Penicillin-resistant
and drug-resistant pneumococci |
Age >65 yr |
-lactam therapy
within the last 3 months |
Alcoholism |
Immune-suppressive illness (including
therapy with corticosteroids) |
Multiple medical comorbidities |
Exposure to a child in a day care
center |
Enteric
gram-negatives |
Residence in a nursing home |
Underlying cardiopulmonary disease |
Multiple medcial comorbidities |
Recent antibiotic therapy |
Pseudomonas
aeruginosa |
Structural lung disease
(bronchiectasis) |
Corticosteroid therapy (>10 mg
prednisone per day) |
Broad-spectrum antiobiotic thearpy for
>7 days in the past month |
Malnutrition |