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Antibiotic choice makes little difference in CAP
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Strange, but true: Oral beta-lactam antibiotics— amoxicillin, amoxicillin/clavulanate (Augmentin), or a cephalosporin—are as effective in the treatment of community-acquired pneumonia as antibiotics active against atypical pathogens, even in patients infected with Mycoplasma pneumoniae or Chlamydia pneumoniae. These old standbys can be used instead of the more expensive drugs for most patients.

Legionella infection still requires treatment with an antibiotic effective against atypical pathogens, but in these studies only 1.1% of the patients with nonsevere pneumonia had Legionella. These results are backed up by similar findings from clinical practice (Hedlund J, et al. Scand J Infect Dis 2002; 34:887–892). (LOE=1a)

 
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Mills GD, Oehley MR, Arrol B. Effectiveness of beta lactam antibiotics compared with antibiotics active against atypical pathogens in non-severe community acquired pneumonia: meta-analysis. BMJ 2005; 330:456–460.

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The Journal of Family Practice - 54(6)
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Mills GD, Oehley MR, Arrol B. Effectiveness of beta lactam antibiotics compared with antibiotics active against atypical pathogens in non-severe community acquired pneumonia: meta-analysis. BMJ 2005; 330:456–460.

Author and Disclosure Information

Mills GD, Oehley MR, Arrol B. Effectiveness of beta lactam antibiotics compared with antibiotics active against atypical pathogens in non-severe community acquired pneumonia: meta-analysis. BMJ 2005; 330:456–460.

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Bottom Line

Strange, but true: Oral beta-lactam antibiotics— amoxicillin, amoxicillin/clavulanate (Augmentin), or a cephalosporin—are as effective in the treatment of community-acquired pneumonia as antibiotics active against atypical pathogens, even in patients infected with Mycoplasma pneumoniae or Chlamydia pneumoniae. These old standbys can be used instead of the more expensive drugs for most patients.

Legionella infection still requires treatment with an antibiotic effective against atypical pathogens, but in these studies only 1.1% of the patients with nonsevere pneumonia had Legionella. These results are backed up by similar findings from clinical practice (Hedlund J, et al. Scand J Infect Dis 2002; 34:887–892). (LOE=1a)

 
Bottom Line

Strange, but true: Oral beta-lactam antibiotics— amoxicillin, amoxicillin/clavulanate (Augmentin), or a cephalosporin—are as effective in the treatment of community-acquired pneumonia as antibiotics active against atypical pathogens, even in patients infected with Mycoplasma pneumoniae or Chlamydia pneumoniae. These old standbys can be used instead of the more expensive drugs for most patients.

Legionella infection still requires treatment with an antibiotic effective against atypical pathogens, but in these studies only 1.1% of the patients with nonsevere pneumonia had Legionella. These results are backed up by similar findings from clinical practice (Hedlund J, et al. Scand J Infect Dis 2002; 34:887–892). (LOE=1a)

 
Issue
The Journal of Family Practice - 54(6)
Issue
The Journal of Family Practice - 54(6)
Page Number
493-500
Page Number
493-500
Publications
Publications
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Antibiotic choice makes little difference in CAP
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Antibiotic choice makes little difference in CAP
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