MDCalc

Drug Resistance in Pneumonia (DRIP) Score

Predicts risk for community-acquired pneumonia due to drug-resistant pathogens.

Major Risk Factors

Antibiotic use within 60 days

Long term care resident

Not including assisted living or group home facilities

Tube feeding

NG, nasojejunal, or PEG

Prior drug-resistant pneumonia diagnosis within 1 year

Minor Risk Factors

Hospitalization within 60 days

Chronic pulmonary disease

Poor functional status

Karnofsky Performance Status <70 or non-ambulatory status

H2 blocker or PPI within 14 days

Active wound care at time of admission

MRSA colonization within 1 year

Result:

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Advice

The goal of the DRIP Score is to determine when broad spectrum antibiotics should be used, both to be effective with treatment and to avoid increasing antibiotic resistance.

Management
  • A patient with a DRIP Score <4 can effectively be treated without broad-spectrum antibiotic coverage.
  • A patient with a DRIP Score of ≥4 is more likely to require broad-spectrum antibiotic coverage.
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