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Multidrug Resistance Score

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Multidrug Resistance Score, MDR Score, Healthcare Associated Multidrug Resistance Risk in Pneumonia

  • See Also
  1. Pneumonia
  2. Pneumonia Management
  3. Drug Resistance in Pneumonia Score (DRIP Score)
  4. Healthcare Associated Pneumonia (HCAP)
  • Indications
  1. Identify Pneumonia patients at risk for multi-drug resistance (esp. Healthcare Associated Pneumonia or HCAP)
  • 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
  • Interpretation
  1. Score 0-1: Low risk for multi-drug resistant lung infections
  2. Score >=2: High risk for multi-drug resistance lung infections
  • 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]