CURB-65

Question 1

What is CURB-65?

Answer 1

Estimates mortality of community-acquired pneumonia to help determine inpatient vs. outpatient treatment.

Question 2

What does each part of CURB-65 stand for?

Answer 2

1. Confusion <=8/10 on AMT
2. Urea > 7
3. Resp rate >30
4. BP Systolic <90 OR Diastolic <60
5. Age > 65

Question 3

What does the score of CURB-65 tell you?

Answer 3

1. 0: low risk (less than 1% mortality risk)
   
   • Home treatment
   • Amoxicillin 500mg TDS
2. 1 or 2: intermediate risk (1-10% mortality risk)
   
   • Admission
   • Amoxicillin + Clarithromycin 500mg BD
3. 3 or 4: high risk (more than 10% mortality risk)
   
   • Admission
   • IV Co-amoxiclav