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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