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Treatment of Community-Acquired Pneumonia

  • Chapter
Community-Acquired Pneumonia

Conclusions

Selection of the appropriate treatment path for the patient with CAP is a complex issue. Important factors that can guide the decision-making process are beginning to be understood. Nevertheless, in vitro evidence of the ability of an antibiotic to kill a bacterium is still the main determinant of antibiotic choice. More research is necessary, especially in the area of clinical comparisons of antibiotic efficacy.

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References

  • Albaum, M. N., Hill, L. C., Murphy, M., Li, Y.-H., Fuhrman, C. R., Britton, C. A., Kapoor, W. N., Fine, M. J., & PORT Investigators. (1996). Interobserver reliability of the chest radiograph in community-acquired pneumonia. Chest, 110, 343–350.

    PubMed  CAS  Google Scholar 

  • American Thoracic Society. (1993). Guidelines for the initial management of adults with community-acquired pneumonia: diagnosis, assessment of severity, and initial antimicrobial therapy. Am. Rev. Respir. Dis., 148, 1418–1426.

    Google Scholar 

  • Ausina, V., Coll, P., Sambeat, M., Puig, I., Condom, M.J., Luquin, M., Ballester, F., & Prats, G. (1988). Prospective study on the etiology of community-acquired pneumonia in children and adults in Spain. Eur. J. Clin. Microbiol. Infect. Dis., 7, 343–347.

    Article  Google Scholar 

  • Baldwin, D. R., Honeybourne, D., & Wise, R. (1992a). Pulmonary disposition of antimicrobial agents: methodological considerations. Antimicrob. Agents Chemother., 36, 1171–1175.

    PubMed  CAS  Google Scholar 

  • Baldwin, D. R., Honeybourne, D., & Wise, R. (1992b). Pulmonary disposition of antimicrobial agents: in vivo observations and clinical relevance. Antimicrob. Agents Chemother., 36, 1176–1180.

    PubMed  CAS  Google Scholar 

  • Bartlett, J. G., Breiman, R. F., Mandell, L. A., & File, T. M. (1998). Community-acquired pneumonia in adults: guidelines for management, Clin. Infect. Dis., 26, 811–838.

    Article  PubMed  CAS  Google Scholar 

  • Berntsson, E., Blomberg, J., Lagergard, T., & Trollfors, B. (1985). Etiology of community-acquired pneumonia in patients requiring hospitalization. Eur. J. Clin. Microbiol., 4, 268–272.

    Article  PubMed  CAS  Google Scholar 

  • British Thoracic Society. (1987). Community-acquired pneumonia in adults in British hospitals in 1982–1983: a survey of aetiology, mortality, prognostic factors and outcome. Quart. J. Med., 62, 195–220.

    Google Scholar 

  • British Thoracic Society. (1993). Guidelines for the management of community-acquired pneumonia in adults admitted to hospital. Br. J. Hosp. Med., 49, 46–350.

    Google Scholar 

  • British Thoracic Society Research Committee and the Public Health Laboratory Service. (1992). The aetiology, management and outcome of severe community-acquired pneumonia on the intensive care unit. Respir. Med., 86, 7–13.

    Google Scholar 

  • Bushyhead, J. B., Wood, R. W., Tompkins, R. K., Wolcott, B. W., & Diehr, P. (1983). The effect of chest radiographs on the management and clinical course of patients with acute cough. Medical Care, 21, 661–673.

    PubMed  CAS  Google Scholar 

  • Chan, R., Hemeryck, L., O’Regan, M., Clancy, L., & Feely, J. (1995). Oral versus intravenous antibiotics for community acquired lower respiratory tract infection in a general hospital: open, randomised controlled trial. Br. Med. J., 310, 1360–1362.

    CAS  Google Scholar 

  • Coley, C. M., Li, Y.-H., Medsger, A. R., Marrie, T. J., Fine, M. J., Kapoor, W. N., Lave, J. R., Detsky, A. S., Weinstein, M. C., & Singer, D. E. (1996). Preferences for home vs hospital care among low-risk patients with community-acquired pneumonia. Arch. Intern. Med., 156, 1565–1571.

    Article  PubMed  CAS  Google Scholar 

  • Diehr, P., Wood, R. W., Bushyhead, J. B., Krueger, L., Wolcott, B. W., & Tompkins, R. K. (1984). Prediction of pneumonia in outpatients with acute cough—a statistical approach. J. Chron. Dis., 37, 215–225.

