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How do you incorporate positive respiratory viral testing and/or low procalcitonin into antibiotic de-escalation when chest imaging still suggests pneumonia in a hospitalized patient?

A recent study (Baghdadi et al., PMID 41823187) suggests consideration of post-test probability may decrease unnecessary antibiotic use.
1 Answer
Mednet Member
Mednet MemberInvited Expert
General Internal Medicine · University of Chicago
Answered on

De-escalation of antibiotic use is a key part of antimicrobial stewardship. Respiratory illnesses are one of the most common reasons for hospitalization, and bacterial pneumonia is frequently the major concern in these patients. However, there is evidence that we overdiagnose and treat bacterial pne...

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