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CAP and HCAP are different? An unresolved question
  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}

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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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    Eva Polverino Antoni Torres on behalf of the HCAP study group