 or ARDS		\|>240 or ARDS
	\|align="center"\| 0		\| align="center" \|0
	\|-		\|-
	\|		\|
	\| ≤240 and no ARDS		\|≤240 and no ARDS
	\|align="center"\| 2		\| align="center" \|2
	\|-		\|-
	\| '''CXR'''		\|'''CXR'''
	\| No infiltrate		\|No infiltrate
	\|align="center"\| 0		\| align="center" \|0
	\|-		\|-
	\|		\|
	\| Diffuse or patchy		\|Diffuse or patchy
	\|align="center"\| 1		\| align="center" \|1
	\|-		\|-
	\|		\|
	\| Localized		\|Localized
	\|align="center"\| 2		\| align="center" \|2
	\|-		\|-
	\| '''ETT culture'''		\|'''ETT culture'''
	\| Little or no growth		\|Little or no growth
	\|align="center"\| 0		\| align="center" \|0
	\|-		\|-
	\|		\|
	\| 1+ growth		\|1+ growth
	\|align="center"\| 1		\| align="center" \|1
	\|-		\|-
	\|		\|
	\| Above plus visible on Gram stain		\|Above plus visible on Gram stain
	\|align="center"\| 2		\| align="center" \|2
	\|}		\|}

	== Interpretation ==		==Interpretation==

	* Cutoff ≥7 suggests would benefit from BAL		*Cutoff ≥7 suggests would benefit from BAL
	* However, poor sensitivity (65%) and specificity (64%) on metanalysis (~~[https://dx.doi.org/10.4187/respcare.01097~~ https://dx.doi.org/10.4187/respcare.01097])		*However, poor sensitivity (65%) and specificity (64%) on metanalysis (https://dx.doi.org/10.4187/respcare.01097)

	[[Category:Critical care]]		[[Category:Critical care]]

Maintenance script: Imported from text file

2020-07-04T01:17:28Z

Imported from text file

New page

{|
! Clinical Sign
! Cuttoff
!align="center"| Points
|-
| '''Temperature'''
| 36.5-38.4
|align="center"| 0
|-
|
| 38.5-38.9
|align="center"| 1
|-
|
| ≥39 or ≤36
|align="center"| 2
|-
| '''WBC'''
| 4-11
|align="center"| 0
|-
|
| <4 or >11
|align="center"| 1
|-
|
| Above plus bands ≥500
|align="center"| 2
|-
| '''Tracheal secretions'''
| > 14
|align="center"| 0
|-
|
| ≥14
|align="center"| 1
|-
|
| ≥14 and purulent
|align="center"| 2
|-
| '''PaO2/FiO2'''
| >240 or ARDS
|align="center"| 0
|-
|
| ≤240 and no ARDS
|align="center"| 2
|-
| '''CXR'''
| No infiltrate
|align="center"| 0
|-
|
| Diffuse or patchy
|align="center"| 1
|-
|
| Localized
|align="center"| 2
|-
| '''ETT culture'''
| Little or no growth
|align="center"| 0
|-
|
| 1+ growth
|align="center"| 1
|-
|
| Above plus visible on Gram stain
|align="center"| 2
|}

== Interpretation ==

* Cutoff ≥7 suggests would benefit from BAL
* However, poor sensitivity (65%) and specificity (64%) on metanalysis ([https://dx.doi.org/10.4187/respcare.01097 https://dx.doi.org/10.4187/respcare.01097])

[[Category:Critical care]]
[[Category:Infectious diseases]]