DRIP Score (Drug Resistance in Pneumonia)

DRIP score (Drug Resistance In Pneumonia) — a weighted count of risk factors for a drug-resistant pathogen in community-onset pneumonia; a total >= 4 marks high risk.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Antibiotic use within 60 days
Yes
Tube feeding
Yes

Result: DRIP 4 — high risk for a drug-resistant pathogen (>= 4).

The tool opens with these values already filled in. Replace them with your own.

What the result means

< 4
Low risk for a drug-resistant pathogen; narrow-spectrum coverage reasonable.
>= 4
High risk; favor broad-spectrum empiric coverage. The validated replacement for the HCAP definition. It flags resistance risk, not an antibiotic order.

What you enter

  • Antibiotic use within 60 days
  • Long-term-care residence
  • Tube feeding
  • Prior drug-resistant-pathogen infection within 1 year
  • Hospitalization within 60 days
  • Chronic pulmonary disease
  • Poor functional status
  • Gastric-acid suppression
The other 2 fields
  • Wound care
  • MRSA colonization within 1 year
How this is calculated

Webb BJ, Dascomb K, Stenehjem E, et al. Derivation and multicenter validation of the Drug Resistance in Pneumonia clinical prediction score. Antimicrob Agents Chemother. 2016;60(5):2652-2663. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.