Community-acquired pneumonia Infections and Infestations Pneumonia
Conditions
Interventions
Patients will be randomly assigned to one of two groups:
1. Use of a three-step guideline, including early mobilization, and pre-defined criteria for switch antibiotic therapy and hospital discharge
2
Sponsors
Spanish National Health Service (Fondo de Investigación Sanitaria)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Immunocompetent adults (aged >18 years) who have received a diagnosis of community-acquired pneumonia in the emergency department and are admitted to the hospital
Exclusion criteria
Exclusion criteria: 1. Severe immunosuppression (neutropenia, transplantation, human immunodeficiency virus [HIV] infection) 2. Imminent death 3. Intensive care unit (ICU) admission 4. Shock 5. Complicated pleural effusion 6. Aspiration pneumonia 7. Social problem (homelessness) 8. Not able to drink and eat 9. Absence of written informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Length of hospital stay | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Time to switch 2. Readmission (<30 days) 3. Overall mortality (<30 days) 4. Satisfaction with care | — |
Countries
Spain
Outcome results
None listed