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Antibiotic studies for the treatment of community-acquired pneumonia in adults

Thomas M File, Jr, MD
Section Editors
John G Bartlett, MD
Julio A Ramirez, MD, FACP
Deputy Editor
Sheila Bond, MD


Community-acquired pneumonia (CAP) is a common and potentially serious illness. It is associated with considerable morbidity and mortality, particularly in older adult patients and those with significant comorbidities [1]. (See "Prognosis of community-acquired pneumonia in adults".)

CAP can be caused by a variety of pathogens, with bacteria being the most common identifiable cause (table 1 and table 2 and figure 1) [2,3]. Antibiotic therapy is typically begun on an empiric basis since the causative organism is not identified in an appreciable proportion of patients [1,4]. The choice of initial therapy is complicated by the emergence of antibiotic resistance among Streptococcus pneumoniae, the single most common bacterium responsible for CAP.

The evidence for efficacy of different antibiotic medications in the empiric treatment of CAP and issues related to drug resistance will be reviewed here. A variety of other important issues related to CAP are discussed separately. These include:

Treatment recommendations for CAP in outpatients (see "Treatment of community-acquired pneumonia in adults in the outpatient setting")

Treatment recommendations for CAP in patients requiring hospitalization (see "Treatment of community-acquired pneumonia in adults who require hospitalization")

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Literature review current through: Nov 2017. | This topic last updated: Sep 11, 2017.
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