Sathitakorn et al reported a process for discontinuation of antibiotics in a patient with moderate to severe COVID-19 pneumonia. The authors are from Thammasat University (Thailand), University of North Carolina, Washington University, Mahidol University, and affiliated hospitals.
Patient selection: moderate to severe COVID-19 pneumonia in the ICU
Parameters:
(1) Clinical Pulmonary Infection Score (CPIS), based on the CPIS of Pugin et al for ventilator-associated pneumonia on admission
The actions were taken after consideration of clinical status and cultures.
NOTE: The CPIS was derived for ventilator-associated pneumonia. Presumably most of the patients were on ventilators, but they were unlikely to have ventilator-associated pneumonia based on the use of admission and day 3 values.
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