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Management
Pop Quiz: Pneumonia Management
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<section><h2><p>Does the "<a href="https://www.atsjournals.org/doi/full/10.1164/rccm.201908-1581ST" target="_blank" style="background-color: rgb(255, 255, 255);">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</a>" recommend routinely obtaining sputum Gram stain and culture from adults with community-acquired pneumonia who are managed in the outpatient setting? </p></h2></section><section><h2><p>Does the "<a href="https://www.atsjournals.org/doi/full/10.1164/rccm.201908-1581ST" target="_blank">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</a>" recommend routinely obtaining sputum Gram stain and culture from adults with community-acquired pneumonia (CAP) who are managed in the outpatient setting? </p></h2></section><section><h2><p>Better luck next time</p></h2><p><p>However, the guideline authors write: "We recommend obtaining pretreatment Gram stain and culture of respiratory secretions in adults with CAP managed in the hospital setting who:</p><p><br></p><p>1. are classified as severe CAP, especially if they are intubated (strong recommendation, very low quality of evidence); or</p><p>2.</p><ul><li>are being empirically treated for MRSA or <em>P. aeruginosa</em> (strong recommendation, very low quality of evidence); or</li><li>were previously infected with MRSA or <em>P. aeruginosa</em>, especially those with prior respiratory tract infection (conditional recommendation, very low quality of evidence); or</li><li>were hospitalized and received parenteral antibiotics, whether during the hospitalization event or not, in the last 90 days (conditional recommendation, very low quality of evidence)."</li></ul><p><br></p><p><br></p><p>For more content, visit the <a href="www.consultant360.com/infectious-diseases" target="_blank">Specialty Site</a>.</p></p></section><section><h3><p>Nice job!</p></h3><p><p>However, the guideline authors write: "We recommend obtaining pretreatment Gram stain and culture of respiratory secretions in adults with CAP managed in the hospital setting who:</p><p><br></p><p>1. are classified as severe CAP, especially if they are intubated (strong recommendation, very low quality of evidence); or</p><p>2.</p><ul><li>are being empirically treated for MRSA or <em>P. aeruginosa</em> (strong recommendation, very low quality of evidence); or</li><li>were previously infected with MRSA or <em>P. aeruginosa</em>, especially those with prior respiratory tract infection (conditional recommendation, very low quality of evidence); or</li><li>were hospitalized and received parenteral antibiotics, whether during the hospitalization event or not, in the last 90 days (conditional recommendation, very low quality of evidence)."</li></ul><p><br></p><p><br></p><p>For more content, visit the <a href="https://www.riddle.com/creator/app/www.consultant360.com/infectious-diseases" target="_blank">Specialty Site</a>.</p></p></section>
