A patient with which of the following CPIS criteria should be placed on empiric antibiotic ther-apy pending the outcome of a bronchial alveolar lavage?
a. CPIS = 4
b. CPIS = 5
c. CPIS = 6
d. CPIS = 7
ANS: D
When all six criteria are used, a score >6 is considered evidence of the presence of VAP. It is generally accepted that measurements of the CPIS should be performed at the beginning of anti-biotic therapy and after 2-3 days to reevaluate the effectiveness of the treatment.
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