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Eric Schultz Profile picture
Eric Schultz
@ericschul
Academic Hospitalist in NYC. Health policy, med ed, clinical reasoning, and QI.
Oct 2, 2019 • 13 tweets • 2 min read
Key recommendations from the new IDSA guidelines for community-acquired pneumonia (thread) atsjournals.org/doi/full/10.11…

1) gram stain/sputum culture at time of CAP diagnosis not routinely recommended unless severe CAP, intubated, or suspicion for MRSA/pseudomonas, or IV abx prev 2) rec against routine blood cx except in severe CAP or suspicion for MRSA/pseudomonad

3) rec against routine urine strep/legionella testing except in severe CAP, or if epidemiology heightens legionella suspicion (outbreak, travel)

4) rec flu testing w/ CAP when flu prevalent