Community-acquired pneumonia. Mayo Clinic, Rochester, Minn. May 1, 2016. Tests are also available to detect capsular polysaccharide antigen in body fluids.A urinary antigen test based on immunochromatographic membrane technique to detect the C-polysaccharide antigen of Streptococcus pneumoniae as a cause of community-acquired pneumonia among adults is commercially available. 25th ed. Pneumonia. Write down key medical information, including recent hospitalizations and any medical conditions you have. People who have community-acquired pneumonia usually can be treated at home with medication. How severe are they? Timing of antibiotic administration Chest. Accessed April 15, 2016. AskMayoExpert. Health care-associated pneumonia: An evidence-based review. File TM. Dockrell DH, et al. http://www.cdc.gov/features/adult-pneumococcal/.  Patientswith empyema, infected pleural effusions, and bacteremia secondary to pneumonia may require longer durations of therapy. Have you been exposed to sick people at home, school or work? Macrolide (conditional recommendations and only in areas with pneumococcal resistance to macrolides <25%): Azithromycin 500 mg on first day then 250 mg daily or clarithromycin 500 mg twice daily or clarithromycin extended release 1,000 mg daily Two recent major guidelines on diagnosis and treatment of ventilator-associated pneumonia (VAP) recommend consideration of local antibiotic resistance patterns and individual patient risks for resistant pathogens when formulating an initial empiric antibiotic regimen. Have your symptoms been continuous or occasional? • … Hunter JD. Treatment for pneumonia involves curing the infection and preventing complications. 2012;142:482. 2010;83:998. Barbara Woodward Lips Patient Education Center. This includes people presenting to hospital with moderate to severe community-acquired pneumonia and people who develop pneumonia while in hospital. Broad-spectrum antibiotics work against a wide range of bacteria. http://www.nhlbi.nih.gov/health/health-topics/topics/pnu. Journal of Family Practice. Risk factors for MRSA and P aeruginosa include prior respiratory isolation of the pathogen or hospitalization with receipt of parenteral antibiotics within the past 90 days, with locally validated risk fa… The approach to managing these patients has lacked uniformity because of the paucity of clinical trials, complexity of underlying comorbid diseases, and heterogeneity of administrative structures. Centers for Disease Control and Prevention. These tips can help you recover more quickly and decrease your risk of complications: You may start by seeing a primary care doctor or an emergency care doctor, or you may be referred to a doctor who specializes in infectious diseases or in lung disease (pulmonologist). See Therapeutic Management of Patients With COVID-19 for recommendations regarding SARS-CoV-2–specific therapy. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. You are confused about time, people or places, Your systolic blood pressure is below 90 millimeters of mercury (mm Hg) or your diastolic blood pressure is 60 mm Hg or below, Your breathing is rapid (30 breaths or more a minute). Attridge RT, et al. Initial outpatient therapy should incl… Centers for Disease Control and Prevention. BACKGROUND: The Pediatric Infectious Diseases Society and Infectious Diseases Society of America national childhood community-acquired pneumonia (CAP) guideline encouraged the standard evaluation and treatment of children who were managed as outpatients. Remington LT, et al. What, if anything, seems to improve or worsen your symptoms?