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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.
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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.

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Figure.
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.

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