We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Research Letter |

Burden of Ambulatory Visits and Antibiotic Prescribing Patterns for Adults With Community-Acquired Pneumonia in the United States, 1998 Through 2009

Jonathan M. Wortham, MD1; Daniel J. Shapiro, BA2; Adam L. Hersh, MD, PhD3; Lauri A. Hicks, DO1
[+] Author Affiliations
1National Center for Immunization and Respiratory Diseases, Respiratory Diseases Branch, Centers for Disease Control and Prevention, Atlanta, Georgia
2medical student at School of Medicine, University of California, San Francisco
3Division of Pediatric Infectious Diseases, University of Utah, Salt Lake City
JAMA Intern Med. 2014;174(9):1520-1522. doi:10.1001/jamainternmed.2014.3456.
Text Size: A A A
Published online


Community-acquired pneumonia (CAP) is commonly managed in ambulatory settings, yet little is known about trends in ambulatory visit rates or antibiotic prescribing for CAP in adults in the United States. The Infectious Diseases Society of America (IDSA) and the American Thoracic Society (ATS)1 published guidelines for CAP management in 2007. These guidelines1 recommend a macrolide or doxycycline for previously healthy ambulatory patients with CAP. Fluoroquinolone monotherapy or a β-lactam–macrolide combination are recommended for patients with comorbid conditions or risk factors for drug-resistant Streptococcus pneumoniae infection.

Figures in this Article

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview


Place holder to copy figure label and caption
Population-Based Rates of Ambulatory Community-Acquired Pneumonia (CAP) Visits, by Age Group—United States, 1998 Through 2009

Individuals aged 18 to 49 years: P for trend, .82; 50 to 64 years: P for trend, .94; 65 years and older: P for trend, .16; all ages: P for trend, .51. Symbols indicate averages, and error bars, 95% confidence intervals.

Graphic Jump Location




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Evidence to Support the Update

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Evidence Summary and Review 1