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Correspondence
CAP and HCAP are different? An unresolved question
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  1. Marco Falcone,
  2. Alessandro Russo,
  3. Mario Venditti
  1. Department of Public Health and Infectious Diseases, “Sapienza” University of Rome, Rome, Italy
  1. Correspondence to Dr Marco Falcone, Department of Public Health and Infectious Diseases, Policlinico Umberto I, “Sapienza” University of Rome, Viale del Policlinico 155, Rome 00161, Italy; marcofalc{at}libero.it

https://doi.org/10.1136/thoraxjnl-2013-204935

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    We read with interest the recent article by Polverino et al.1 Data of this study show a very low incidence of multidrug-resistant pathogens (MDR) in patients with community-acquired pneumonia (CAP) and healthcare-associated pneumonia (HCAP); authors conclude that microbial aetiology of HCAP does not differ from CAP, and that patients with HCAP in Spain do not need nosocomial antibiotic coverage. Surprisingly, the reported data conflict with a recent prospective study by Giannella et al,2 conducted in 72 internal medicine wards in Spain, and enrolling 1002 patients; …

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      Microbial aetiology of healthcare associated pneumonia in Spain: a prospective, multicentre, case–control study
      Eva Polverino Antoni Torres Rosario Menendez Catia Cillóniz Jose Manuel Valles Alberto Capelastegui M Angeles Marcos Inmaculada Alfageme Rafael Zalacain Jordi Almirall Luis Molinos Salvador Bello Felipe Rodríguez Josep Blanquer Antonio Dorado Noelia Llevat Jordi Rello HCAP Study investigators Albert Gabarrus Rebeca Domingo Encarnación Moreno Soledad Reyes Emili Diaz Frederic Gomez Ana Parra Elisabet Papiol Thiago Lisboa Ana Pando Ainhoa Gomez Annety Juanes Olite Marisa Briones Magnolia Nieto Vera Solsona Minchole Lapuente Juan Carlos Martin Javier Gallego Pedro P. España Inmaculada Gorordo Dr Ane Uranga Mari de La Torres Goretti Sauca Ivana Anglada
      Thorax 2013; 68 1007-1014 Published Online First: 15 Oct 2013. doi: 10.1136/thoraxjnl-2013-203828
    • PostScript
      Author’s response to ‘CAP and HCAP are different? An unresolved question’
      Eva Polverino Antoni Torres on behalf of the HCAP study group
      Thorax 2014; 69 677-678 Published Online First: 25 Mar 2014. doi: 10.1136/thoraxjnl-2014-205210