Predicting Antibiotic Resistant Pneumonia in Institutionalized Patients

Purpose: To determine the risk of an antibiotic-resistant organism causing severe pneumonia in an elderly institutionalized patient based on the study of El Solh et al.

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Evaluation

Are you evaluating an elderly institu-tionalized patient with severe pneumonia?

Yes

Has the patient recently been treated with antibiotics?

Yes

Select an appropriate answer for each activity of daily living

Transfer

Feeding

Bathing

Dressing

Toileting

Continence

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Total ADL score

Probability of an antibiotic-resistant organism causing the pneumonia

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
Other Testing
- Model for Identifying a Patient with Health Care-Associated Pneumonia Caused by Antibiotic-Resistant Bacteria
- Multi-Drug Resistant Neisseria Gonorrhoeae | Gonorrhea Antibiotic Treatment
Criteria For Diagnosis
- When To Suspect That a Patient May Have Drug-Resistant Mycobacterium tuberculosis
Severity, Prognosis, Stage
- Predictive Index for Antibiotic Resistance in Gram-Negative Bacteremia
Complications
- Model for Identifying a Patient with Health Care-Associated Pneumonia Caused by Antibiotic-Resistant Bacteria

Therapy

Options
- Recommendations for Minimizing Antibiotic Resistance
Selection
Administration
- Vancomycin Resistant Enterococci (VRE) Prediction Rule | Vanco Resistant Enterococcus
Failure Handling And Therapy Escalation

Monitoring

Response To Therapy
- Predictive Index for Antibiotic Resistance in Gram-Negative Bacteremia
- Prediction Rule for Identifying Patients at Risk for Vancomycin Resistant Enterococci at Hospital Admission
Failure Handling (loss To Followup, Etc)
- CDC 12 Step Program for Preventing Antibacterial Resistance in Hospitalized Patients

Specialty

Infectious Diseases
Pharmacology, clinical

Objective

clinical diagnosis
including family history for genetics
criteria for diagnosis

ICD-10

U80-U89 - Bacterial agents resistant to antibiotics

Info

Purpose: To determine the risk of an antibiotic-resistant organism causing severe pneumonia in an elderly institutionalized patient based on the study of El Solh et al.

Specialty: Infectious Diseases, Pharmacology, clinical

Objective: clinical diagnosis, including family history for genetics, criteria for diagnosis

ICD-10: U80-U89,

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