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RT @Yohei_Kanzawa: 必読ですね。ATSとIDSAの#市中肺炎 ガイドライン。 Question10は誤嚥性肺炎の嫌気性菌カバーについて。#誤嚥性肺炎 の入院加療に（膿胸・肺膿瘍なければ）嫌気性カバーはルーチンには推奨しない(conditional recom…
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1899 X posts from 1493 X users, with an upper bound of 4,019,620 followers.
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533 followers
Diagnosis and Treatment of Adults with Community-acquired Pneumonia. An Official Clinical Practice Guideline of the American Thoracic Society and Infectious Diseases Society of America https://t.co/Wo75nzYI4g
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RT @PharmWyze: Doxycycline, azithromycin, and high dose amoxicillin are considered first-line therapy for low risk CAP. #pharmwyze #foamed…
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RT @PharmWyze: Doxycycline, azithromycin, and high dose amoxicillin are considered first-line therapy for low risk CAP. #pharmwyze #foamed…
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RT @PharmWyze: Doxycycline, azithromycin, and high dose amoxicillin are considered first-line therapy for low risk CAP. #pharmwyze #foamed…
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RT @PharmWyze: Doxycycline, azithromycin, and high dose amoxicillin are considered first-line therapy for low risk CAP. #pharmwyze #foamed…
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Doxycycline, azithromycin, and high dose amoxicillin are considered first-line therapy for low risk CAP. #pharmwyze #foamed #emrx https://t.co/zRwrrZoNCg
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@Marijojoto_ Gracias. El detalle es qué desconocemos el perfil de resistencia de el Streptococcus pneumoniae a la Azitromicina, por tanto en un contexto como Venezuela es cuestionable esa indicación considerando el uso indiscriminado de la Azitromicina. h
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So... - Diagnosis of Aspiration is not an easy one to make. https://t.co/keGoCQNKxT - Aspiration 🏷️ DOES NOT EQUAL Anaerobic 🦠 - @IDSAInfo @atscommunity guidelines seem well justified https://t.co/wIHYPioG4R - hold on to that Flagyl... - Let the bacte
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Aspiration #Pneumonia is common. Historically thought to be due to anaerobic 🦠. Guidelines by @IDSAInfo @atscommunity against routine addition of anaerobic antibiotics. @ATS_PITB Are the guidelines correct? conventional 🧫 may miss anaerobes https://t.
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Question about preforming blood cultures in patients with infections and without sepsis. Limited data in mild CAP. Higher percent positive in severe CAP. Not recommended to get in mild CAP by this speaker consistent with IDSA CAP guidelines. https://t.co/
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@OrlandoRPN @medicosergio D. Referencia: https://t.co/4EQG3CcoEb E. @medicosergio
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RT @DoctorBhavsar: @nihar_nayak2 @anujtiwari11 According to ATS/IDSA guidelines https://t.co/ZvBpFpCJJz https://t.co/8cVDcGxhV6
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@nihar_nayak2 @anujtiwari11 According to ATS/IDSA guidelines https://t.co/ZvBpFpCJJz https://t.co/8cVDcGxhV6
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@robinmonotti @AGHuff https://t.co/vqQ18pyIA8 Empiric antibiotic therapy for suspected community-acquired pneumonia was the standard of care prior to COVID.
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Community acquired pneumonia:📢Health care associated pneumonia (HCAP) no longer exists! MRSA or P. aeruginosa empirical coverage If: 1-Prior infection (MRSA or P. aeruginosa) 2- 🏨+IV antibiotics last 90 days 3-Know your local antibiogram! @ATSBlueEditor h
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https://t.co/5McpWS6Zyz Question 10
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@Ban_Hannah 1) learn the pneumonia guideline’s backwards and forwards. When to draw cultures, when to get what imaging, rational for different antibiotics (to vanc or not to vanc) https://t.co/gqBEKLnkjX this paper is 10/10
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Diagnosis and Treatment of Adults with Community-acquired Pneumonia. An Official Clinical Practice Guideline of the American Thoracic Society and Infectious Diseases Society of America | American Journal of Respiratory and Critical Care Medicine https://t.
