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Pneumonia with Dr Wunderink:
Great pearl. Mortality for CAP stayed same for decades until recently. Do to either/both of following:
*pneumococcal vaccine for kids which decreased cases for kids AND their adult family members
*IDSA/ATS guidelines for CAP
#MHM20
Great pearl. Mortality for CAP stayed same for decades until recently. Do to either/both of following:
*pneumococcal vaccine for kids which decreased cases for kids AND their adult family members
*IDSA/ATS guidelines for CAP
#MHM20
Powerful slide: CAP has always been a disease of poverty-- higher incidence, worse outcomes. Even before #COVID19
#SDOH
#SDOH
Prognosis greatly impacted by comorbidities - esp DM, CVA, CHF, COPD.
CAP strongly associated with longer-term all-cause mortality as shown below:
Procalcitonin should not be used to withhold recommended antibiotics in CAP. In this study, no reliable way to rule out bacteria (esp atypicals) with procal of 0.25: https://pubmed.ncbi.nlm.nih.gov/28407054/
