id sid tid token lemma pos cord-291400-o9skj94r 1 1 key key NN cord-291400-o9skj94r 1 2 : : : cord-291400-o9skj94r 2 1 cord-291400-o9skj94r cord-291400-o9skj94r JJ cord-291400-o9skj94r 2 2 authors author NNS cord-291400-o9skj94r 2 3 : : : cord-291400-o9skj94r 2 4 Plouffe Plouffe NNP cord-291400-o9skj94r 2 5 , , , cord-291400-o9skj94r 2 6 Joseph Joseph NNP cord-291400-o9skj94r 2 7 F. F. NNP cord-291400-o9skj94r 2 8 ; ; : cord-291400-o9skj94r 2 9 Martin Martin NNP cord-291400-o9skj94r 2 10 , , , cord-291400-o9skj94r 2 11 Daniel Daniel NNP cord-291400-o9skj94r 2 12 R. R. NNP cord-291400-o9skj94r 2 13 title title NN cord-291400-o9skj94r 2 14 : : : cord-291400-o9skj94r 2 15 Re re NN cord-291400-o9skj94r 2 16 - - NN cord-291400-o9skj94r 2 17 evaluation evaluation NN cord-291400-o9skj94r 2 18 of of IN cord-291400-o9skj94r 2 19 the the DT cord-291400-o9skj94r 2 20 therapy therapy NN cord-291400-o9skj94r 2 21 of of IN cord-291400-o9skj94r 2 22 severe severe JJ cord-291400-o9skj94r 2 23 pneumonia pneumonia NN cord-291400-o9skj94r 2 24 caused cause VBN cord-291400-o9skj94r 2 25 by by IN cord-291400-o9skj94r 2 26 Streptococcus Streptococcus NNP cord-291400-o9skj94r 2 27 pneumoniae pneumoniae NN cord-291400-o9skj94r 2 28 date date NN cord-291400-o9skj94r 2 29 : : : cord-291400-o9skj94r 2 30 2004 2004 CD cord-291400-o9skj94r 2 31 - - SYM cord-291400-o9skj94r 2 32 12 12 CD cord-291400-o9skj94r 2 33 - - SYM cord-291400-o9skj94r 2 34 31 31 CD cord-291400-o9skj94r 2 35 journal journal NN cord-291400-o9skj94r 2 36 : : : cord-291400-o9skj94r 3 1 Infectious Infectious NNP cord-291400-o9skj94r 3 2 Disease Disease NNP cord-291400-o9skj94r 3 3 Clinics Clinics NNPS cord-291400-o9skj94r 3 4 of of IN cord-291400-o9skj94r 3 5 North North NNP cord-291400-o9skj94r 3 6 America America NNP cord-291400-o9skj94r 4 1 DOI DOI NNP cord-291400-o9skj94r 4 2 : : : cord-291400-o9skj94r 5 1 10.1016 10.1016 CD cord-291400-o9skj94r 5 2 / / SYM cord-291400-o9skj94r 5 3 j.idc.2004.07.010 j.idc.2004.07.010 NNP cord-291400-o9skj94r 5 4 sha sha NNP cord-291400-o9skj94r 5 5 : : : cord-291400-o9skj94r 5 6 78ca56539d91241980834ef161d5d111e58c5e0d 78ca56539d91241980834ef161d5d111e58c5e0d CD cord-291400-o9skj94r 5 7 doc_id doc_id CD cord-291400-o9skj94r 5 8 : : : cord-291400-o9skj94r 5 9 291400 291400 CD cord-291400-o9skj94r 5 10 cord_uid cord_uid NNS cord-291400-o9skj94r 5 11 : : : cord-291400-o9skj94r 6 1 o9skj94r o9skj94r NNP cord-291400-o9skj94r 6 2 Pneumonia Pneumonia NNP cord-291400-o9skj94r 6 3 caused cause VBN cord-291400-o9skj94r 6 4 by by IN cord-291400-o9skj94r 6 5 Streptococcus Streptococcus NNP cord-291400-o9skj94r 6 6 pneumoniae pneumoniae NN cord-291400-o9skj94r 6 7 is be VBZ cord-291400-o9skj94r 6 8 the the DT cord-291400-o9skj94r 6 9 most most RBS cord-291400-o9skj94r 6 10 deadly deadly JJ cord-291400-o9skj94r 6 11 form form NN cord-291400-o9skj94r 6 12 of of IN cord-291400-o9skj94r 6 13 community community NN cord-291400-o9skj94r 6 14 - - HYPH cord-291400-o9skj94r 6 15 acquired acquire VBN cord-291400-o9skj94r 6 16 pneumonia pneumonia NN cord-291400-o9skj94r 6 17 . . . cord-291400-o9skj94r 7 1 The the DT cord-291400-o9skj94r 7 2 death death NN cord-291400-o9skj94r 7 3 rate rate NN cord-291400-o9skj94r 7 4 of of IN cord-291400-o9skj94r 7 5 bacteremic bacteremic JJ cord-291400-o9skj94r 7 6 pneumococcal pneumococcal JJ cord-291400-o9skj94r 7 7 pneumonia pneumonia NN cord-291400-o9skj94r 7 8 has have VBZ cord-291400-o9skj94r 7 9 remained remain VBN cord-291400-o9skj94r 7 10 constant constant JJ cord-291400-o9skj94r 7 11 over over IN cord-291400-o9skj94r 7 12 the the DT cord-291400-o9skj94r 7 13 past past JJ cord-291400-o9skj94r 7 14 50 50 CD cord-291400-o9skj94r 7 15 years year NNS cord-291400-o9skj94r 7 16 . . . cord-291400-o9skj94r 8 1 Several several JJ cord-291400-o9skj94r 8 2 retrospective retrospective JJ cord-291400-o9skj94r 