Community-Acquired Pneumonia (CAP) and Healthcare-Associated Pneumonia (HCAP)
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Presence of a new infiltrate on a chest radiograph in addition to at least two of the following: 1) new or increased cough or sputum production, 2) pleuritic chest pain, 3) new or increased dyspnea, 4) fever (temperature =>38.0 degrees) or hypothermia (temperature <35.0 degrees), 5) white blood cell count >=10,000 /mm3 or <4,000 /mm3, and 6) new hypoxemia (SpO2 <90% or PaO2 <60 Torr) or deterioration of hypoxemia
Exclusion criteria
Exclusion criteria: 1) Patients with obstructive pneumonia 2) Patients who do not receive initial empirical antibiotic treatment 3) Pneumonia that occurs 48 hours or more after admission 4) Patients who were transferred from other instructions and were already clinically improved 5) Patients who had been previously enrolled in this study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Identified pathogens and drug resistance (especially which are not susceptible to beta-lactams, macrolides, and respiratory fluoroquinolones) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) Presence or absence of serious illness and the time to develop 2) 30-day mortality and in-hospital mortality 3) Early and late treatment failure | — |
Countries
Japan
Contacts
Nagoya University Graduate School of Medicine Respiratory Medicine