Síguenos en Twitter     Síguenos en Facebook     Síguenos en Google+     Síguenos en YouTube     Siguenos en Linkedin     Correo Grupsagessa     Gmail     Yahoo Mail     Dropbox     Instagram     Pinterest     Slack     Google Drive     Reddit     StumbleUpon     Print

SOBRE EL AUTOR **

Mi foto
FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

WORLD EMERGENCY MEDICINE SOCIETIES

Cranial Nerve VI Palsy Emergency

Buscar en contenido

Contenido:

martes, 19 de julio de 2016

Which patients admitted for pneumonia need MRSA coverage

PulmCrit (EMCrit)
PulmCrit (EMCrit) - July 18, 2016 - By Josh Farkas
  • "Current guidelines regarding MRSA coverage are contradictory, leading to confusion. The concept of healthcare-associated pneumonia (HCAP) doesn’t help matters.
  • Four newer tests may help determine if patients have MRSA PNA:
    • (1) The Shorr Score is a MRSA risk-stratification tool, which was empirically derived and validated.
    • (2) Nares PCR is ~90% sensitive for detecting MRSA pneumonia.
    • (3) Throat culture for MRSA may be used as a surrogate for sputum culture in patients who cannot expectorate.
    • (4) Procalcitonin should be elevated in patients with MRSA pneumonia.
  • These tests may be arranged to create an evidence-based algorithm:
algorithm