Table 1.
Modified Clinical Pulmonary Infection Score
| Temperature (°C) |
| ≥36.5 and ≤38.4 = 0 point |
| ≥38.5 and ≤38.9 = 1 point |
| ≥39 and ≤36 = 2 points
|
| Blood leukocytes (mm3) |
| ≥4000 and ≤11,000 = 0 point |
| <4000 or >11,000 = 1 point + band forms ≥50% = add 1 point
|
| Tracheal secretions |
| Absence of tracheal secretions = 0 point |
| Presence of nonpurulent tracheal secretions = 1 point |
| Presence of purulent tracheal secretions = 2 points
|
| Oxygenation: PaO2/FiO2, mmHg |
| >240 or ARDS (ARDS defined as PaO2/FiO2; or equal to 200, pulmonary arterial wedge pressure) |
| ≤18 mmHg and acute bilateral infiltrates = 0 point |
| ≤240 and no ARDS = 2 points
|
| Pulmonary radiography |
| No infiltrate = 0 point |
| Diffuse (or patchy) infiltrate = 1 point |
| Localized infiltrate = 2 points
|
| Progression of pulmonary infiltrate |
| No radiographic progression = 0 point |
| Radiographic progression (after CHF and ARDS excluded) = 2 points
|
| Culture of tracheal aspirate |
| Pathogenic bacteria cultured in rare or light quantity or no growth = 0 point |
| Pathogenic bacteria cultured in moderate or heavy quantity = 1 point |
| Same pathogenic bacteria seen on Gram stain, add 1 point |
Adapted from Singh et al. (79).