    Article  PubMed  CAS  Google Scholar 

  • Dorca, J., Bello, S., Blanquer, J., de Celis, R., Molinos, L., Torres, A., Verano, A., & Zalacain, R. (1997). Diagnostico y tratamiento de la neumonia adquirida en la comunidad. Arch. Bronconeumol., 33, 240–246.

    PubMed  CAS  Google Scholar 

  • Drusano, G. L., & Craig, W. A. (1997). Relevance of pharmaco-kinetics and pharmacodynamics in the selection of antibiotics for respiratory tract infections, J. Chemother., 9, 38–44.

    PubMed  CAS  Google Scholar 

  • Durocher, A., Saulnier, F., Beuscart, R., Dievart, F., Bart, F., Deturck, R., & Wattel, F. (1988). A comparison of three severity score indexes in an evaluation of serious bacterial pneumonia. Intensive Care Med., 14, 39–43.

    PubMed  CAS  Google Scholar 

  • European Study on Community-Acquired Pneumonia Committee. (1998). Guidelines for management of adult community-acquired lower respiratory tract infections. Eur. Respir. J., 11, 986–991.

    Google Scholar 

  • Everett, M. T. (1983). Major chest infection managed at home. Practitioner, 227, 1743–1754.

    PubMed  CAS  Google Scholar 

  • Ewig, S., Ruiz, M., Mensa, J., Marcos, M. A., Martinez, J. A., Arancibia, F., Niederman, M. S., & Torres, A. (1998). Severe community acquired pneumonia. Assessment of severily criteria. Am, J. Respir. Crit. Care Med., 158, 1102–1108.

    CAS  Google Scholar 

  • Fang, G.-D., Fine, M., Orloff, J., Arisumi, D., Yu, V. L., Kapoor, W., Grayston, J. T., Wang, S. P., Kohler, R., Muder, R. R., Yee, Y. C., Rihs, J. D., & Vickers, R. M. (1990). New and emerging etiologies for community-acquired pneumonia with implications for therapy. Medicine, 69, 307–316.

    PubMed  CAS  Google Scholar 

  • Farr, B. M., Sloman, A. J., & Fisch, M. J. (1991). Predicting death in patients hospitalized for community-acquired pneumonia. Ann. Intern. Med., 115, 428–436.

    PubMed  CAS  Google Scholar 

  • Feldman, C., Kallenbach, J. M., Levy, H., Reinach, S. G., Hurwitz, M. D., Thorburn, J. R., & Koornhof, H. J. (1989). Community-acquired pneumonia of diverse aetiology: prognostic features in patients admitted to an intensive care unit and a “severity of illness” score. Intensive Care Med., 15, 302–307.

    Article  PubMed  CAS  Google Scholar 

  • Feldman, C., Ross, S., Goolam Mahomed, A., Omar, J., & Smith, C. (1995). The aetiology of severe community-acquired pneumonia and its impact on initial, empiric, antimicrobial chemotherapy. Respir. Med., 89, 187–192.

    PubMed  CAS  Google Scholar 

  • Fine, M. J., Smith, D. N., & Singer, D. E. (1990). Hospitalization decision in patients with community-acquired pneumonia: a prospective cohort study. Am. J. Med., 89, 713–721.

    PubMed  CAS  Google Scholar 

  • Fine, M. J., Hanusa, B. H., Lave, J. R., Singer, D. E., Stone, R. A., Weissfeld, L. A., Coley, C. M., Marrie, T. J., & Kapoor, W. N. (1995). Comparison of a disease-specific and a generic severity of illness measure Cor patients with community-acquired pneumonia. J. Gen. Intern. Med., 10, 359–368.

    PubMed  CAS  Google Scholar 

  • Fine, M. J., Smith, M. A., Carson, C. A., Mutha, S. S., Sankey, S. S., Weissfeld, L. A., & Kapoor, W. N. (1996). Prognosis and outcomes of patients with community-acquired pneumonia. A meta-analysis. JAMA, 274, 134–141.

    Google Scholar 

  • Fine, M. J., Auble, T. E., Yealy, D. M., Hanusa, B. H., Weissfeld, L. A., Singer, D. E., Coley, C. M., Marrie, T. J., & Kapoor, W. N. (1997). A prediction rule to identify low-risk patients with community-acquired pneumonia. N. Engl. J. Med., 336, 243–250.

