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呼吸机相关性肺炎(VAP)的临床肺部感染评分(CPI)
发作期间关节/囊受累的模式
请选择
温度
不
38.5-38.9
≥39.0或≤36.0
每节特点
请选择
白血球数
4-11
<4或者>11
< 4或> 11加频带形式≥500
发作进程
请选择
气管分泌物
> 14+
≥14+
≥14+脓性分泌物
痛风结石
请选择
氧合,PaO2/FiO2毫米汞柱
> 240或者急性呼吸窘迫综合征
≤240且无急性呼吸窘迫综合征
血清尿酸盐
请选择
肺部放射术
不渗透
扩散或不均匀渗透
局部渗透
CPIS总分:
结果解读
分数为>6时,呼吸机相关肺炎的可能性似乎略高
参考文献
Schurink CA, Van Nieuwenhoven CA, Jacobs JA, Rozenberg-Arska M, Joore HC, Buskens E, Hoepelman AI, Bonten MJ. Clinical pulmonary infection score for ventilator-associated pneumonia: accuracy and inter-observer variability. Intensive Care Med. 2004 Feb;30(2):217-24. Epub 2003 Oct 18.
Fartoukh M, Maitre B, HonoréS, Cerf C, Zahar JR, Brun-Buisson C. Diagnosing pneumonia during mechanical ventilation: the clinical pulmonary infection score revisited. Am J Respir Crit Care Med. 2003;168(2):173.
Shan J, Chen HL, Zhu JH. Diagnostic accuracy of clinical pulmonary infection score for ventilator-associated pneumonia: a meta-analysis. Respir Care. 2011 Aug;56(8):1087-94. doi: 10.4187/respcare.01097. Epub 2011 Feb 9.
Parks NA, et al. Use of the clinical pulmonary infection score to guide therapy for ventilator-associated pneumonia risks antibiotic overexposure in patients with trauma. J Trauma Acute Care Surg. 2012 Jul;73(1):52-8; discussion 58-9. doi: 10.1097/TA.0b013e31825ac37b.
Zilberberg MD, Shorr AF. Ventilator-Associated Pneumonia: The Clinical Pulmonary Infection Score as a Surrogate for Diagnostics and Outcome. Clinical Infectious Diseases 2010; 51(S1):S131–S135.
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