Drug Resistance in Pneumonia (DRIP) Score

Antibiotic use within 60 days?

Long-term care resident (not assisted living or group home)?

Tube Feeding (nasogastric, nasojejunal or percutaneous gastrostomy)?

Prior drug-resistant pneumonia within 1 year?

Prior hospitalization within 60 days?

Chronic pulmonary disease?

Poor functional status (Karnofsky Performance Status less than 70 or non-ambulatory status)?

H2 blocker or PPI within 14 days?

Active wound care at time of admission?

MRSA colonization within 1 year?

References

Natsuki Nakagawa. Risk factors for drug-resistant pathogens in community-acquired pneumonia: systematic review and meta-analysis.. European respiratory review : an official journal of the European Respiratory Society, 2025
S. Gohil. Stewardship Prompts to Improve Antibiotic Selection for Pneumonia: The INSPIRE Randomized Clinical Trial.. JAMA, 2024
Michael B Rothberg. Derivation and validation of a risk assessment model for drug-resistant pathogens in hospitalized patients with community-acquired pneumonia.. Infection control and hospital epidemiology, 2023
Jennifer L Reinhard. 1482. Local validation of the drug resistance in pneumonia clinical prediction score at a large academic medical center and a community hospital. Open Forum Infectious Diseases, 2020
Meredith B Oliver. Validation of a Community-Acquired Pneumonia Score To Improve Empiric Antibiotic Selection at an Academic Medical Center. Antimicrobial Agents and Chemotherapy, 2020
Joshua P Metlay. Diagnosis and Treatment of Adults with Community-acquired Pneumonia. An Official Clinical Practice Guideline of the American Thoracic Society and Infectious Diseases Society of America.. American journal of respiratory and critical care medicine, 2019
Avnish Sandhu. 1185. Impact of Utilizing Drug Resistance in Pneumonia (DRIP) Score on Management of Pneumonia. Open Forum Infectious Diseases, 2019
A. Farkas. Outcomes associated with the use of a revised risk assessment strategy to predict antibiotic resistance in community-onset pneumonia: a stewardship perspective. Journal of Antimicrobial Chemotherapy, 2018
Danielle Babbel. Potential Impact of the DRIP Score on Antibiotic Use: a Retrospective Single-Center Study. Open Forum Infectious Diseases, 2017
B. Webb. Derivation and Multicenter Validation of the Drug Resistance in Pneumonia Clinical Prediction Score. Antimicrobial Agents and Chemotherapy, 2016
B. Webb. Outcomes after implementation of a revised electronic clinical decision support tool for community-onset pneumonia. European Respiratory Journal, 2016