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Comparison Of Severity Of Illness Scoring Systems For Patients With Nosocomial Bloodstream Infection Due To Pseudomonas Aeruginosa, Alexandre R. Marra, Gonzalo M. L. Bearman, Richard P. Wenzel, Michael B. Edmond

Internal Medicine Publications

Background

Several acute illness severity scores have been proposed for evaluating patients on admission to intensive care units but these have not been compared for patients with nosocomial bloodstream infection (nBSI). We compared three severity of illness scoring systems for predicting mortality in patients with nBSI due to Pseudomonas aeruginosa.

Methods

We performed a historical cohort study on 63 adults in intensive care units with P. aeruginosamonomicrobial nBSI.

Results

The Acute Physiology, Age, Chronic Health Evaluation II (APACHE II), Sequential Organ Failure Assessment (SOFA), and Simplified Acute Physiologic Score (SAPS II), were calculated daily from 2 days prior …

Acute Brochitis, Richard P. Wenzel, Alpha A. Fowler Iii

Internal Medicine Publications

A 40-year-old man with no underlying lung disease has a 7-day history of mild shortness of breath with exertion, as well as cough that is now productive of purulent sputum. He reports no paroxysms of cough and no contact with ill persons in his community. He does not appear to be in distress. His temperature is 37°C, his pulse 84 beats per minute, and his respiratory rate 17 breaths per minute. On auscultation of the lungs, no rales are heard; scattered wheezes are heard in the lung bases. How should he be evaluated and treated?

Summary and Recommendations

The patient …