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Description

Wijit et al reported a simple score for identifying an older adult with community-acquired pneumonia due to Pseudomonas aeruginosa. The authors are from the College of Pharmacotherapy of Thailand, Naerusuan University, and Buddhachinaraj Hospital in Thailand.


60-B-r-I-NG is an acronym for score parameters.

 

Patient selection: older adult with community-acquired pneumonia, age >= 60

 

Parameters:

(1) bronchiectasis (B)

(2) other chronic respiratory disease (r)

(3) immunocompromised status (I)

(4) nasogastric tube feeding prior to admission (NG)

 

Parameter

Finding

Points

bronchiectasis

no

0

 

yes

2

other chronic respiratory disease

no

0

 

yes

1

immunocompromised

no

0

 

yes

2

nasogastric tube

no

0

 

yes

4

 

total score =

= SUM(points for all of the parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 9

• A score >= 2 is associated with increased risk for Pseudomonas aeruginosa, and the empiric use of an antipseudomonal antibiotic should be considered.

 

Performance:

• The area under the ROC curve is 0.77.


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