Pulmonology Book

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Multidrug Resistance Score

Aka: Multidrug Resistance Score, MDR Score, Healthcare Associated Multidrug Resistance Risk in Pneumonia
  1. See Also
    1. Pneumonia
    2. Pneumonia Management
  2. Indications
    1. Identify Pneumonia patients at risk for multi-drug resistance (esp. Healthcare Associated Pneumonia or HCAP)
  3. Criteria
    1. Any antibiotics in the last 90 days
    2. Hospitalization for >2 days in the last 90 days
    3. Poor functional status
      1. Significant debility
      2. Incontinence
      3. Inability to perform Activities of Daily Living (ADLs)
    4. Immunosuppression
      1. Absolute Neutrophil Count <1000
      2. Asplenia
      3. Hematologic Malignancy
      4. Congenital Immunodeficiency
      5. HIV Infection
      6. Prednisone equivalent >10 mg/day for 14 days or more
      7. Other immunosuppressive Medication
  4. Interpretation
    1. Score 0-1: Low risk for multi-drug resistant lung infections
    2. Score >=2: High risk for multi-drug resistance lung infections
  5. References
    1. Maruyama (2013) Clin Infect Dis 57(10): 1373-83 +PMID: 23999080 [PubMed]
    2. Park (2013) Int J Tuberc Lung Dis 17(5): 704-9 +PMID: 23575340 [PubMed]

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