    Article  PubMed  CAS  Google Scholar 

  • Fine, M. J., Hough, L. J., Medsger, A. R., Li, Y.-H., Ricci, E. M., Singer, D. E., Marrie, T. J., Coley, C. M., Walsh, M. B., Karpf, M., Lahive, K. C., & Kapoor, W. N. (1997). The hospital admission decision for patients with community-acquired pneumonia. Arch. Int. Med., 157, 36–44.

    CAS  Google Scholar 

  • Fredlund, H., Bodin, L., Back, E., Holmberg, H., Krook, A., & Rydman, H. (1987). Antibiotic therapy in pneumonia: a comparative study of parenteral and oral administration of penicillin. Scand. J. Infect. Dis., 19, 459–466.

    PubMed  CAS  Google Scholar 

  • Gialdroni Grassi, G. & Bianchi, L. (1995). Guidelines for the management of community-acquired pneumonia in adults. Monaldi Arch. Chest Dis., 50. 21–27.

    PubMed  CAS  Google Scholar 

  • Gilbert, K., Gleason, P. P., Singer, D. E., Marrie, T. J., Coley, C. M., Obrosky, D. S., Lave, J. R., Kapoor, W. N., & Fine, M. J. (1998). Variations in antimicrobial use and cost in more than 2000 patients with community-acquired pneumonia. Am. J. Med., 104, 17–27.

    Article  PubMed  CAS  Google Scholar 

  • Gleason, P. P., Kapoor, W. N.. Stone, R. A., Lave, J. R., Obrosky, D. S., Schulz, R., Singer, D. E., Coley, C. M., Marrie, T. J., & Fine, M. J. (1997). Medical outcomes and antimicrobial costs with the use of the American Thoracic Society Guidelines for outpatients with community-acquired pneumonia. JAMA, 278, 32–39.

    Article  PubMed  CAS  Google Scholar 

  • Goldstein, F. W., & Acar. J. F. (1996). Antimicrobial resistance among lower respiratory tract isolates of Streptococcus pneumoniae: results of a 1992–93 western Europe and U.S.A. collaborative surveillance study. The Alexander Project Collaborative Group. J. Antimicrob. Chemother, 38 (Suppl. A), 71–84.

    PubMed  CAS  Google Scholar 

  • Gomez, J., Banos, V., Ruiz Gomez, J., Soto, M. C., Munoz, L., Nunez, M. L. C. M., & Valdes, M. (1996). Prospective study of epidemiology and prognostic factors in community-acquired pneumonia. Eur. J. Clin. Microbiol. Infect. Dis., 15, 556–560.

    PubMed  CAS  Google Scholar 

  • Grasela, T. H., Welage, L. S., Walawander, C. A., Timm, E. G., Pelter, M. A., Poirier, T. I., & Walters, J. K. (1990). A nationwide survey of antibiotic prescribing patterns and clinical outcomes in patients with bacterial pneumonia. Pharmacoepidemiology, 24, 1220–1225.

    Google Scholar 

  • Hand, W. L., & King-Thompson, N. L. (1986). Contrasts between antibiotic uptake and subsequent intracellular bactericidal activity. Antimicrob. Agents Chemother., 29, 135–140.

    PubMed  CAS  Google Scholar 

  • Heckerling, P. S. (1986). The need for chest roentgenograms in adults with acute respiratory illness. Clinical predictors. Arch. Intern. Med., 146, 1321–1324.

    Article  PubMed  CAS  Google Scholar 

  • Heffron, R. (1939). Pneumonia, with special reference to pneumococcus lobar pneumonia. Cambridge, MA: Harvard University Press.

    Google Scholar 

  • Hirani, N. A., & Macfarlane, J. T. (1997). Impact of management guidelines on the outcome of severe community acquired pneumonia. Thorax, 52, 17–21.

    Article  PubMed  CAS  Google Scholar 

  • Houston, M. S., Silverstein, M. D., & Suman, V. J. (1995). Community-acquired lower respiratory tract infection in the elderly: a community-based study of incidence and outcome. J. Am. Board Fam. Pract., 8, 347–356.

    PubMed  CAS  Google Scholar 

  • Huchon, G. J., Gialdroni Grassi, G., Leophonte, P., Manresa, F., Schaberg, T., & Woodhead, M. (1996). Initial antibiotic-therapy for lower respiratory tract infection in the community: a European survey. Eur. Respir. J., 9, 1590–1595.

