Clinical Pulmonary Infection Score: Difference between revisions
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! align="center" |Points |
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|'''Temperature''' |
| rowspan="3" |'''Temperature''' |
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|36.5-38.4 |
|36.5-38.4 |
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|38.5-38.9 |
|38.5-38.9 |
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| align="center" |1 |
| align="center" |1 |
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|≥39 or ≤36 |
|≥39 or ≤36 |
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| align="center" |2 |
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|'''WBC''' |
| rowspan="3" |'''WBC''' |
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|4-11 |
|4-11 |
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| align="center" |0 |
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|<4 or >11 |
|<4 or >11 |
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| align="center" |1 |
| align="center" |1 |
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|Above plus bands ≥500 |
|Above plus bands ≥500 |
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| align="center" |2 |
| align="center" |2 |
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|'''Tracheal secretions''' |
| rowspan="3" |'''Tracheal secretions''' |
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|> 14 |
|> 14 |
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|≥14 |
|≥14 |
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|≥14 and purulent |
|≥14 and purulent |
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| align="center" |2 |
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|'''PaO2/FiO2''' |
| rowspan="2" |'''PaO2/FiO2''' |
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|>240 or ARDS |
|>240 or ARDS |
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| align="center" |0 |
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|≤240 and no ARDS |
|≤240 and no ARDS |
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| align="center" |2 |
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|'''CXR''' |
| rowspan="3" |'''CXR''' |
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|No infiltrate |
|No infiltrate |
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| align="center" |0 |
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|Diffuse or patchy |
|Diffuse or patchy |
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| align="center" |1 |
| align="center" |1 |
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|Localized |
|Localized |
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| align="center" |2 |
| align="center" |2 |
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|'''ETT culture''' |
| rowspan="3" |'''ETT culture''' |
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|Little or no growth |
|Little or no growth |
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| align="center" |0 |
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|1+ growth |
|1+ growth |
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| align="center" |1 |
| align="center" |1 |
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|Above plus visible on Gram stain |
|Above plus visible on Gram stain |
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| align="center" |2 |
| align="center" |2 |
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)