8 3 reviews review NNS cord-291400-o9skj94r 8 4 of of IN cord-291400-o9skj94r 8 5 bacteremic bacteremic JJ cord-291400-o9skj94r 8 6 pneumococcal pneumococcal JJ cord-291400-o9skj94r 8 7 pneumonia pneumonia NN cord-291400-o9skj94r 8 8 suggest suggest VBP cord-291400-o9skj94r 8 9 that that IN cord-291400-o9skj94r 8 10 dual dual JJ cord-291400-o9skj94r 8 11 therapy therapy NN cord-291400-o9skj94r 8 12 with with IN cord-291400-o9skj94r 8 13 a a DT cord-291400-o9skj94r 8 14 beta beta NN cord-291400-o9skj94r 8 15 - - HYPH cord-291400-o9skj94r 8 16 lactam lactam NNS cord-291400-o9skj94r 8 17 and and CC cord-291400-o9skj94r 8 18 a a DT cord-291400-o9skj94r 8 19 macrolide macrolide JJ cord-291400-o9skj94r 8 20 antimicrobial antimicrobial JJ cord-291400-o9skj94r 8 21 agent agent NN cord-291400-o9skj94r 8 22 is be VBZ cord-291400-o9skj94r 8 23 associated associate VBN cord-291400-o9skj94r 8 24 with with IN cord-291400-o9skj94r 8 25 a a DT cord-291400-o9skj94r 8 26 lower low JJR cord-291400-o9skj94r 8 27 case case NN cord-291400-o9skj94r 8 28 fatality fatality NN cord-291400-o9skj94r 8 29 rate rate NN cord-291400-o9skj94r 8 30 than than IN cord-291400-o9skj94r 8 31 therapy therapy NN cord-291400-o9skj94r 8 32 with with IN cord-291400-o9skj94r 8 33 a a DT cord-291400-o9skj94r 8 34 beta beta NN cord-291400-o9skj94r 8 35 - - HYPH cord-291400-o9skj94r 8 36 lactam lactam NN cord-291400-o9skj94r 8 37 alone alone RB cord-291400-o9skj94r 8 38 . . . cord-291400-o9skj94r 9 1 These these DT cord-291400-o9skj94r 9 2 studies study NNS cord-291400-o9skj94r 9 3 are be VBP cord-291400-o9skj94r 9 4 reviewed review VBN cord-291400-o9skj94r 9 5 , , , cord-291400-o9skj94r 9 6 potential potential JJ cord-291400-o9skj94r 9 7 mechanisms mechanism NNS cord-291400-o9skj94r 9 8 are be VBP cord-291400-o9skj94r 9 9 suggested suggest VBN cord-291400-o9skj94r 9 10 , , , cord-291400-o9skj94r 9 11 and and CC cord-291400-o9skj94r 9 12 future future JJ cord-291400-o9skj94r 9 13 studies study NNS cord-291400-o9skj94r 9 14 are be VBP cord-291400-o9skj94r 9 15 discussed discuss VBN cord-291400-o9skj94r 9 16 . . . cord-291400-o9skj94r 10 1 With with IN cord-291400-o9skj94r 10 2 the the DT cord-291400-o9skj94r 10 3 advent advent NN cord-291400-o9skj94r 10 4 of of IN cord-291400-o9skj94r 10 5 modern modern JJ cord-291400-o9skj94r 10 6 microbiology microbiology NN cord-291400-o9skj94r 10 7 , , , cord-291400-o9skj94r 10 8 Streptococcus streptococcus NN cord-291400-o9skj94r 10 9 pneumoniae pneumoniae NN cord-291400-o9skj94r 10 10 ( ( -LRB- cord-291400-o9skj94r 10 11 pneumococcus pneumococcus NNP cord-291400-o9skj94r 10 12 ) ) -RRB- cord-291400-o9skj94r 10 13 was be VBD cord-291400-o9skj94r 10 14 identified identify VBN cord-291400-o9skj94r 10 15 as as IN cord-291400-o9skj94r 10 16 the the DT cord-291400-o9skj94r 10 17 cause cause NN cord-291400-o9skj94r 10 18 of of IN cord-291400-o9skj94r 10 19 community community NN cord-291400-o9skj94r 10 20 - - HYPH cord-291400-o9skj94r 10 21 acquired acquire VBN cord-291400-o9skj94r 10 22 pneumonia pneumonia NN cord-291400-o9skj94r 10 23 ( ( -LRB- cord-291400-o9skj94r 10 24 CAP CAP NNP cord-291400-o9skj94r 10 25 ) ) -RRB- cord-291400-o9skj94r 10 26 in in IN cord-291400-o9skj94r 10 27 the the DT cord-291400-o9skj94r 10 28 most most JJS cord-291400-o9skj94r 10 29 patients patient NNS cord-291400-o9skj94r 10 30 [ [ -LRB- cord-291400-o9skj94r 10 31 1 1 CD cord-291400-o9skj94r 10 32 ] ] -RRB- cord-291400-o9skj94r 10 33 . . . cord-291400-o9skj94r 11 1 The the DT cord-291400-o9skj94r 11 2 case case NN cord-291400-o9skj94r 11 3 fatality fatality NN cord-291400-o9skj94r 11 4 rate rate NN cord-291400-o9skj94r 11 5 ( ( -LRB- cord-291400-o9skj94r 11 6 CFR CFR NNP cord-291400-o9skj94r 11 7 ) ) -RRB- cord-291400-o9skj94r 11 8 of of IN cord-291400-o9skj94r 11 9 untreated untreated JJ cord-291400-o9skj94r 11 10 