Jeong et al reported a score for predicting the risk of a antibiotic-resistant pathogen causing pneumonia in an adult not exposed to the hospital. The authors are from Sungkyunkwan University in South Korea.
Patient selection: adult with pneumonia acquired outside of the hospital
Parameters:
(1) nursing home residency
(2) ECOG status
(3) history of previous hospitalization (preceding 90 days)
(4) history of previous antibiotic therapy (preceding 30 days)
(5) chronic lung disease
Parameter
Finding
Points
nursing home residency
no
0
yes
2
ECOG status
0, 1 or 2
0
3 or 4
2
prior hospitalization
no
0
yes
1
prior antibiotic therapy
no
0
yes
1
chronic lung disease
no
0
yes
1
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 7
Total Score
Risk
0
low
1 to 3
intermediate
4 to 7
high
Performance:
• The area under the ROC curve is 0.76.
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