Clinical Pulmonary Infection Score: Difference between revisions

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)

@@ 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
 |-
 |
-| &lt;4 or &gt;11
+|&lt;4 or &gt;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'''
-| &gt; 14
+|&gt; 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'''
-| &gt;240 or ARDS
+|&gt;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]]