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Infectious Diseases Society of America/American Thoracic Society Consensus Guidelines on the Management of Community-Acquired Pneumonia in Adults

Lionel A. MandellMcMaster University Medical School, Hamilton, Ontario, Canada. [email protected]Richard G. WunderinkNorthwestern University Feinberg School of Medicine, Chicago, Illinois;Antonio AnzuetoSouth Texas Veterans Health Care System, San Antonio, andJohn G. BartlettJohns Hopkins University School of Medicine, Baltimore, Maryland;G. Douglas CampbellDivision of Pulmonary, Critical Care, and Sleep Medicine, University of Mississippi School of Medicine, Jackson;Nathan C. DeanDivision of Pulmonary and Critical Care Medicine, LDS Hospital, andScott F. DowellCenters for Disease Control and Prevention, Atlanta, Georgia;Thomas M. FileNortheastern Ohio Universities College of Medicine, Rootstown, andDaniel M. MusherBaylor College of Medicine, Houston, Texas;Michael S. NiedermanDepartment of Medicine, Winthrop University Hospital, Mineola, New York; andAntoní TorresCap de Servei de Pneumologia i Alle `rgia Respirato `ria, Institut Cl nic del To `rax, Hospital Cl nic de Barcelona, Facultat de Medicina, Universitat de Barcelona, Institut d'Investigacions Biome `diques August Pi i Sunyer, CIBER CB06/06/0028, Barcelona, SpainCynthia G. WhitneyCenters for Disease Control and Prevention, Atlanta, Georgia;
2007en
ABI

Abstract

priate starting point for consultation by specialists. Substantial overlap exists among the patients whom these guidelines address and those discussed in the recently published guidelines for health care-associated pneumonia (HCAP). Pneumonia in nonambulatory residents of nursing homes and other long-term care facilities epidemiologically mirrors hospital-acquired pneumonia and should be treated according to the HCAP guidelines. However, certain other patients whose conditions are included in the designation of HCAP are better served by management in accordance with CAP guidelines with concern for specific pathogens.

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