Are there any updates to clinical guidelines?

Updated: Jul 22, 2021
  • Author: Folusakin O Ayoade, MD; Chief Editor: Thomas E Herchline, MD  more...
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Updated guidelines recommend the following:

  • No indication in adding anaerobic coverage for suspected aspiration pneumonia beyond the standard regimens indicated above except lung abscess or empyema is suspected
  • No indication routinely using corticosteroids in adults with nonsevere CAP

  • No indication to use corticosteroids routinely in adults with severe CAP

  • No indication for routinely using corticosteroids in adults with severe influenza pneumonia
  •  Surviving Sepsis Campaign recommendations  are indicated for the use of corticosteroids in patients with CAP and refractory septic shock 

  • Standard antibacterial treatment be initially prescribed for adults with clinical and radiographic evidence of CAP who test positive for influenza in the inpatient and outpatient settings (strong recommendation, low quality of evidence)

  • Duration of antibiotic therapy should be guided by a validated measure of clinical stability (resolution of vital sign abnormalities [heart rate, respiratory rate, blood pressure, oxygen saturation, and temperature], ability to eat, and normal mentation), and antibiotic therapy should be continued until the patient achieves stability and for no less than a total of 5 days

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