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Excerpt
This represents the updated guidelines from the ATS for the management of CAP. Highlights are the following:
Diagnostic tests: Routine tests should include a chest roentgenogram and, for hospitalized patients, two blood cultures. Sputum culture and gram stain are not required. For severe CAP, Legionella urinary antigen should be done and there should be “aggressive efforts at establishing an etiologic diagnosis including the collection of bronchoscopic samples.”
Criteria for admission to the intensive care unit:
Alternative criteria (British Thoracic Society): two of the following four: RR >30/min, diastolic BP <60, BUN >19 mg/dL, confusion
IV therapy switch to oral treatment:
Discharge criteria (independent of co-morbidities):
Pathogen associations:
Treatment guidelines: Patients are divided into four groups, the first two for outpatients and the second two for hospitalized patients.