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RT @drtimothyli: @MalcolmMiller6 @MicrobLog_me_uk ATS/IDSA guideline for CAP 2019 https://t.co/x51P8NRBx8 https://t.co/wqpY7WfmYw
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@MalcolmMiller6 @MicrobLog_me_uk ATS/IDSA guideline for CAP 2019 https://t.co/x51P8NRBx8 https://t.co/wqpY7WfmYw
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@ClareCraigPath Initial therapy for suspected community-acquired pneumonia has been treated empirically based on the regional/local surveillance epidemiology for microbial pathogens. In addition, individual susceptibility factors are always considered. h
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E qual escolher? A American Thoracic Society é categórica: PSI Essa recomendação se baseia em: 1️⃣Maiores evidências de segurança do PSI 2️⃣Maior capacidade de identificar pacientes de baixo risco 3️⃣Maior poder discriminativo de prever mortalidade ht
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@TheThinkingDoc I think imaging is prudent for inpatients where the clinical picture is not as clear as these hypothetical scenarios. IDSA recommends against procalcitonin to decide whether to treat PNA: https://t.co/sfReQl81dJ I agree that repeat CXR wo
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RT @JonathanRyderMD: 1/ I'm going to review the new IDSA/ATS Community-Acquired Pneumonia guidelines and point out exciting and salient poi…
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@rusgarciaMD Thank you! For starting antibiotics for inpatients, no, but for stopping antibiotics, yes ( https://t.co/sfReQl81dJ) That said, I hear you that in the outpatient setting it is often impractical to wait for imaging to treat. I'd love to know w
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@ASanchez_PS @JassimranSingh9 Link here - https://t.co/inkEOqhz8T
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De um lado, a ATS/IDSA. Na diretriz de 2019, o esquema de antibiótico para as PA sugerido é o mesmo das PACs tradicionais. A exceção surge apenas se há suspeita de empiema ou abscesso pulmonar, onde indicam a cobertura adicional para anaeróbios! https://
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RT @ericschul: Key recommendations from the new IDSA guidelines for community-acquired pneumonia (thread) https://t.co/VPXY8lkPFU 1) gram…
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When no empyema or lung abscess is present, patients with aspiration pneumonia should be treated for community-acquired pneumonia; anaerobic coverage is not required. Dx and Treatment of Adults with CAP. An Official Clinical Practice Guideline of the… htt
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Day 18: CAP Guidelines: @IDSAInfo @atscommunity 🫁 Procal: dx CAP?🚫 Trend to ⬇️abx?✅ 🫁 Anaerobe abx in aspiration only if abscess/empyema 🫁 Sputum/🩸cx + Legionella ag only if severe CAP, ⬆️risk MRSA/pseudomonas or Legionella #MedTwitter #MedEd https://t
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RT @YasuoChojin: ATS/IDSAの市中肺炎ガイドライン2019はこちら｡ https://t.co/9rL3TI2Xip
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RT @YasuoChojin: ATS/IDSAの市中肺炎ガイドライン2019はこちら｡ https://t.co/9rL3TI2Xip
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RT @YasuoChojin: ATS/IDSAの市中肺炎ガイドライン2019はこちら｡ https://t.co/9rL3TI2Xip
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RT @YasuoChojin: ATS/IDSAの市中肺炎ガイドライン2019はこちら｡ https://t.co/9rL3TI2Xip
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RT @YasuoChojin: ATS/IDSAの市中肺炎ガイドライン2019はこちら｡ https://t.co/9rL3TI2Xip
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ATS/IDSAの市中肺炎ガイドライン2019はこちら｡ https://t.co/9rL3TI2Xip
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TWDFNR: ATS/IDSA 2019 update: In PNA and suspected aspiration, do not routinely add anaerobic coverage unless lung abscess or empyema is suspected 3/3 #IDTwitter https://t.co/HkBlq3KJgI https://t.co/Ow2oEkCqHG
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@ldgilbert_MD @KBrag_MD Furthermore, IDSA recommends against it EXCEPT in high prevalence settings (an outbreak), or severely ill CAP (https://t.co/eti4eYkM8x)
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By no means, a comprehensive thread - lots of nuances in the full guideline - https://t.co/inkEOpZpUL #IDtwitter #medtwitter #FOAMed
