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Thorax 2009;64:556-558; doi:10.1136/thx.2008.110254
Copyright © 2009 BMJ Publishing Group Ltd & British Thoracic Society.

EDITORIALS

Biomarkers and community-acquired pneumonia

Jeremy S Brown

Correspondence to:
Dr Jeremy S Brown, Centre for Respiratory Research, Department of Medicine, University College Medical School, Rayne Institute, London WC1E 6JJ, UK; jeremy.brown@ucl.ac.uk

The first 150 words of the full text of this article appear below.

Community-acquired pneumonia (CAP) is common, and the delivery of optimum care to patients with CAP is important to limit the associated substantial mortality and morbidity. Although severity assessment of patients presenting with CAP using clinical scores such as the CURB65 (Confusion, Urea nitrogen, Respiratory rate, Blood pressure, 65 years of age and older) or Pneumonia Severity Index (PSI) scales aids management, there are many other areas in which the care of patients with CAP could be improved. For example, improved accuracy of identifying patients at risk of death (especially the significant proportion of deaths in patients with low clinical severity scores) or complications such as empyema would improve the stratification of patients for different intensities of management, and there are few data on how to decide the duration of antibiotic treatment for individual patients. Biomarkers may help with some of these questions, and in this month’s Thorax there are two . . . [Full text of this article]


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