bacteremic bacteremic JJ cord-291400-o9skj94r 11 11 pneumococcal pneumococcal JJ cord-291400-o9skj94r 11 12 pneumonia pneumonia NN cord-291400-o9skj94r 11 13 was be VBD cord-291400-o9skj94r 11 14 80 80 CD cord-291400-o9skj94r 11 15 % % NN cord-291400-o9skj94r 11 16 . . . cord-291400-o9skj94r 12 1 Early early JJ cord-291400-o9skj94r 12 2 studies study NNS cord-291400-o9skj94r 12 3 defined define VBD cord-291400-o9skj94r 12 4 the the DT cord-291400-o9skj94r 12 5 importance importance NN cord-291400-o9skj94r 12 6 of of IN cord-291400-o9skj94r 12 7 opsonizing opsonize VBG cord-291400-o9skj94r 12 8 antibodies antibody NNS cord-291400-o9skj94r 12 9 to to IN cord-291400-o9skj94r 12 10 the the DT cord-291400-o9skj94r 12 11 infecting infect VBG cord-291400-o9skj94r 12 12 serotype serotype NN cord-291400-o9skj94r 12 13 . . . cord-291400-o9skj94r 13 1 Serum serum NN cord-291400-o9skj94r 13 2 therapy therapy NN cord-291400-o9skj94r 13 3 was be VBD cord-291400-o9skj94r 13 4 instituted institute VBN cord-291400-o9skj94r 13 5 in in IN cord-291400-o9skj94r 13 6 the the DT cord-291400-o9skj94r 13 7 1930s 1930 NNS cord-291400-o9skj94r 13 8 and and CC cord-291400-o9skj94r 13 9 resulted result VBD cord-291400-o9skj94r 13 10 in in IN cord-291400-o9skj94r 13 11 the the DT cord-291400-o9skj94r 13 12 decrease decrease NN cord-291400-o9skj94r 13 13 of of IN cord-291400-o9skj94r 13 14 the the DT cord-291400-o9skj94r 13 15 CFR CFR NNP cord-291400-o9skj94r 13 16 to to IN cord-291400-o9skj94r 13 17 50 50 CD cord-291400-o9skj94r 13 18 % % NN cord-291400-o9skj94r 13 19 . . . cord-291400-o9skj94r 14 1 With with IN cord-291400-o9skj94r 14 2 the the DT cord-291400-o9skj94r 14 3 advent advent NN cord-291400-o9skj94r 14 4 of of IN cord-291400-o9skj94r 14 5 antimicrobial antimicrobial JJ cord-291400-o9skj94r 14 6 therapy therapy NN cord-291400-o9skj94r 14 7 in in IN cord-291400-o9skj94r 14 8 the the DT cord-291400-o9skj94r 14 9 1940s 1940 NNS cord-291400-o9skj94r 14 10 , , , cord-291400-o9skj94r 14 11 the the DT cord-291400-o9skj94r 14 12 CFR CFR NNP cord-291400-o9skj94r 14 13 of of IN cord-291400-o9skj94r 14 14 bacteremic bacteremic JJ cord-291400-o9skj94r 14 15 pneumococcal pneumococcal JJ cord-291400-o9skj94r 14 16 disease disease NN cord-291400-o9skj94r 14 17 was be VBD cord-291400-o9skj94r 14 18 decreased decrease VBN cord-291400-o9skj94r 14 19 further further RB cord-291400-o9skj94r 14 20 to to IN cord-291400-o9skj94r 14 21 20 20 CD cord-291400-o9skj94r 14 22 % % NN cord-291400-o9skj94r 14 23 . . . cord-291400-o9skj94r 15 1 The the DT cord-291400-o9skj94r 15 2 changing change VBG cord-291400-o9skj94r 15 3 pattern pattern NN cord-291400-o9skj94r 15 4 of of IN cord-291400-o9skj94r 15 5 pneumococcal pneumococcal JJ cord-291400-o9skj94r 15 6 pneumonia pneumonia NN cord-291400-o9skj94r 15 7 was be VBD cord-291400-o9skj94r 15 8 recognized recognize VBN cord-291400-o9skj94r 15 9 [ [ -LRB- cord-291400-o9skj94r 15 10 2 2 CD cord-291400-o9skj94r 15 11 ] ] -RRB- cord-291400-o9skj94r 15 12 . . . cord-291400-o9skj94r 16 1 Over over IN cord-291400-o9skj94r 16 2 the the DT cord-291400-o9skj94r 16 3 next next JJ cord-291400-o9skj94r 16 4 50 50 CD cord-291400-o9skj94r 16 5 years year NNS cord-291400-o9skj94r 16 6 , , , cord-291400-o9skj94r 16 7 even even RB cord-291400-o9skj94r 16 8 though though IN cord-291400-o9skj94r 16 9 the the DT cord-291400-o9skj94r 16 10 pneumococcus pneumococcus NN cord-291400-o9skj94r 16 11 remained remain VBD cord-291400-o9skj94r 16 12 susceptible susceptible JJ cord-291400-o9skj94r 16 13 to to IN cord-291400-o9skj94r 16 14 penicillin penicillin NN cord-291400-o9skj94r 16 15 , , , cord-291400-o9skj94r 16 16 the the DT cord-291400-o9skj94r 16 17 CFR CFR NNP cord-291400-o9skj94r 16 18 remained remain VBD cord-291400-o9skj94r 16 19 constant constant JJ cord-291400-o9skj94r 16 20 . . . cord-291400-o9skj94r 17 1 