Are you surprised? In this 🆕️🔥cohort study JAMA Internal Medicine of 17 290 hospitalized patients treated for CAP, 2079 (12.0%) met criteria for inappropriate diagnosis* of whom 1821 (87.6%) received full antibiotic courses #IDXposts jamanetwork.com/journals/jamai…

Inappropriate diagnosis of community-acquired pneumonia among hospitalized adults was common, particularly among older adults, those with dementia, and those presenting with altered mental status. ja.ma/3x1JUz1

New #HMS pub in JAMA Internal Medicine ‼️ Out of 17 ,290 hospitalized adults treated for #pneumonia in 48 Michigan hospitals, 12.0% were inappropriately diagnosed 😮 Full-course antibiotic treatment of those inapprop. diagnosed with community-acquired pneumonia may be harmful.

Anil Makam Antibiotic Steward Bassam Ghanem 🅱️C🆔🅿️🌟 JAMA Internal Medicine It’s more like 40% by prospective evaluation. The metric does an outstanding job identifying inappropriate diagnosis but since no one can agree on what pneumonia is—-it’s even harder to do so retrospectively. So you’re spot on that this is the floor estimate.

In case you missed it--this one's big!!🔥🔥 in JAMA Internal Medicine we found inappropriate diagnosis of #pneumonia to be common and abx treatment harmful. Similar parallels to ASB--> highest risk in older adults with dementia & altered mental status. jamanetwork.com/journals/jamai…

Most viewed in the last 7 days from JAMA Internal Medicine: In hospitalized patients diagnosed with pneumonia, what is the incidence of and factors associated with inappropriate diagnosis? ja.ma/3PHdvEG

Inappropriate diagnosis of community-acquired pneumonia (CAP) is common among hospitalized adults, particularly those who are older and those presenting with altered mental status or dementia. Study in JAMA Internal Medicine. Ashwin Gupta Valerie Vaughn brnw.ch/21wJ6ib

Among patients with suspected sepsis and no clear indication for antianaerobic coverage, administration of piperacillin-tazobactam was associated with higher mortality and increased duration of organ dysfunction compared with cefepime. ja.ma/3QKcBaS

Hospitals have been FULL recently, how does that impact care of patients with sepsis? 🦠 🔗: doi.org/10.1002/jhm.13… ✍️: Jessica Blank, MD, Stephanie Parks Taylor