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2/7 The CURB-65 score has been used for diagnosis and treatment of adults with community-acquired pneumonia (CAP). The most recent IDSA CAP guidelines in 2019 (https://t.co/a8QjbKDFhy) referenced the 2007 IDSA CAP criteria for defining severity https://t.c
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9/ Resources: ▪️https://t.co/iJ2EPsUxRm ▪️https://t.co/cj4p3YvDKa - @atscommunity ▪️https://t.co/sQBV1xNgY0 - @foamid ▪️https://t.co/lhtT5hKiQl - @acphospitalist ▪️https://t.co/u8Sao71Btk - @UpToDate
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RT @TheSGEM: @MedFactChecks @andrewjtagg @NicoleB_MD @EMtogether @JAMAPediatrics @CanPaedSociety @AAPNews We did mention some of the adult…
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@MedFactChecks @andrewjtagg @NicoleB_MD @EMtogether @JAMAPediatrics @CanPaedSociety @AAPNews We did mention some of the adult data in the background material of the SGEM episode. https://t.co/3kT1iHtl71
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@gradydoctor Reference: https://t.co/QB1fqK6MbT
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6️⃣ 2019 Diagnosis and Treatment of Adults with Community-Acquired Pneumonia https://t.co/aWfJ6vsTug https://t.co/NNY1zwryoi
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@atscommunity A6 – (7/7) Finally, ATS CAP guidelines offer many insights into optimal implementation of antimicrobial therapy https://t.co/enChn0pzyi #ATSchat
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Standard duration of abx therapy for non-severe CAP is at least 5 days; patient should be afebrile for 48-72h. Follow-up chest imaging is not necessary because it takes >5 days for 🫁 to fully recover! https://t.co/kEPe3t6xho #OTILT @BWDionne @jeffpears0
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@accpinfdprn 2019 CAP Guidelines -https://t.co/ebKvn7zejF We start seeing duration of therapy being shortened to 5-7 days instead of 14 #IDPRN #DurationOfTx
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RT @LeonardoSotoMu: BNAC guías @IDSAInfo @AnnalsATS 2019 https://t.co/FOl0MxPvFR https://t.co/wWZ1vhL0kf
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BNAC guías @IDSAInfo @AnnalsATS 2019 https://t.co/FOl0MxPvFR https://t.co/wWZ1vhL0kf
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Les guies IDSA recomanen 5 dies de tractament de la pneumònia Comunitària amb criteris d'estabilitat clínica ( https://t.co/wvYeTKR6du)...podríem escurçar més el tractament?
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@soupvector @tony_breu doxycycline good for outpatient monotherapy. maybe not best for inpatients with sepsis from CAP: https://t.co/CCktYfw0Mm
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RT @FilaMentor: 3/ The ATS/IDSA guidelines also discuss when to order sputum and blood cultures https://t.co/CLfxtZKOBl https://t.co/bDZj4…
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RT @FilaMentor: 3/ The ATS/IDSA guidelines also discuss when to order sputum and blood cultures https://t.co/CLfxtZKOBl https://t.co/bDZj4…
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3/ The ATS/IDSA guidelines also discuss when to order sputum and blood cultures https://t.co/CLfxtZKOBl https://t.co/bDZj46sxqY
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See here for references/more details: https://t.co/sT2TOgtGe5 https://t.co/YszFadf6hB
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RT @ID_fellows: Given co-morbidities, Azith is not a great choice as a single agent. Amox is also not a great choice due to h/o airway edem…
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Given co-morbidities, Azith is not a great choice as a single agent. Amox is also not a great choice due to h/o airway edema (anaphylaxis). Quinolones are frequently used in this scenario though the aortic aneurysm should give you pause. So… https://t.co/
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3/ before diving into the 6, we'd like to point all to the @atscommunity and @IDSAInfo 2019 CAP guidelines https://t.co/Tv1zrMGfly as well as a nice summary for clinicians by @barbarajonesMD https://t.co/lHx8cLwXxN. Now lets dive in 🏊♂️👇
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@MediCasos De acuerdo 100% que no se debe usar jamás contra COVID 19. Pero si es una combinación contra pacientes hospitalizados con neumonía adquirida en la comunidad segun IDSA https://t.co/h7vSkHZWmi (creo que de ahí se salió la idea de meterle beta lac