Modern modern JJ cord-291400-o9skj94r 17 2 ICUs icu NNS cord-291400-o9skj94r 17 3 failed fail VBD cord-291400-o9skj94r 17 4 to to TO cord-291400-o9skj94r 17 5 improve improve VB cord-291400-o9skj94r 17 6 on on IN cord-291400-o9skj94r 17 7 the the DT cord-291400-o9skj94r 17 8 20 20 CD cord-291400-o9skj94r 17 9 % % NN cord-291400-o9skj94r 17 10 CFR CFR NNP cord-291400-o9skj94r 17 11 [ [ -LRB- cord-291400-o9skj94r 17 12 3 3 CD cord-291400-o9skj94r 17 13 ] ] -RRB- cord-291400-o9skj94r 17 14 . . . cord-291400-o9skj94r 18 1 To to TO cord-291400-o9skj94r 18 2 further further RB cord-291400-o9skj94r 18 3 complicate complicate VB cord-291400-o9skj94r 18 4 matters matter NNS cord-291400-o9skj94r 18 5 , , , cord-291400-o9skj94r 18 6 in in IN cord-291400-o9skj94r 18 7 the the DT cord-291400-o9skj94r 18 8 1990s 1990 NNS cord-291400-o9skj94r 18 9 , , , cord-291400-o9skj94r 18 10 some some DT cord-291400-o9skj94r 18 11 S S NNP cord-291400-o9skj94r 18 12 pneumoniae pneumoniae NN cord-291400-o9skj94r 18 13 strains strain NNS cord-291400-o9skj94r 18 14 developed develop VBD cord-291400-o9skj94r 18 15 resistance resistance NN cord-291400-o9skj94r 18 16 to to IN cord-291400-o9skj94r 18 17 penicillin penicillin NN cord-291400-o9skj94r 18 18 and and CC cord-291400-o9skj94r 18 19 other other JJ cord-291400-o9skj94r 18 20 antimicrobial antimicrobial JJ cord-291400-o9skj94r 18 21 agents agent NNS cord-291400-o9skj94r 18 22 used use VBN cord-291400-o9skj94r 18 23 to to TO cord-291400-o9skj94r 18 24 treat treat VB cord-291400-o9skj94r 18 25 pneumonia pneumonia NN cord-291400-o9skj94r 18 26 [ [ -LRB- cord-291400-o9skj94r 18 27 4 4 CD cord-291400-o9skj94r 18 28 ] ] -RRB- cord-291400-o9skj94r 18 29 . . . cord-291400-o9skj94r 19 1 Several several JJ cord-291400-o9skj94r 19 2 retrospective retrospective JJ cord-291400-o9skj94r 19 3 studies study NNS cord-291400-o9skj94r 19 4 have have VBP cord-291400-o9skj94r 19 5 suggested suggest VBN cord-291400-o9skj94r 19 6 that that IN cord-291400-o9skj94r 19 7 combination combination NN cord-291400-o9skj94r 19 8 therapy therapy NN cord-291400-o9skj94r 19 9 with with IN cord-291400-o9skj94r 19 10 a a DT cord-291400-o9skj94r 19 11 b b NN cord-291400-o9skj94r 19 12 - - HYPH cord-291400-o9skj94r 19 13 lactam lactam NN cord-291400-o9skj94r 19 14 and and CC cord-291400-o9skj94r 19 15 a a DT cord-291400-o9skj94r 19 16 macrolide macrolide JJ cord-291400-o9skj94r 19 17 antimicrobial antimicrobial JJ cord-291400-o9skj94r 19 18 agent agent NN cord-291400-o9skj94r 19 19 results result VBZ cord-291400-o9skj94r 19 20 in in IN cord-291400-o9skj94r 19 21 a a DT cord-291400-o9skj94r 19 22 lower low JJR cord-291400-o9skj94r 19 23 CFR CFR NNP cord-291400-o9skj94r 19 24 than than IN cord-291400-o9skj94r 19 25 does do VBZ cord-291400-o9skj94r 19 26 therapy therapy NN cord-291400-o9skj94r 19 27 with with IN cord-291400-o9skj94r 19 28 a a DT cord-291400-o9skj94r 19 29 b b NN cord-291400-o9skj94r 19 30 - - HYPH cord-291400-o9skj94r 19 31 lactam lactam NN cord-291400-o9skj94r 19 32 alone alone JJ cord-291400-o9skj94r 19 33 [ [ -LRB- cord-291400-o9skj94r 19 34 5 5 CD cord-291400-o9skj94r 19 35 ] ] -RRB- cord-291400-o9skj94r 19 36 [ [ -LRB- cord-291400-o9skj94r 19 37 6 6 CD cord-291400-o9skj94r 19 38 ] ] -RRB- cord-291400-o9skj94r 19 39 [ [ -LRB- cord-291400-o9skj94r 19 40 7 7 CD cord-291400-o9skj94r 19 41 ] ] -RRB- cord-291400-o9skj94r 19 42 . . . cord-291400-o9skj94r 20 1 This this DT cord-291400-o9skj94r 20 2 article article NN cord-291400-o9skj94r 20 3 addresses address VBZ cord-291400-o9skj94r 20 4 the the DT cord-291400-o9skj94r 20 5 available available JJ cord-291400-o9skj94r 20 6 data datum NNS cord-291400-o9skj94r 20 7 on on IN cord-291400-o9skj94r 20 8 the the DT cord-291400-o9skj94r 20 9 treatment treatment NN cord-291400-o9skj94r 20 10 of of IN cord-291400-o9skj94r 20 11 bacteremic bacteremic JJ cord-291400-o9skj94r 20 12 pneumococcal pneumococcal JJ cord-291400-o9skj94r 20 13 pneumonia pneumonia NN cord-291400-o9skj94r 20 14 and and CC cord-291400-o9skj94r 20 15 discusses discuss VBZ cord-291400-o9skj94r 20 16 the the DT cord-291400-o9skj94r 20 17 biologically biologically RB cord-291400-o9skj94r 20 18 feasible feasible JJ cord-291400-o9skj94r 20 19 explanations explanation NNS cord-291400-o9skj94r 20 20 behind behind IN cord-291400-o9skj94r 20 21 new new JJ cord-291400-o9skj94r 20 22 therapy therapy NN cord-291400-o9skj94r 20 23 . . . cord-291400-o9skj94r 21 1 Guidelines guideline NNS cord-291400-o9skj94r 21 2 for for IN cord-291400-o9skj94r 21 3 the the DT cord-291400-o9skj94r 21 4 treatment treatment NN cord-291400-o9skj94r 21 5 of of IN cord-291400-o9skj94r 21 6 the the DT cord-291400-o9skj94r 21 7 clinical clinical JJ cord-291400-o9skj94r 21 8 syndrome syndrome NN cord-291400-o9skj94r 21 9 of of IN cord-291400-o9skj94r 21 10 CAP CAP NNP cord-291400-o9skj94r 21 11 have have VBP cord-291400-o9skj94r 21 12 been be VBN cord-291400-o9skj94r 21 13 published publish VBN cord-291400-o9skj94r 21 14 by by IN cord-291400-o9skj94r 21 15 several several JJ cord-291400-o9skj94r 21 16 pulmonary pulmonary JJ cord-291400-o9skj94r 21 17 and and CC cord-291400-o9skj94r 21 18 infectious infectious JJ cord-291400-o9skj94r 21 19 disease disease NN cord-291400-o9skj94r 21 20 societies society NNS cord-291400-o9skj94r 21 21 [ [ -LRB- cord-291400-o9skj94r 21 22 3 3 CD cord-291400-o9skj94r 21 23 , , , cord-291400-o9skj94r 21 24 [ [ -LRB- cord-291400-o9skj94r 21 25 8 8 CD cord-291400-o9skj94r 21 26 ] ] -RRB- cord-291400-o9skj94r 21 27 [ [ -LRB- cord-291400-o9skj94r 21 28 9 9 CD cord-291400-o9skj94r 21 29 ] ] -RRB- cord-291400-o9skj94r 21 30 [ [ -LRB- cord-291400-o9skj94r 21 31 10 10 CD cord-291400-o9skj94r 21 32 ] ] -RRB- cord-291400-o9skj94r 21 33 [ [ -LRB- cord-291400-o9skj94r 21 34 11 11 CD cord-291400-o9skj94r 21 35 ] ] -RRB- cord-291400-o9skj94r 21 36 . . . cord-291400-o9skj94r 22 1 These these DT cord-291400-o9skj94r 22 2 guidelines guideline NNS cord-291400-o9skj94r 22 3 are be VBP cord-291400-o9skj94r 22 4 addressed address VBN cord-291400-o9skj94r 22 5 in in IN cord-291400-o9skj94r 22 6 detail detail NN cord-291400-o9skj94r 22 7 in in IN cord-291400-o9skj94r 22 8 other other JJ cord-291400-o9skj94r 22 9 articles article NNS cord-291400-o9skj94r 22 10 in in IN cord-291400-o9skj94r 22 11 this this DT cord-291400-o9skj94r 22 12 issue issue NN cord-291400-o9skj94r 22 13 . . . cord-291400-o9skj94r 23 1 To to TO cord-291400-o9skj94r 23 2 evaluate evaluate VB cord-291400-o9skj94r 23 3 bacteremic bacteremic JJ cord-291400-o9skj94r 23 4 pneumococcal pneumococcal JJ cord-291400-o9skj94r 23 5 pneumonia pneumonia NN cord-291400-o9skj94r 23 6 , , , cord-291400-o9skj94r 23 7 series series NN cord-291400-o9skj94r 23 8 of of IN cord-291400-o9skj94r 23 9 CAP cap NN cord-291400-o9skj94r 23 10 cases case NNS cord-291400-o9skj94r 23 11 should should MD cord-291400-o9skj94r 23 12 be be VB cord-291400-o9skj94r 23 13 examined examine VBN cord-291400-o9skj94r 23 14 , , , cord-291400-o9skj94r 23 15 as as IN cord-291400-o9skj94r 23 16 physicians physician NNS cord-291400-o9skj94r 23 17 infrequently infrequently RB cord-291400-o9skj94r 23 18 know know VBP cord-291400-o9skj94r 23 19 whether whether IN cord-291400-o9skj94r 23 20 a a DT cord-291400-o9skj94r 23 21 patient patient NN cord-291400-o9skj94r 23 22 has have VBZ cord-291400-o9skj94r 23 23 pneumococcal pneumococcal JJ cord-291400-o9skj94r 23 24 pneumonia pneumonia NN cord-291400-o9skj94r 23 25 on on IN cord-291400-o9skj94r 23 26 initial initial JJ cord-291400-o9skj94r 23 27 presentation presentation NN cord-291400-o9skj94r 23 28 . . . cord-291400-o9skj94r 24 1 Over over IN cord-291400-o9skj94r 24 2 the the DT cord-291400-o9skj94r 24 3 years year NNS cord-291400-o9skj94r 