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Search for pneumonia in all Journal Watch editions
Physician-authored summaries on the latest research on pneumonia, editorials on pneumonia, and perspectives on pneumonia - drawn from the top medical journals.
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Does Vitamin D Supplementation Reduce the Rate of Infant Pneumonia? Free
- May 2, 2012
- Robert S. Baltimore, MD
- Infectious Diseases
In a vitamin D–deficient infant population, such supplementation did not reduce the incidence of pneumonia or change the age at which first episodes occurred.- Reviewing:
- Manaseki-Holland S et al., Lancet 2012 Apr 14; 379:1419. Martineau AR., Lancet 2012 Apr 14; 379:1373.
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Home Care for Severe Childhood Pneumonia in the Developing World
- November 23, 2011
- Robert S. Baltimore, MD
- Infectious Diseases
For young children with severe pneumonia diagnosed by a lay health worker, home treatment with amoxicillin yielded better results than TMP-SMX with referral to the nearest healthcare facility.- Reviewing:
- Bari A et al., Lancet 2011 Nov 19; 378:1796. Molyneux EM and Graham SM., Lancet 2011 Nov 19; 378:1762.
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Pneumonia Risk Increases After Therapeutic Hypothermia for Cardiac Arrest
- November 16, 2011
- Neil M. Ampel, MD
- Infectious Diseases
Among 641 patients with out-of-hospital cardiac arrest, therapeutic hypothermia was the only independent risk factor for the development of early-onset pneumonia.- Reviewing:
- Perbet S et al., Am J Respir Crit Care Med 2011 Nov 1; 184:1048.
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Follow-Up Chest X-Rays After Pneumonia? Free
- August 23, 2011
- Allan S. Brett, MD
- General Medicine
Follow-up imaging probably can be limited to older patients.
CME Exam- Reviewing:
- Tang KL et al., Arch Intern Med 2011 Jul 11; 171:1193.
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Statin Use and Risk for Death After Pneumonia
- April 28, 2011
- Paul S. Mueller, MD, MPH, FACP
- General Medicine
Statin users were significantly less likely to die in the 6 months after pneumonia diagnoses.- Reviewing:
- Douglas I et al., BMJ 2011 Apr 6; 342:d1642.
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Do Inhaled Steroids Raise Pneumonia Risk in Asthma Patients?
- March 17, 2011
- Allan S. Brett, MD
- General Medicine
An industry-sponsored meta-analysis says no.- Reviewing:
- O'Byrne PM et al., Am J Respir Crit Care Med 2011 Mar 1; 183:589.
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Using Guidelines for Hospital-Acquired Pneumonia to Predict Antibiotic Resistance?
- April 21, 2010
- Neil M. Ampel, MD
- Infectious Diseases
In one hospital, the guidelines performed significantly better for patients with risk factors for potentially antibiotic-resistant microorganisms than for patients with no such risk factors.- Reviewing:
- Ferrer M et al., Clin Infect Dis 2010 Apr 1; 50:945.
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Antipsychotics and Community-Acquired Pneumonia
- April 14, 2010
- Stephen G. Baum, MD
- Infectious Diseases
Among older patients, starting antipsychotic therapy increases the risk for fatal and nonfatal community-acquired pneumonia.- Reviewing:
- Trifirò G et al., Ann Intern Med 2010 Apr 5; 152:418.
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Macrolides Improve Survival in Severe Community-Acquired Pneumonia
- March 31, 2010
- Thomas Glück, MD
- Infectious Diseases
Patients with CAP and respiratory failure fared better on antibiotic regimens that included a macrolide rather than a fluoroquinolone.- Reviewing:
- Martin-Loeches I et al., Intensive Care Med 2010 Apr; 36:612. Waterer GW., Intensive Care Med 2010 Apr; 36:562.
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Pneumococcal Vaccine Prevents Pneumonia in Nursing Homes
- March 18, 2010
- Paul S. Mueller, MD, MPH, FACP
- General Medicine
Mortality from pneumococcal pneumonia was lower in vaccinated residents.- Reviewing:
- Maruyama T et al., BMJ 2010 Mar 8; 340:c1004.
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Lung Cancer After Pneumonia: Red Herring or Canary in a Coal Mine?
- March 1, 2010
- Grace C. Huang, MD
- Hospital Medicine
A substantial proportion of postpneumonia patients subsequently receive lung cancer diagnoses.- Reviewing:
- Mortensen EM et al., Am J Med 2010 Jan; 123:66.
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Tachypnea Is a Poor Predictor of Pneumonia in Children
- January 29, 2010
- Katherine Bakes, MD
- Emergency Medicine
An elevated respiratory rate in children younger than 5 years is less than 50% sensitive for predicting pneumonia.- Reviewing:
- Shah S et al., Pediatr Infect Dis J 2009 Dec 21;:
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Air Pollution and Pneumonia
- January 13, 2010
- Neil M. Ampel, MD
- Infectious Diseases
Among older adults, long-term exposure to nitrogen dioxide and fine particulates was associated with hospitalization for community-acquired pneumonia.- Reviewing:
- Neupane B et al., Am J Respir Crit Care Med 2010 Jan 1; 181:47.
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Pneumonia Severity and Bacterial Load Free
- October 7, 2009
- Thomas Glück, MD
- Infectious Diseases
In patients with community-acquired pneumococcal pneumonia, high bacterial load at admission was associated with need for mechanical ventilation, development of shock, and in-hospital death.- Reviewing:
- Rello J et al., Chest 2009 Sep; 136:832.
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Candida Pneumonia in Critically Ill Patients?
- September 23, 2009
- Thomas Glück, MD
- Infectious Diseases
Among ICU patients who died with evidence of pneumonia, autopsy revealed no cases of Candida pneumonia, even in those with positive Candida cultures before death.- Reviewing:
- Meersseman W et al., Intensive Care Med 2009 Sep; 35:1526. Ricard J-D and Roux D., Intensive Care Med 2009 Sep; 35:1500.
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Inhaled Steroids in COPD: Is Risk for Pneumonia Really Higher?
- September 8, 2009
- Bruce Soloway, MD
- General Medicine
Risk was not elevated in patients who received budesonide.
CME Exam- Reviewing:
- Sin DD et al., Lancet 2009 Aug 29; 374:712. Welte T., Lancet 2009 Aug 29; 374:668.
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Weekly E-Mails Improve Pneumonia Guideline Compliance
- August 14, 2009
- Diane M. Birnbaumer, MD, FACEP
- Emergency Medicine
Time to administration of antibiotics decreased significantly after ED staff received weekly e-mails listing individual practitioners' compliance with the CMS pneumonia guideline.- Reviewing:
- Weiner SG et al., Acad Emerg Med 2009 Jul; 16:626.
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Current Statin Use and Risk for Pneumonia
- July 14, 2009
- Paul S. Mueller, MD, MPH, FACP
- General Medicine
Statin use did not lower risk among immunocompetent community-dwelling older adults.
CME Exam- Reviewing:
- Dublin S et al., BMJ 2009 Jun 16; 338:b2137.
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Acid Suppression and Risk for Hospital-Acquired Pneumonia
- June 11, 2009
- Thomas L. Schwenk, MD
- General Medicine
PPI use raised risk for acquiring pneumonia by about 30%.- Reviewing:
- Herzig SJ et al., JAMA 2009 May 27; 301:2120.
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D-Dimer Measurement to Determine Pneumonia Severity?
- May 29, 2009
- Richard D. Zane, MD, FAAEM
- Emergency Medicine
An admission D-dimer level <500 ng/mL was associated with low risk for death and major morbidity.- Reviewing:
- Chalmers JD et al., Ann Emerg Med 2009 May; 53:633.
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