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What is your preferred laboratory test to assess treatment response or infection resolution in patients with bacterial pneumonia?

For example, do you find trending WBC, procalcitonin, CRP, etc., more or less helpful?
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What is your preferred laboratory test to assess treatment response or infection resolution in patients with bacterial pneumonia?

191 physicians have voted

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3 Answers
Mednet Member
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General Internal Medicine · State Department Medical Services
Answered on

I don't generally check a laboratory test to assess resolution. I go more by their improved clinical status and seeing them get back to baseline oxygen status. If I am trending a WBC or procal, I do like to see it trend down, but it's not the only lab I hang my hat on to decide if someone has resolv...

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Hospital Medicine · Yale School of Medicine/Yale-New Haven Hospital
Answered on

The criteria for transition from IV to PO antibiotics and hospital discharge in CAP are all based on clinical improvement. There are no recommendations for follow-up laboratory studies, which can lag behind clinical resolution and result in increased cost, increased LOS, and additional unnecessary t...

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Hospital Medicine · Conemaugh Memorial Medical Center
Answered on

Oxygen level, vitals

The 2009 British Thoracic Society guidelines for the management of community-acquired pneumonia suggest that chest radiograph and hospitalization be considered for outpatients with pneumonia who fail to improve after 48 hours of treatment.

In practice, I find it helpful to check C...

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