24 4 , , , cord-291400-o9skj94r 24 5 many many JJ cord-291400-o9skj94r 24 6 series series NN cord-291400-o9skj94r 24 7 of of IN cord-291400-o9skj94r 24 8 CAP cap NN cord-291400-o9skj94r 24 9 cases case NNS cord-291400-o9skj94r 24 10 have have VBP cord-291400-o9skj94r 24 11 been be VBN cord-291400-o9skj94r 24 12 published publish VBN cord-291400-o9skj94r 24 13 and and CC cord-291400-o9skj94r 24 14 reflect reflect VB cord-291400-o9skj94r 24 15 the the DT cord-291400-o9skj94r 24 16 changing change VBG cord-291400-o9skj94r 24 17 nature nature NN cord-291400-o9skj94r 24 18 of of IN cord-291400-o9skj94r 24 19 CAP cap NN cord-291400-o9skj94r 24 20 [ [ -LRB- cord-291400-o9skj94r 24 21 2 2 CD cord-291400-o9skj94r 24 22 , , , cord-291400-o9skj94r 24 23 [ [ -LRB- cord-291400-o9skj94r 24 24 12 12 CD cord-291400-o9skj94r 24 25 ] ] -RRB- cord-291400-o9skj94r 24 26 [ [ -LRB- cord-291400-o9skj94r 24 27 13 13 CD cord-291400-o9skj94r 24 28 ] ] -RRB- cord-291400-o9skj94r 24 29 [ [ -LRB- cord-291400-o9skj94r 24 30 14 14 CD cord-291400-o9skj94r 24 31 ] ] -RRB- cord-291400-o9skj94r 24 32 [ [ -LRB- cord-291400-o9skj94r 24 33 15 15 CD cord-291400-o9skj94r 24 34 ] ] -RRB- cord-291400-o9skj94r 24 35 [ [ -LRB- cord-291400-o9skj94r 24 36 16 16 CD cord-291400-o9skj94r 24 37 ] ] -RRB- cord-291400-o9skj94r 24 38 [ [ -LRB- cord-291400-o9skj94r 24 39 17 17 CD cord-291400-o9skj94r 24 40 ] ] -RRB- cord-291400-o9skj94r 24 41 . . . cord-291400-o9skj94r 25 1 In in IN cord-291400-o9skj94r 25 2 series series NN cord-291400-o9skj94r 25 3 of of IN cord-291400-o9skj94r 25 4 CAP cap NN cord-291400-o9skj94r 25 5 through through IN cord-291400-o9skj94r 25 6 the the DT cord-291400-o9skj94r 25 7 1950s 1950 NNS cord-291400-o9skj94r 25 8 S S NNP cord-291400-o9skj94r 25 9 pneumoniae pneumoniae NN cord-291400-o9skj94r 25 10 was be VBD cord-291400-o9skj94r 25 11 the the DT cord-291400-o9skj94r 25 12 predominant predominant JJ cord-291400-o9skj94r 25 13 pathogen pathogen NN cord-291400-o9skj94r 25 14 , , , cord-291400-o9skj94r 25 15 accounting account VBG cord-291400-o9skj94r 25 16 for for IN cord-291400-o9skj94r 25 17 more more JJR cord-291400-o9skj94r 25 18 than than IN cord-291400-o9skj94r 25 19 80 80 CD cord-291400-o9skj94r 25 20 % % NN cord-291400-o9skj94r 25 21 of of IN cord-291400-o9skj94r 25 22 cases case NNS cord-291400-o9skj94r 25 23 . . . cord-291400-o9skj94r 26 1 In in IN cord-291400-o9skj94r 26 2 each each DT cord-291400-o9skj94r 26 3 subsequent subsequent JJ cord-291400-o9skj94r 26 4 decade decade NN cord-291400-o9skj94r 26 5 , , , cord-291400-o9skj94r 26 6 another another DT cord-291400-o9skj94r 26 7 pathogen pathogen NN cord-291400-o9skj94r 26 8 or or CC cord-291400-o9skj94r 26 9 group group NN cord-291400-o9skj94r 26 10 of of IN cord-291400-o9skj94r 26 11 pathogens pathogen NNS cord-291400-o9skj94r 26 12 has have VBZ cord-291400-o9skj94r 26 13 been be VBN cord-291400-o9skj94r 26 14 identified identify VBN cord-291400-o9skj94r 26 15 as as IN cord-291400-o9skj94r 26 16 causes cause NNS cord-291400-o9skj94r 26 17 of of IN cord-291400-o9skj94r 26 18 CAP cap NN cord-291400-o9skj94r 26 19 . . . cord-291400-o9skj94r 27 1 Mycoplasma mycoplasma NN cord-291400-o9skj94r 27 2 pneumoniae pneumoniae NN cord-291400-o9skj94r 27 3 was be VBD cord-291400-o9skj94r 27 4 identified identify VBN cord-291400-o9skj94r 27 5 as as IN cord-291400-o9skj94r 27 6 the the DT cord-291400-o9skj94r 27 7 initial initial JJ cord-291400-o9skj94r 27 8 cause cause NN cord-291400-o9skj94r 27 9 of of IN cord-291400-o9skj94r 27 10 atypical atypical JJ cord-291400-o9skj94r 27 11 pneumonia pneumonia NN cord-291400-o9skj94r 27 12 in in IN cord-291400-o9skj94r 27 13 the the DT cord-291400-o9skj94r 27 14 1960s 1960 NNS cord-291400-o9skj94r 27 15 . . . cord-291400-o9skj94r 28 1 The the DT cord-291400-o9skj94r 28 2 importance importance NN cord-291400-o9skj94r 28 