    Article  PubMed  CAS  Google Scholar 

  • Kurashi, N. Y., al-Hamdan, A., Ibrahim, E. M., al-Idrissi, H. Y., & al-Bayari, T. H. (1992). Community acquired acute bacterial and atypical pneumonia in Saudi Arabia. Thorax, 47, 115–118.

    PubMed  CAS  Google Scholar 

  • Laing, R. B. S., Mackenzie, A. R., Shaw, H., Gould, I. M., & Douglas, J. G. (1998). The effect of intravenous-to-oral switch guidelines on the use of parenteral antimicrobials in medical wards. J. Antimicrob. Chemother., 42, 107–111.

    Article  PubMed  CAS  Google Scholar 

  • Leroy, O., Santre, C., Beuscart, C., Georges, H., Guery, B., Jacquier, J. M., & Beaucaire, G. (1995). A five year study of severe community-acquired pneumonia with emphasis on prognosis in patients admitted to an intensive care unit. Intensive Cure Med., 21, 24–31.

    CAS  Google Scholar 

  • Macfarlane, J. T., Finch, R. G., Ward, M. J., & Macrae, A. D. (1982). Hospital study of adult community-acquired pneumonia. Lancet, 2, 255–258.

    PubMed  CAS  Google Scholar 

  • Mandell, L. A., Niederman, M., & the Canadian Community Acquired Pneumonia Consensus Conference Group. (1993). Antimicrobial treatment of community-acquired pneumonia in adults: a conference report. Can. J. Infect. Dis., 4.25–28.

    Google Scholar 

  • Marrie, T. J., Haldane, E. V., Faulkner, R. S., Durant, H., & Kwan, C. (1985). Community-acquired pneumonia requiring hospitalization. Is it different in the elderly? J. Am. Geriatr. Soc., 33, 671–680.

    PubMed  CAS  Google Scholar 

  • Meehan, T. P., Fine, M. J., Krumholz, H. M., Scinto, J. D., Galusha, D. H., Mockalis, J. T., Weber, G. F., Petrillo, M. K., Houck, P. M., & Fine, J. M. (1997). Quality of care, process, and outcomes in elderly patients with pneumonia. JAMA, 278, 2080–2084.

    Article  PubMed  CAS  Google Scholar 

  • Melbye, H., & Dale, K. (1992). Interobserver variability in the radiographic diagnosis of adult outpatient pneumonia. Acta Radiologica, 33, 79–81.

    Article  PubMed  CAS  Google Scholar 

  • Melbye, H., Berdal, B. P., Straume, B., Russell, H., Vorland, L., & Thacker, W. L. (1992a). Pneumonia-a clinical or radiographic diagnosis? Scand. J. Infect. Dis., 24, 647–655.

    Article  PubMed  CAS  Google Scholar 

  • Melbye, H., Straume, B., Aasebo, U., & Dale, K. (1992b). Diagnosis of pneumonia in adults in general practice. Scand. J. Prim. Health Care, 10, 226–233.

    PubMed  CAS  Google Scholar 

  • Metlay, J. P., Schulz, R., Li, Y.-H., Singer, D. E., Marrie, T. J., Coley, C. M., Hough, L. J., Obrosky, D. S., Kapoor, W. N., & Fine, M. J. (1997a). Influence of age on symptoms at presentation in patients with community-acquired pneumonia. Arch. Int. Med., 157, 1453–1459.

    Article  CAS  Google Scholar 

  • Metlay, J. P., Kapoor, W. N., & Fine, M. J. (1997b). Does this patient have community-acquired pneumonia? Diagnosing pneumonia by history and physical examination. JAMA, 278, 1440–1445.

    Article  PubMed  CAS  Google Scholar 

  • Moine, P., Vercken, J.-P., Chevret, S., Chastang, C., Gajdos, P., & French Study Group for Community-Acquired Pneumonia in the Intensive Care Unit. (1994). Severe community-acquired pneumonia. Etiology, epidemiology and prognosis factors. Chest, 105, 1487–1495.

    PubMed  CAS  Google Scholar 

  • Mundy, L. M., Auwaerter, P. G., Oldach, D., Warner, M. L., Burton, A., Vance, E., Gaydos, C. A., Joseph, J. M., Gopalan, R., Moore, R. D., Quinn, T. C., Charache, P., & Bartlett, J. G. (1995). Community-acquired pneumonia: impact of immune status. Am. J. Respir. Crit. Care Med., 152, 1309–1315.

