Concerns are growing that pneumonia is being overdiagnosed. Here's how you can stem the trend.
The clinical distinction between community-acquired pneumonia and health care-associated pneumonia is crucial for correct management and antibiotic selection.
Treatment, documentation, and follow-up for CAP, HCAP, HCAP, and VAP.
IDSA and ATS release new guidelines for treating hospital-acquired and ventilator-associated pneumonia | ACP Hospitalist Weekly | ACP Hospitalist
The new recommendations remove the concept of health care-associated pneumonia from these HAP/VAP guidelines and recommend that individual hospitals generate antibiograms to help clinicians choose the optimal antibiotics.
The rules that govern code assignment for pneumonia bear little relationship to long-accepted clinical documentation practices.
The following cases and commentary, which address pneumonia, are excerpted from ACP's Medical Knowledge Self-Assessment Program (MKSAP14).
New algorithm may help guide empiric therapy for patients with any type of pneumonia | ACP Hospitalist Weekly | ACP Hospitalist
The algorithm classified patients into four groups based on severity of illness (i.e., need for mechanical ventilation or ICU admission) and the presence of other risk factors for multidrug-resistant pathogens.
Based on their findings, the authors supported an adjuvant role for lung ultrasound along with chest X-ray because the latter provides additional information on the airway, soft tissues, and bone structure.
For moderately ill pneumonia patients, mortality was lower in the ICU than on the ward | ACP Hospitalist Weekly | ACP Hospitalist
Researchers found that 36% of pneumonia patients living near hospitals with high ICU utilization rates were sent to the ICU, compared with 23% of patients living farther away.
High rates of ICU admission for pneumonia associated with lower-quality care in elderly | ACP Hospitalist Weekly | ACP Hospitalist
High rates of ICU admission among elderly patients with pneumonia were associated with lower quality of care, a new study showed.