Clinical Pulmonary Infection Score (CPIS) for Ventilator-Associated Pneumonia (VAP)
Assists in diagnosing ventilator-associated pneumonia by predicting benefit of pulmonary cultures.
INSTRUCTIONS
Many reviews of the CPIS feel it should not be relied on; we include it because of its popularity but caution users to review the data on its utility first.
When to Use
Pearls/Pitfalls
Why Use
36.5-38.4
038.5-38.9
+1≥39.0 or ≤36.0
+24-11
0<4 or >11
+1Either <4 or >11 plus band forms ≥500
+2<14+
0≥14+
+1≥14+ plus purulent secretions
+2>240 or ARDS
0≤240 and no ARDS
+2No infiltrate
0Diffuse or patchy infiltrate
+1Localized infiltrate
+2Pathogenic bacteria cultured ≤1 or no growth
0Pathogenic bacteria cultured >1+
+1Pathogenic bacteria cultured >1+ plus same pathogenic bacteria on gram stain >1+
+2Confirmed positive
Suspected
Unlikely
Confirmed negative
Result:
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