Clinical scoring for risk of resistant organisms in pneumonia: Right idea, wrong interpretation

摘要

In their recent article, Shorr and colleagues present a new clinical tool to predict risk of drug-resistant bacterial pneumonia in patients presenting to emergency departments [1]. Improving risk assessment and minimizing inappropriate antibiotic use are necessary given the increasing prevalence of resistant pathogens and the risk of selecting for further resistance through overuse of broad-spectrum antibiotics, but this new risk score has several weaknesses.