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DRIP — Drug Resistance in Pneumonia

Attempts to predict the risk of drug-resistant organisms (DRPs) in community-acquired pneumonia (CAP).

Antibiotic guideCommunity-Acquired Pneumonia
Low DRP risk
Score 0–3
Low risk of drug-resistant pathogens — consider standard CAP therapy, WITHOUT broad-spectrum antibiotics
0pts
Major risk factors — 2 points each
Antibiotic use within previous 60 days
Current resident of SNF, LTACH, or inpatient rehab
Tube feeding
Prior infection with a DRP within previous 1 year
Minor risk factors — 1 point each
Hospitalization within previous 60 days
Chronic pulmonary disease
Poor functional status
PPI / H2 blocker within last 14 days
Currently receiving active wound care
MRSA colonization within previous 1 year
DRIP score: Webb BJ, et al. Antimicrob Agents Chemother. 2016;60(5):2652–2663. A score ≥4 predicted drug-resistant pathogens with ~82% sensitivity / ~81% specificity in the derivation cohort.

More CAP tools

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