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Clinical Pulmonary Infection Score (CPIS) for Ventilator-Associated Pneumonia (VAP)

Assists in diagnosing ventilator-associated pneumonia by predicting benefit of pulmonary cultures.

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.

Advice

The CPIS score is based on sensible elements, and the likelihood of VAP does seem to be somewhat higher when scores are >6; however, the utility and role of the score remain unknown.

Management

We are unaware of validated management algorithms using the CPIS.

Critical Actions

CPIS requires aspirate analysis, gram stain and other important laboratory variables.