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SwissLEGIO Score for Legionella Pneumonia

The SwissLEGIO score simplifies and revises the Fiumefreddo Legionella score using 5 predictors (dry cough, fever >38.0°C, Na <133mmol/L, CRP >180mg/L, prior β-lactam therapy). A score <2 achieves an NPV of 98.9%

Check present clinical predictors to calculate the SwissLEGIO score.

SwissLEGIO Score Predictors (5 Items)

Evaluate 5 clinical and laboratory predictors

No or Dry Cough (Absence of sputum)

Non-productive cough or total absence of cough

Fever (> 38.0 °C)

Measured body temperature > 38.0 °C

Hyponatremia (Sodium < 133 mmol/L)

Serum sodium level < 133 mmol/L

Significantly Elevated CRP (> 180 mg/L)

Serum C-reactive protein > 180 mg/L

Prior β-lactam Therapy

Recent treatment with penicillins or cephalosporins prior to presentation