Article Text

PDF
BET 4

Statistics from Altmetric.com

Timing of antibiotic administration in community-acquired pneumonia

Report by: Yat Sim Jasmine Ng, Visiting Scholar

Search checked by: Colin Graham, Professor of Emergency Medicine

Institution: Accident and Emergency Medicine Academic Unit, The Chinese University of Hong Kong, Hong Kong

Three-part question

In (adult patients presenting to the hospital with suspected community-acquired pneumonia (CAP) requiring admission), does (antibiotic administration within a specific time window) (reduce patient morbidity and mortality)?

Clinical scenario

A 70-year-old lady presents to the emergency department (ED) with 2 days of fever, shortness of breath, and cough productive of green sputum. Chest x-ray confirms right basal pneumonia. She requires oxygen therapy and admission. It is busy in the ED. This patient has been waiting for 3.5 h. Her bed is ready in the ward. You wonder if giving her the antibiotics now would affect her clinical outcome in terms of time to clinical stability, length of hospital stay, and mortality.

Search strategy

Medline 1990 to September week 1 2010 using OVID interface (exp Community-Acquired Infections/OR exp Pneumonia/OR community acquired pneumonia.mp) AND (antibiotics.mp. OR exp Anti-Bacterial Agents/OR antimicrobials.mp) AND (early administration.mp. OR timely …

View Full Text

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Linked Articles

  • Best evidence topic reports
    Simon D Carley
  • Best evidence topic reports
    BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine
  • Best evidence topic reports
    BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine
  • Best evidence topic reports
    BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine