Clinical Pulmonary Infection Score: Difference between revisions
From IDWiki
(Imported from text file) |
No edit summary |
||
Line 1: | Line 1: | ||
+ | {| class="wikitable" |
||
− | {| |
||
− | ! |
+ | !Clinical Sign |
− | ! |
+ | !Cuttoff |
− | !align="center" |
+ | ! align="center" |Points |
|- |
|- |
||
− | | |
+ | |'''Temperature''' |
− | | |
+ | |36.5-38.4 |
− | |align="center" |
+ | | align="center" |0 |
|- |
|- |
||
| |
| |
||
− | | |
+ | |38.5-38.9 |
− | |align="center" |
+ | | align="center" |1 |
|- |
|- |
||
| |
| |
||
− | | |
+ | |≥39 or ≤36 |
− | |align="center" |
+ | | align="center" |2 |
|- |
|- |
||
− | | |
+ | |'''WBC''' |
− | | |
+ | |4-11 |
− | |align="center" |
+ | | align="center" |0 |
|- |
|- |
||
| |
| |
||
− | | |
+ | |<4 or >11 |
− | |align="center" |
+ | | align="center" |1 |
|- |
|- |
||
| |
| |
||
− | | |
+ | |Above plus bands ≥500 |
− | |align="center" |
+ | | align="center" |2 |
|- |
|- |
||
− | | |
+ | |'''Tracheal secretions''' |
− | | |
+ | |> 14 |
− | |align="center" |
+ | | align="center" |0 |
|- |
|- |
||
| |
| |
||
− | | |
+ | |≥14 |
− | |align="center" |
+ | | align="center" |1 |
|- |
|- |
||
| |
| |
||
− | | |
+ | |≥14 and purulent |
− | |align="center" |
+ | | align="center" |2 |
|- |
|- |
||
− | | |
+ | |'''PaO2/FiO2''' |
− | | |
+ | |>240 or ARDS |
− | |align="center" |
+ | | align="center" |0 |
|- |
|- |
||
| |
| |
||
− | | |
+ | |≤240 and no ARDS |
− | |align="center" |
+ | | align="center" |2 |
|- |
|- |
||
− | | |
+ | |'''CXR''' |
− | | |
+ | |No infiltrate |
− | |align="center" |
+ | | align="center" |0 |
|- |
|- |
||
| |
| |
||
− | | |
+ | |Diffuse or patchy |
− | |align="center" |
+ | | align="center" |1 |
|- |
|- |
||
| |
| |
||
− | | |
+ | |Localized |
− | |align="center" |
+ | | align="center" |2 |
|- |
|- |
||
− | | |
+ | |'''ETT culture''' |
− | | |
+ | |Little or no growth |
− | |align="center" |
+ | | align="center" |0 |
|- |
|- |
||
| |
| |
||
− | | |
+ | |1+ growth |
− | |align="center" |
+ | | align="center" |1 |
|- |
|- |
||
| |
| |
||
− | | |
+ | |Above plus visible on Gram stain |
− | |align="center" |
+ | | 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) |
[[Category:Critical care]] |
[[Category:Critical care]] |
Revision as of 06:58, 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)