    PubMed  CAS  Google Scholar 

  • Mundy, L. M., Oldach, D., Auwaerter, P. G., Gaydos, C. A., Moore, R. D., Bartlett, J. G., Quinn, T. C., & Hopkins CAP Team. (1998). Implications for macrolide treatment in community-acquired pneumonia. Chest. 113, 1201–1206.

    PubMed  CAS  Google Scholar 

  • Neill, A. M., Martin, I. R., Weir, R., Anderson, R., Chereshsky, A., Epton, M. J., Jackson, R., Schousboe, M., Frampton, C., Hutton, S., Chambers, S. T., & Town, G. I. (1996). Community-acquired pneumonia: aetiology and usefulness of severity criteria on admission. Thorax, 51, 1010–1016.

    PubMed  CAS  Google Scholar 

  • Olaechea, P. M., Quintana, J. M., Gallardo, M. S., Insausti, J., Maravi, E., & Alvarez, B. (1996). A predictive model for the treatment approach to community-acquired pneumonia in patients needing ICU admission. Int. Care Med., 22, 1294–1300.

    CAS  Google Scholar 

  • Omidvari, K., de Boisblanc, B. P., Karam, G., Nelson, S., Haponik, E., & Summer, W. (1998). Early transition to oral antibiotic therapy for community-acquired pneumonia: duration of therapy, clinical outcomes, and cost analysis. Respir. Med., 92, 1032–1039.

    PubMed  CAS  Google Scholar 

  • Örtqvist, A. (1995). Antibiotic treatment of community-acquired pneumonia in clinical practice: a European perspective. J. Antimicrob. Chemother, 35, 205–212.

    PubMed  Google Scholar 

  • Örtqvist, A., Sterner, G., & Nilsson, J. A. (1985). Severe community-acquired pneumonia, factors influencing need of intensive care treatment and prognosis. Scand. J. Infect. Dis., 17, 377–386.

    PubMed  Google Scholar 

  • Örtqvist, A., Hedlund, J., Grillner, L., Jalonen, E., Kallings, I., Leinonen, M., & Kalin, M. (1990). Aetiology, outcome and prognostic factors in community-acquired pneumonia requiring hospitalization. Eur. Respir. J., 3, 1105–1113.

    PubMed  Google Scholar 

  • Pachon, J., Prados, M. D., Capote, F., Cuello, J. A., Garnacho, J., & Verano, A. (1990). Severe community-acquired pneumonia. Etiology, prognosis and treatment. Am. Rev. Respir. Dis., 142, 369–373.

    PubMed  CAS  Google Scholar 

  • Porath, A., Schlaeffer, F., & Lieberman, D. (1996). Appropriateness of hospitalization of patients with community-acquired pneumonia. Ann. Intern. Med., 27, 176–183.

    CAS  Google Scholar 

  • Ramirez, J. A., Srinath, L., Ahkee, S., Huang, A., & Raff, M. J. (1995). Early switch from intravenous to oral cephalosporins in the treatment of hospitalized patients with community-acquired pneumonia. Arch. Intern. Med., 155, 1273–1276.

    Article  PubMed  CAS  Google Scholar 

  • Rello, J., Quintana, E., Ausina, V., Net, A., & Prats, G. (1993). A three year study of severe community-acquired pneumonia with emphasis on outcome. Chest, 103, 232–235.

    PubMed  CAS  Google Scholar 

  • Rosenthal, G. E., Harper, D. L., Shah, A., & Covinsky, K. E. (1997). A regional evaluation of variation in low-severity hospital admissions. J. Gen. Intern. Med., 12, 416–422.

    Article  PubMed  CAS  Google Scholar 

  • Schoenwald, S., Skerk, V., Petricevic, I., Car, V., Majerus-Misic, L., & Gunjaca, M. (1991). Comparison of three-day and five-day courses of azithromycin in the treatment of atypical pneumonia. Eur. J. Clin. Microbiol. Infect. Dis., 10, 877–880.

    Google Scholar 

  • Siegel, R. E., Halpern, N. A., Almenoff, P. L., Lee, A., Cashin, R., & Greene, J. G. (1996). A prospective randomized study of inpatient IV antibiotics for community-acquired pneumonia. The optimal duration of therapy. Chest, 110, 965–971.

    PubMed  CAS  Google Scholar 

  • Societe de Pathologie Infectieuse de Langue Francaise. (1991). Les infections des voies respiratoires. Med. Mal. Infect., 21, 1–8.

