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Author’s response to ‘CAP and HCAP are different? An unresolved question’
  1. Eva Polverino,
  2. Antoni Torres,
  3. on behalf of the HCAP study group
  1. Respiratory Disease Department, Hospital Clínic i Provincial de Barcelona, IDIBAPS, CIBER de Enfermedades Respiratorias (Ciberes), Barcelona, Spain
  1. Correspondence to Respiratory Disease Department, Hospital Clínic i Provincial de Barcelona, IDIBAPS, CIBER de Enfermedades, Respiratorias (Ciberes), Villarroel 170, Barcelona 08036, Spain; atorres{at}

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Dear Editor,

We thank the authors for the interest in our recent publication and for their useful comments.

Unfortunately we consider the comparison with the publication from Giannella et al 1 poorly appropriate in many aspects. The main strength of our work is the multicentre prospective case–control study design (match by age, gender and period of hospitalisation). Although severity scores were not used for matching, we considered this design the most appropriate to describe healthcare-associated pneumonia (HCAP) features. In fact, the Giannella group performed an observational prospective study only on patients admitted to internal medicine departments: these elements (study design and patients) could justify a different population composition and, consequently, …

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  • Contributors EP is the main author of the paper, while AT is the leader of the study group and guarantor of the entire study. The authors of this authors’ response write on behalf of the whole HCAP study group.

  • Competing interests None.

  • Patient consent Obtained.

  • Ethics approval Hospitals’ Ethical committee.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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