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2025 guideline updates for community-acquired pneumonia diagnosis and management - PubMed

3 hours ago
  • #ATS Guidelines
  • #Antibiotic Stewardship
  • #Emergency Medicine
  • The 2025 ATS guidelines support lung ultrasound for CAP diagnosis when performed by experienced clinicians.
  • For healthy patients with CAP and positive viral tests, antibiotics are not recommended based on low-quality evidence, though imaging findings should be considered.
  • Antibiotics are advised for patients with comorbidities, those admitted, or with imaging consistent with pneumonia.
  • Antibiotic duration should be less than 5 days (minimum 3 days) for outpatients and admitted nonsevere CAP patients who achieve clinical stability, instead of ≥5 days.
  • For severe CAP in admitted patients, antibiotic therapy should be 5 or more days.
  • Corticosteroids may be used in severe CAP but are not recommended for nonsevere pneumonia.