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No need to stay in hospital after antibiotic switch in pneumonia
Intermediate Trainee in Intensive Care, Gloucestershire Royal Hospital, Gloucester, UK; dr_pagaria@yahoo.co.uk
| The first 150 words of the full text of this article appear below. |
Nathan RV, Rhew DC, Murray C, et al. In-hospital observation after antibiotic switch in pneumonia: a national evaluation. Am J Med 2006;119:512–8[Medline]
This was a multicentre retrospective analysis during one of two 6 month periods in 1998–9 which assessed the benefit of in-hospital observation after the switch from intravenous to oral antibiotics in patients with community acquired pneumonia (CAP) aged at least 65 years. The US Medicare National Pneumonia Project database was used to create a sample population from 4341 hospitals in all 50 states of the US and the District of Columbia. 5248 patients fulfilled the eligibility criteria and were divided into two groups (2536 "not observed" and 2712 "observed for 1 day").
There was no significant difference between the groups in 14 day hospital re-admission rate (7.8% in the "not observed" v 7.2% in the "observed for 1 day" group, p =
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Pneumonia (infectious disease)
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TB and other respiratory infections
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Pneumonia (respiratory medicine)
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Drugs: infectious diseases
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Epidemiologic studies
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