Shorr Score (MRSA Pneumonia Risk)

Shorr MRSA-pneumonia risk score — a weighted count predicting MRSA in culture-positive pneumonia (a total marking > 30% MRSA prevalence is high risk).

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

Example

Recent hospitalization
Yes
ICU admission at presentation
Yes
Dementia
Yes
Cerebrovascular disease
Yes

Result: Shorr 6 — high (MRSA > 30% per source) MRSA risk.

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

What the result means

0-1
Low — MRSA < 10% per source; anti-MRSA therapy may be safely withheld.
2-5
Medium MRSA risk.
>= 6
High — MRSA > 30% per source. It reports MRSA risk, not a vancomycin/linezolid order.

What you enter

  • Recent hospitalization (+2)
  • ICU admission at presentation (+2)
  • Age < 30 or > 79 (+1)
  • Prior IV antibiotic exposure (+1)
  • Dementia (+1)
  • Cerebrovascular disease (+1)
  • Female sex with diabetes (+1)
  • Nursing-home / LTAC / SNF exposure (+1)
How this is calculated

Shorr AF, Myers DE, Huang DB, Nathanson BH, Emons MF, Kollef MH. A risk score for identifying methicillin-resistant Staphylococcus aureus in patients presenting to the hospital with pneumonia. BMC Infect Dis. 2013;13:268. 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.