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Letters |3 February 2009

The Unintended, Negative Consequences of the Door-to-Antibiotic Measure for Pneumonia

Manfred Gogol, MD

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Potential Financial Conflicts of Interest: None disclosed.
  • From Krankenhaus Lindenbrunn, Klinik fuer Geriatrie, Coppenbruegge 31863, Germany.
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Potential Financial Conflicts of Interest: None disclosed.
TO THE EDITOR:
I work at a tertiary community geriatric and neurologic hospital specializing in acute, subacute, and rehabilitation care. I fully agree with Wachter and colleagues' critique (1) of the flawed scientific basis of defining a time window for antibiotic administration for CAP in hospitalized patients. In 2006 and 2007, there were 40 428 inpatients with CAP in Lower Saxony (Germany). Forty-four patients were treated at my hospital. Data derived from the quality measurement tool for hospitalized patients with CAP found no association between time to first antibiotic administration and death. Because...
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Gogol M. The Unintended, Negative Consequences of the Door-to-Antibiotic Measure for Pneumonia. Ann Intern Med. 2009;150:219. doi: 10.7326/0003-4819-150-3-200902030-00015

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Published: Ann Intern Med. 2009;150(3):219.

DOI: 10.7326/0003-4819-150-3-200902030-00015

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Print ISSN: 0003-4819 | Online ISSN: 1539-3704

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