    Google Scholar 

  • Steinhoff, D., Lode, H., Ruckdeschel, G., Heidrich, B., Rolfs, A., Fehrenbach, F.J., Mauch, H., Hoffken, G., & Wagner, J. (1996). Chlamydia pneumoniae as a cause of community-acquired pneumonia in hospitalised patients in Berlin, Clin. Infect. Dis., 22, 958–964.

    PubMed  CAS  Google Scholar 

  • Tang, C. M., & Macfarlane, J. T. (1993). Early management of younger adults dying of community-acquired pneumonia. Respir. Med., 87, 289–294.

    PubMed  CAS  Google Scholar 

  • Torres, A., Serra-batlles, J., Ferrer, A., Jimenez, P., Celis, R., Cobo, E., & Rodriguez-Roisin, R. (1991). Severe community-acquired pneumonia. Epidemiology and prognostic factors. Am. Rev. Respir. Dis., 144, 312–318.

    PubMed  CAS  Google Scholar 

  • van Eeden, S. F., Coetzee, A. R., & Joubert, J. R. (1988). Community-acquired pneumonia-factors influencing intensive care admission. South Afr. Med. J., 73, 77–81.

    Google Scholar 

  • Venkatesan, P., Gladman, J., Macfarlane, J. T., Barer, D., Berman, P., Kinnear, W., & Finch, R. G. (1990). A hospital study of community-acquired pneumonia in the elderly. Thorax, 45, 254–258.

    Article  PubMed  CAS  Google Scholar 

  • Weingarten, S. R., Riedinger, M. S., Varis, G., Noah, M. S., Belman, M. J., Meyer, R. D., & Ellrodt, A. G. (1994). Identification of low-risk hospitalized patients with pneumonia. Implications for early conversion to oral antimicrobial therapy. Chest, 105, 1109–1115.

    PubMed  CAS  Google Scholar 

  • Weingarten, S. R., Riedinger, M. S., Hobson, P., Noah, M. S., Johnson, B., Giugliano, G., Norian, J., Belman, M. J., & Ellrodt, A. G. (1996). Evaluation of a pneumonia practice guideline in an intervention trial. Am. J. Respir. Cril. Care Med., 153, 1110–1115.

    CAS  Google Scholar 

  • Woodhead, M. A. (1988). Studies on pneumonia in the community and in hospital in Nottingham. Dissertation, University of Nottingham.

    Google Scholar 

  • Woodhead, M. A. (1992). Management of pneumonia. Respir. Med., 86, 459–469.

    PubMed  CAS  Google Scholar 

  • Woodhead, M. (1998). Management of pneumonia in the outpatient setting. Semin. Respir. Infect., 13, 8–16.

    PubMed  CAS  Google Scholar 

  • Woodhead, M. A., & Macfarlane, J. T. (1987). Comparative clinical and laboratory features of legionella with pneumococcal and mycoplasma pneumonias. Br. J. Dis. Chest, 81, 133–139.

    Article  PubMed  CAS  Google Scholar 

  • Woodhead, M., Macfarlane, J., Rodgers, F. G., Laverick, A., Pilkington, R., & Macrae A. D. (1985). Aetiology and outcome of severe community-acquired pneumonia. J. Infect., 10, 204–210.

    Article  PubMed  CAS  Google Scholar 

  • Woodhead, M. A.. Macfarlane, J. T., McCracken, J. S., Rose, D. H., & Finch, R. G. (1987). Prospective study of the aetiology and outcome of pneumonia in the community. Lancet, 1, 671–674.

    PubMed  CAS  Google Scholar 

  • Woodhead, M. A., Arrowsmith, J. E., Chamberlain-Webber, R., Wooding, S., & Williams, I. (1991). The value of routine microbial investigation in community-acquired pneumonia. Respir. Med., 85, 313–317.

    PubMed  CAS  Google Scholar 

  • Young, M., & Marrie, T. J. (1994). Interobserver variability in the interpretation of chest roentgenograms of patients with possible pneumonia. Arch. Intern. Med., 154, 2729–2732.

    PubMed  CAS  Google Scholar 

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  1. Department of Respiratory Medicine, Manchester Royal Infirmary, Oxford Road, Manchester, Ml3 9WL, UK

    Mark Woodhead

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  1. University of Alberta, Edmonton, Alberta, Canada

    Thomas J. Marrie

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Woodhead, M. (2002). Treatment of Community-Acquired Pneumonia. In: Marrie, T.J. (eds) Community-Acquired Pneumonia. Springer, Boston, MA. https://doi.org/10.1007/0-306-46834-4_10

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