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  • Title: Clinical policy: critical issues in the management of adult patients presenting to the emergency department with community-acquired pneumonia.
    Author: Nazarian DJ, Eddy OL, Lukens TW, Weingart SD, Decker WW.
    Journal: Ann Emerg Med; 2009 Nov; 54(5):704-31. PubMed ID: 19853781.
    Abstract:
    This clinical policy from the American College of Emergency Physicians focuses on critical issues concerning the management of adult patients presenting to the emergency department (ED)with community-acquired pneumonia. It is an update of the 2001 clinical policy for the management and risk stratification of adult patients presenting to the ED with community-acquired pneumonia. A subcommittee reviewed the current literature to derive evidence-based recommendations to help answer the following questions: (1) Are routine blood cultures indicated in patients admitted with community-acquired pneumonia? (2) In adult patients with community-acquired pneumonia without severe sepsis, is there a benefit in mortality or morbidity from the administration of antibiotics within aspecific time course? The evidence was graded and recommendations were given based on the strength of evidence.
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