3 of of IN cord-291400-o9skj94r 28 4 anaerobic anaerobic JJ cord-291400-o9skj94r 28 5 organisms organism NNS cord-291400-o9skj94r 28 6 in in IN cord-291400-o9skj94r 28 7 aspiration aspiration NN cord-291400-o9skj94r 28 8 pneumonia pneumonia NN cord-291400-o9skj94r 28 9 was be VBD cord-291400-o9skj94r 28 10 identified identify VBN cord-291400-o9skj94r 28 11 in in IN cord-291400-o9skj94r 28 12 the the DT cord-291400-o9skj94r 28 13 1970s 1970 NNS cord-291400-o9skj94r 28 14 . . . cord-291400-o9skj94r 29 1 Legionella Legionella NNP cord-291400-o9skj94r 29 2 pneumophila pneumophila NN cord-291400-o9skj94r 29 3 was be VBD cord-291400-o9skj94r 29 4 discovered discover VBN cord-291400-o9skj94r 29 5 to to TO cord-291400-o9skj94r 29 6 be be VB cord-291400-o9skj94r 29 7 the the DT cord-291400-o9skj94r 29 8 cause cause NN cord-291400-o9skj94r 29 9 of of IN cord-291400-o9skj94r 29 10 the the DT cord-291400-o9skj94r 29 11 epidemic epidemic NN cord-291400-o9skj94r 29 12 of of IN cord-291400-o9skj94r 29 13 Legionnaires Legionnaires NNP cord-291400-o9skj94r 29 14 disease disease NN cord-291400-o9skj94r 29 15 in in IN cord-291400-o9skj94r 29 16 1976 1976 CD cord-291400-o9skj94r 29 17 . . . cord-291400-o9skj94r 30 1 Chlamydia Chlamydia NNP cord-291400-o9skj94r 30 2 pneumoniae pneumoniae NN cord-291400-o9skj94r 30 3 was be VBD cord-291400-o9skj94r 30 4 identified identify VBN cord-291400-o9skj94r 30 5 as as IN cord-291400-o9skj94r 30 6 another another DT cord-291400-o9skj94r 30 7 cause cause NN cord-291400-o9skj94r 30 8 of of IN cord-291400-o9skj94r 30 9 atypical atypical JJ cord-291400-o9skj94r 30 10 pneumonia pneumonia NN cord-291400-o9skj94r 30 11 [ [ -LRB- cord-291400-o9skj94r 30 12 18 18 CD cord-291400-o9skj94r 30 13 ] ] -RRB- cord-291400-o9skj94r 30 14 . . . cord-291400-o9skj94r 31 1 The the DT cord-291400-o9skj94r 31 2 importance importance NN cord-291400-o9skj94r 31 3 of of IN cord-291400-o9skj94r 31 4 atypical atypical JJ cord-291400-o9skj94r 31 5 and and CC cord-291400-o9skj94r 31 6 other other JJ cord-291400-o9skj94r 31 7 viral viral JJ cord-291400-o9skj94r 31 8 causes cause NNS cord-291400-o9skj94r 31 9 of of IN cord-291400-o9skj94r 31 10 CAP cap NN cord-291400-o9skj94r 31 11 in in IN cord-291400-o9skj94r 31 12 adults adult NNS cord-291400-o9skj94r 31 13 ( ( -LRB- cord-291400-o9skj94r 31 14 ie ie NNS cord-291400-o9skj94r 31 15 , , , cord-291400-o9skj94r 31 16 respiratory respiratory JJ cord-291400-o9skj94r 31 17 syncytial syncytial JJ cord-291400-o9skj94r 31 18 virus virus NN cord-291400-o9skj94r 31 19 , , , cord-291400-o9skj94r 31 20 parainfluenza parainfluenza NNP cord-291400-o9skj94r 31 21 , , , cord-291400-o9skj94r 31 22 hantavirus hantavirus NN cord-291400-o9skj94r 31 23 , , , cord-291400-o9skj94r 31 24 metapneumonia metapneumonia NNP cord-291400-o9skj94r 31 25 virus virus NN cord-291400-o9skj94r 31 26 , , , cord-291400-o9skj94r 31 27 coronavirus coronavirus NN cord-291400-o9skj94r 31 28 [ [ -LRB- cord-291400-o9skj94r 31 29 severe severe JJ cord-291400-o9skj94r 31 30 acute acute JJ cord-291400-o9skj94r 31 31 respiratory respiratory JJ cord-291400-o9skj94r 31 32 syndrome syndrome NN cord-291400-o9skj94r 31 33 ] ] -RRB- cord-291400-o9skj94r 31 34 ) ) -RRB- cord-291400-o9skj94r 31 35 have have VBP cord-291400-o9skj94r 31 36 been be VBN cord-291400-o9skj94r 31 37 identified identify VBN cord-291400-o9skj94r 31 38 by by IN cord-291400-o9skj94r 31 39 various various JJ cord-291400-o9skj94r 31 40 investigators investigator NNS cord-291400-o9skj94r 31 41 , , , cord-291400-o9skj94r 31 42 including include VBG cord-291400-o9skj94r 31 43 those those DT cord-291400-o9skj94r 31 44 at at IN cord-291400-o9skj94r 31 45 the the DT cord-291400-o9skj94r 31 46 Centers Centers NNPS cord-291400-o9skj94r 31 47 for for IN cord-291400-o9skj94r 31 48 Disease Disease NNP cord-291400-o9skj94r 31 49 Control Control NNP