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خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
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Clinical Pulmonary Infection Score (CPIS)

Clinical Pulmonary Infection Score (CPIS)
Temperature
≥36.5 or ≤38.4 = 0 point
≥38.5 or ≤38.9 = 1 point
≥39 or <36.5 = 2 points
Blood leukocytes, microL
≥4000 or ≤11,000 = 0 points
<4000 or >11,000 = 1 point
Band forms ≥50 percent = add 1 point
Tracheal secretions
Absence of tracheal secretions = 0 point
Presence of nonpurulent tracheal secretions = 1 point
Presence of purulent tracheal secretions = 2 points
Oxygenation
PaO2/FIO2, mmHg >240 or ARDS (defined as PaO2/FIO2 ≤200, PAWP ≤18 mmHg and acute bilateral infiltrates) = 0 points
PaO2/FIO2 ≤240 and no ARDS = 2 points
Pulmonary radiography
No infiltrate = 0 point
Diffuse (patchy) infiltrate = 1 point
Localized infiltrate = 2 points
Progression of pulmonary infiltrate
No radiographic progression = 0 point
Radiographic progression (after HF and ARDS excluded) = 2 points
Culture of tracheal aspirate
Pathogenic bacteria cultured in rare or few quantities or no growth = 0 point
Pathogenic bacteria cultured in moderate or heavy quantity = 1 point
Same pathogenic bacteria seen on Gram stain, add 1 point
Total (a score of >6 was considered suggestive of pneumonia)
An initial score is based upon the first five variables. The last two variables are assessed on day 2 or 3.
ARDS: acute respiratory distress syndrome; HF: heart failure; PAWP: pulmonary arterial wedge pressure.
Adapted with permission from: Singh N, Rogers P, Atwood CW, et al. Short-course empiric antibiotic therapy for patients with pulmonary infiltrates in the intensive care unit: a proposed solution for indiscriminate antibiotic prescription. Am J Respir Crit Care Med 2000; 162:505. Copyright © 2002 American Thoracic Society.
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