Jacob et al developed a clinical prediction rule for identifying an HIV-infected patient in Uganda with Mycobacterium tuberculosis bacteremia. The authors are from multiple hospitals in the United States and Uganda.
Patient selection: HIV-infected patient with severe sepsis in Uganda
Parameters:
(1) gender
(2) HAART
(3) absolute CD4 count per µL
(4) primary complaint on admission
(5) heart rate in beats per minute
(6) hemoglobin in g/dL
(7) serum sodium in mmol/L (mEq/L)
Parameter |
Finding |
Points |
---|---|---|
gender |
female |
0 |
|
male |
2 |
HAART |
currently taking |
0 |
|
not currently taking |
4 |
absolute CD4 count |
>= 200 per µL |
0 |
|
51 to 199 per µL |
5 |
|
<= 50 per µL |
7 |
primary complaint |
fever |
1 |
|
other |
0 |
heart rate |
< 110 beats per minute |
0 |
|
110 to 139 beats per minute |
1 |
|
>= 140 beats per minute |
2 |
hemoglobin |
> 10.5 g/dL |
0 |
|
8.0 to 10.5 g/dL |
3 |
|
6.5 to 7.9 g/dL |
4 |
|
< 6.5 g/dL |
5 |
serum sodium |
> 135 mmol/L |
0 |
|
130 to 135 mmol/L |
1 |
|
123 to 129 mmol/L |
2 |
|
116 to 122 mmol/L< SpecialtyInfoSpecialty: Infectious Diseases |