Clinical Pulmonary Infection Score: Difference between revisions
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!Clinical Sign |
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!Cuttoff |
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! align="center" |Points |
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| '''Temperature''' |
| rowspan="3" |'''Temperature''' |
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|36.5-38.4 |
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| '''WBC''' |
| rowspan="3" |'''WBC''' |
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|4-11 |
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| '''Tracheal secretions''' |
| rowspan="3" |'''Tracheal secretions''' |
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|> 14 |
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| '''PaO2/FiO2''' |
| rowspan="2" |'''PaO2/FiO2''' |
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|>240 or ARDS |
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| '''CXR''' |
| rowspan="3" |'''CXR''' |
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|No infiltrate |
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| '''ETT culture''' |
| rowspan="3" |'''ETT culture''' |
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|Little or no growth |
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== |
==Interpretation== |
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*Cutoff ≥7 suggests would benefit from BAL |
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*However, poor sensitivity (65%) and specificity (64%) on metanalysis (https://dx.doi.org/10.4187/respcare.01097) |
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[[Category:Critical care]] |
[[Category:Critical care]] |
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Latest revision as of 10:58, 3 August 2020
| Clinical Sign | Cuttoff | Points |
|---|---|---|
| Temperature | 36.5-38.4 | 0 |
| 38.5-38.9 | 1 | |
| ≥39 or ≤36 | 2 | |
| WBC | 4-11 | 0 |
| <4 or >11 | 1 | |
| Above plus bands ≥500 | 2 | |
| Tracheal secretions | > 14 | 0 |
| ≥14 | 1 | |
| ≥14 and purulent | 2 | |
| PaO2/FiO2 | >240 or ARDS | 0 |
| ≤240 and no ARDS | 2 | |
| CXR | No infiltrate | 0 |
| Diffuse or patchy | 1 | |
| Localized | 2 | |
| ETT culture | Little or no growth | 0 |
| 1+ growth | 1 | |
| Above plus visible on Gram stain | 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)
