Have you incorporated the use of steroids for patients with severe community-acquired pneumonia?
In light of published data from the CAPE COD trial...
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Have you routinely incorporated the use of steroids for patients presenting with severe community-acquired pneumonia without concurrent shock?
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Mednet MemberInvited Expert
Infectious Disease · Washington University School of Medicine, St. Louis
Answered on
Yes, the evidence is pointing toward starting steroids (hydrocortisone at 200mg total daily dose) early (in the first 24 hours) in patients with severe CAP who do NOT have influenza. In septic shock caused by CAP, steroid recs follow the septic shock guidelines. Dequin et al., PMID 36942789 showed t...
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