Letters

Prognostic assessment will be important in flu pandemic

BMJ 2006; 332 doi: https://doi.org/10.1136/bmj.332.7539.490-c (Published 23 February 2006) Cite this as: BMJ 2006;332:490
  1. Gavin D Barlow, consultant in infectious diseases and medicine (Gavin.Barlow@hey.nhs.uk)
  1. Department of Infection and Tropical Medicine, Hull and East Yorkshire Hospitals NHS Trust, Castle Hill Hospital, Cottingham, North Humberside HU16 5JQ

    EDITOR—As highlighted by Bonten and Prins, secondary pneumonia will cause considerable problems in a flu pandemic.1 Symptoms and signs, however, have low predictive value in diagnosing pneumonia.2 As patients with secondary pneumonia are likely to be sicker, prognostic assessment could support clinicians' judgment.

    One potential predictive tool is CURB65, which has been validated in communityacquired pneumonia and is recommended by the British Thoracic Society. …

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