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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+ | | align="center" |0 |
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− | | '''WBC''' |
+ | | rowspan="3" |'''WBC''' |
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+ | |4-11 |
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+ | | align="center" |0 |
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− | | '''Tracheal secretions''' |
+ | | rowspan="3" |'''Tracheal secretions''' |
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+ | |> 14 |
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+ | | align="center" |0 |
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− | | '''PaO2/FiO2''' |
+ | | rowspan="2" |'''PaO2/FiO2''' |
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+ | |>240 or ARDS |
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+ | | align="center" |0 |
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− | | '''CXR''' |
+ | | rowspan="3" |'''CXR''' |
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+ | |No infiltrate |
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+ | | align="center" |0 |
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− | | '''ETT culture''' |
+ | | rowspan="3" |'''ETT culture''' |
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+ | |Little or no growth |
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+ | | align="center" |0 |
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− | == |
+ | ==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]] |
Latest 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)