MDCalc

Shorr Score for MRSA Pneumonia

Identifies pneumonia patients at low risk for MRSA.

Age 19-29 or >79 years

Nursing home, skilled nursing facility, or long term acute care exposure

Within 90 days

Prior IV antibiotic therapy

Within 30 days

Hospitalization for ≥2 days

Within 90 days

ICU admission

On or before index culture

Any cerebrovascular disease

Prior to admission

Dementia

Female with diabetes mellitus

Result:

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Advice
  • Risk factors for MRSA (infection with MRSA in the past year, known colonization, necrotizing or cavitary pneumonia, high severity-of-illness scores e.g. PSI/PORT or APACHE II, preceding or concurrent influenza), should also be taken into account when deciding if MRSA treatment is warranted.
  • Intended to guide the decision of MRSA treatment initiation. Confirmation studies and clinical judgment should be used to decide if continued MRSA treatment is needed.
Management

Options for MRSA treatment include vancomycin, linezolid, and clindamycin.