II. Indications
- Identify Pneumonia patients at risk for multi-drug resistance (esp. Healthcare Associated Pneumonia or HCAP)
III. Criteria: Major (assign 2 points for each positive)
- Antibiotic Use in the last 60 days
- Residence in a Long-Term Care Facility
- Tube Feeding
- Prior drug resistant Pneumonia in the last year
IV. Criteria: Minor (assign 1 point for each positive)
- Hospitalization in the last 60 days
- Chronic pulmonary disease
- Poor functional status
- Gastric acid suppression (H2 Blocker or Proton Pump Inhibitor for at least 2 weeks)
- Wound care
- MRSA colonization in the last year
V. Interpretation
- Total 2 points for each positive major criteria, and 1 point for each minor criteria (total 14 possible)
- Score <4 does not require broad spectrum antibiotics for Pneumonia hospital admissions