AND at least one of the following:
AND at least one of the following:
Do NOT add anti-anaerobic therapy for suspected aspiration pneumonia unless lung abscess or empyema is suspected
Strep. Pneumonia resistant to Macrolide >25% in AHZ, don't use as 1st line or monotherapy for CAP
Consider the Procalcitonin pathway
Major risk factors (2 points)
Minor risk factors (1 point)
Scores < 4 were associated with lower risk of drug-resistant pneumonia
Metlay JP, Waterer GW, Long AC, Anzueto A, Brozek J, Crothers K, Cooley LA, Dean NC, Fine MJ, Flanders SA, Griffin MR, Metersky ML, Musher DM, Restrepo MI, Whitney CG. Diagnosis and Treatment of Adults with Community-acquired Pneumonia. An Official Clinical Practice Guideline of the American Thoracic Society and Infectious Diseases Society of America. Am J Respir Crit Care Med. 2019 Oct 1;200(7):e45-e67. doi: 10.1164/rccm.201908-1581ST. PMID: 31573350; PMCID: PMC6812437.