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@OttersParlance There are quite a few situations where you can justify vanc or zosyn for pna (nothing for atypicals in that regimen). Table on question 9 is good.https://t.co/PKMtQPmLJ3
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Do you use a PCT-based #algorithm to guide initiation or duration od #antibiotic therapy in lower #respiratory tract infections? #MedTwitter #IDTwitter #procalcitonin #pneumonia #internalmedicine
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RT @AnnKumfer: The 2019 IDSA guidelines suggest against blood cultures in uncomplicated CAP (https://t.co/sOKJpJUvNy). Most studies show th…
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ATS CAP #guidelines 2019 - Q5: empiric antibiotic therapy should be initiated in adults with clinically suspected and radiographically confirmed CAP regardless of initial serum #procalcitonin level #PCT #pneumonia #medtwitter #antibiotics https://t.co/
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The 2019 IDSA guidelines suggest against blood cultures in uncomplicated CAP (https://t.co/sOKJpJUvNy). Most studies show that even those with CAP, cultures do not change mng significantly (https://t.co/rUur8FJA7B) https://t.co/auSHHVuwCh
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@SiestaBarbie @HalstedMD @JAFERDIAN You do this unless the judgement of an attending MD or DO dictates a deviation from the guidelines... https://t.co/D5PQI04og1
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There is good data for MRSA screening for antibiotic de-escalation in PNA with meta-analysis in PNA showed a NPV was 96.5%, 98.1% in CAP/HCAP (https://t.co/lu8WGmUSc9) and this is part of the IDSA guielines (https://t.co/65FwjYMipf)
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RT @MS_Martinez_MD: Have a❓about the 2019 @IDSAInfo @atscommunity guidelines for Dx/Tx of community-acquired PNA? Ask in comments below!…
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RT @abusultaneh: Anaerobe or no Anaerobe? Any data in peds or #PedsICU https://t.co/lbYLXb5zPM We suggest not routinely adding anaerobic…
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Anaerobe or no Anaerobe? Any data in peds or #PedsICU https://t.co/lbYLXb5zPM We suggest not routinely adding anaerobic coverage for suspected aspiration pneumonia unless lung abscess or empyema is suspected (conditional recommendation, very low quality
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RT @raphae1a: At least once a week I tell someone about the updated IDSA PNA guidelines from last year. Must read for anyone practicing adu…
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RT @raphae1a: At least once a week I tell someone about the updated IDSA PNA guidelines from last year. Must read for anyone practicing adu…
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RT @raphae1a: At least once a week I tell someone about the updated IDSA PNA guidelines from last year. Must read for anyone practicing adu…
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RT @raphae1a: At least once a week I tell someone about the updated IDSA PNA guidelines from last year. Must read for anyone practicing adu…
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RT @raphae1a: At least once a week I tell someone about the updated IDSA PNA guidelines from last year. Must read for anyone practicing adu…
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RT @raphae1a: At least once a week I tell someone about the updated IDSA PNA guidelines from last year. Must read for anyone practicing adu…
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RT @raphae1a: At least once a week I tell someone about the updated IDSA PNA guidelines from last year. Must read for anyone practicing adu…
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At least once a week I tell someone about the updated IDSA PNA guidelines from last year. Must read for anyone practicing adult medicine. Stop vanc/zosyn-ing every person who recently walked past a hospital!! #byeHCAP https://t.co/ahhSZ7RFSq
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See the full guidelines here, with special attention to question 11. https://t.co/YK1KwLesby
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Covered most of these in chief report today! RT for our residents to find this Twitter gem outlining IDSA/ATS guidelines in succinct <280 character snippets. Thanks @ericschul
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