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    Community-Acquired Pneumonia (beta)

    Official guideline from the American College of Emergency Physicians.

    Summary by Eric Steinberg, DO
    Strength
    Level A
    Level B
    Level C

    Recommendations

    Diagnosis
    1. Do not routinely obtain blood cultures in patients admitted with community-acquired pneumonia (CAP).
    2. Consider obtaining blood cultures in higher-risk patients admitted with community-acquired pneumonia (CAP) (eg, severe disease, immunocompromise, significant comorbidities, or other risk factors for infection with resistant organisms).
    Intervention
    1. There is insufficient evidence to establish a benefit in mortality or morbidity from antibiotics administered in less than 4, 6, or 8 hours from emergency department (ED) arrival.
    2. Administer antibiotics as soon as feasible once the diagnosis of community-acquired pneumonia (CAP) is established; there is insufficient evidence to establish a benefit in morbidity or mortality from antibiotics administered within any specific time course.
    What do the icons mean?  
    Research PaperNazarian DJ, Eddy OL, Lukens TW, et al. American College of Emergency Physicians. Clinical Policy: Critical Issues in the Management of Adult Patients Presenting to the Emergency Department With Community-Acquired Pneumonia. Ann Emerg Med. 2009;54(5):704-31.