In this large retrospective database analysis of non-ICU patients admitted with CAP (community acquired pneumonia), patients who received initial treatment concordant with recommended guidelines (from the American Thoracic Society and Infectious Disease Society of American) (ATS/IDSA guideline) had lower in-hospital mortality than those who received discordant initial treatment (adjusted OR 0.7, CI 0.63 to 0.77). Guideline concordant therapy was also associated with shorter length of stay and duration of IV antibiotics (abstract). A second database analysis of elderly patients admitted with CAP also found guideline concordant therapy associated with shorter time to clinical stability, shorter length of stay, and lower in-hospital mortality abstract). Guideline concordant therapy for patients with CAP is associated with better health outcomes and less resource utilization.
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