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PNEUMOCOCCAL DECISION TREE


DOES YOUR PATIENT HAVE ANY OF THE FOLLOWING RISK FACTORS?


  • Alcoholism
  • Cerebrospinal fluid (CSF) leak
  • Chronic heart*, liver, or lung** disease
    • ​Example: Heart failure!
  • Chronic renal failure
  • Cigarette smoking
  • Cochlear implant
  • Congenital or acquired asplenia
    • ​Example: splenectomy!
  • Congenital or acquired Immumnodeficiency***
  • Diabetes mellitus
  • Generalized malignancy
  • HIV infection
  • Hodgkin disease
  • latrogenic immunosuppression****
  • Leukemia
  • Lymphoma
  • Multiple myeloma
  • Nephrotic syndrome
  • Sickle cell disease and other hemoglobinopathies
  • Solid organ transplant​
Footnotes:
* Including congestive heart failure and cardiomyopathies, excluding hypertension

** Including chronic obstructive pulmonary disease, emphysema, and asthma

*** Includes B- (humoral) or T-lymphocyte deficiency, complement deficiencies (particularly C1, C2, C3, and C4 deficiencies), and phagocytic disorders (excluding chronic granulomatous disease)
​
**** Diseases requiring treatment with immunosuppressive drugs, including long-term systemic corticosteroids and radiation therapy
YES
NO

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  • COVID
    • INPATIENT >
      • CONSIDERATIONS & LABS
      • PAXLOVID
      • REMDESIVIR
      • OLUMIANT
      • ACTEMRA
      • STEROIDS
      • VTE
    • OUTPATIENT
  • Education
    • Bugs & Tips
    • Agents & Spectra
  • Guidelines
    • By Infection Type
    • Surgical Prophylaxis >
      • By Procedure
      • Dosing Guide
  • Formulary
  • Antibiogram
    • 2023 Inpatient
    • 2023 Outpatient
    • 2022 Inpatient
    • 2022 Outpatient
    • 2021 Inpatient
    • 2021 Outpatient
    • 2020 Inpatient
    • 2019 Inpatient
    • 2019 Outpatient
  • About
    • ASP Program
    • Stats & Data >
      • Recommendations
      • Pharmacy Data
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    • Contact