cord-291400-o9skj94r 31 50 and and CC cord-291400-o9skj94r 31 51 Prevention Prevention NNP cord-291400-o9skj94r 31 52 and and CC cord-291400-o9skj94r 31 53 World World NNP cord-291400-o9skj94r 31 54 Health Health NNP cord-291400-o9skj94r 31 55 Organization Organization NNP cord-291400-o9skj94r 31 56 [ [ -LRB- cord-291400-o9skj94r 31 57 19 19 CD cord-291400-o9skj94r 31 58 ] ] -RRB- cord-291400-o9skj94r 31 59 [ [ -LRB- cord-291400-o9skj94r 31 60 20 20 CD cord-291400-o9skj94r 31 61 ] ] -RRB- cord-291400-o9skj94r 31 62 [ [ -LRB- cord-291400-o9skj94r 31 63 21 21 CD cord-291400-o9skj94r 31 64 ] ] -RRB- cord-291400-o9skj94r 31 65 [ [ -LRB- cord-291400-o9skj94r 31 66 22 22 CD cord-291400-o9skj94r 31 67 ] ] -RRB- cord-291400-o9skj94r 31 68 [ [ -LRB- cord-291400-o9skj94r 31 69 23 23 CD cord-291400-o9skj94r 31 70 ] ] -RRB- cord-291400-o9skj94r 31 71 . . . cord-291400-o9skj94r 32 1 More More JJR cord-291400-o9skj94r 32 2 recent recent JJ cord-291400-o9skj94r 32 3 series serie NNS cord-291400-o9skj94r 32 4 have have VBP cord-291400-o9skj94r 32 5 been be VBN cord-291400-o9skj94r 32 6 able able JJ cord-291400-o9skj94r 32 7 to to TO cord-291400-o9skj94r 32 8 identify identify VB cord-291400-o9skj94r 32 9 S S NNP cord-291400-o9skj94r 32 10 pneumoniae pneumoniae NN cord-291400-o9skj94r 32 11 in in IN cord-291400-o9skj94r 32 12 only only RB cord-291400-o9skj94r 32 13 10 10 CD cord-291400-o9skj94r 32 14 % % NN cord-291400-o9skj94r 32 15 to to IN cord-291400-o9skj94r 32 16 25 25 CD cord-291400-o9skj94r 32 17 % % NN cord-291400-o9skj94r 32 18 of of IN cord-291400-o9skj94r 32 19 patients patient NNS cord-291400-o9skj94r 32 20 with with IN cord-291400-o9skj94r 32 21 CAP CAP NNP cord-291400-o9skj94r 32 22 , , , cord-291400-o9skj94r 32 23 and and CC cord-291400-o9skj94r 32 24 no no DT cord-291400-o9skj94r 32 25 specific specific JJ cord-291400-o9skj94r 32 26 cause cause NN cord-291400-o9skj94r 32 27 was be VBD cord-291400-o9skj94r 32 28 found find VBN cord-291400-o9skj94r 32 29 in in IN cord-291400-o9skj94r 32 30 25 25 CD cord-291400-o9skj94r 32 31 % % NN cord-291400-o9skj94r 32 32 to to TO cord-291400-o9skj94r 32 33 50 50 CD cord-291400-o9skj94r 32 34 % % NN cord-291400-o9skj94r 32 35 of of IN cord-291400-o9skj94r 32 36 patients patient NNS cord-291400-o9skj94r 32 37 [ [ -LRB- cord-291400-o9skj94r 32 38 12 12 CD cord-291400-o9skj94r 32 39 , , , cord-291400-o9skj94r 32 40 15 15 CD cord-291400-o9skj94r 32 41 ] ] -RRB- cord-291400-o9skj94r 32 42 . . . cord-291400-o9skj94r 33 1 Approximately approximately RB cord-291400-o9skj94r 33 2 one one CD cord-291400-o9skj94r 33 3 third third NN cord-291400-o9skj94r 33 4 of of IN cord-291400-o9skj94r 33 5 patients patient NNS cord-291400-o9skj94r 33 6 had have VBD cord-291400-o9skj94r 33 7 taken take VBN cord-291400-o9skj94r 33 8 at at RB cord-291400-o9skj94r 33 9 least least RBS cord-291400-o9skj94r 33 10 one one CD cord-291400-o9skj94r 33 11 dose dose NN cord-291400-o9skj94r 33 12 of of IN cord-291400-o9skj94r 33 13 antibiotics antibiotic NNS cord-291400-o9skj94r 33 14 before before IN cord-291400-o9skj94r 33 15 presenting present VBG cord-291400-o9skj94r 33 16 to to IN cord-291400-o9skj94r 33 17 the the DT cord-291400-o9skj94r 33 18 physician physician NN cord-291400-o9skj94r 33 19 . . . cord-291400-o9skj94r 34 1 The the DT cord-291400-o9skj94r 34 2 services service NNS cord-291400-o9skj94r 34 3 of of IN cord-291400-o9skj94r 34 4 many many JJ cord-291400-o9skj94r 34 5 microbiology microbiology NN cord-291400-o9skj94r 34 6 laboratories laboratory NNS cord-291400-o9skj94r 34 7 have have VBP cord-291400-o9skj94r 34 8 been be VBN cord-291400-o9skj94r 34 9 scaled scale VBN cord-291400-o9skj94r 34 10 back back RB cord-291400-o9skj94r 34 11 because because IN cord-291400-o9skj94r 34 12 of of IN cord-291400-o9skj94r 34 13 hospital hospital NN cord-291400-o9skj94r 34 14 budgetary budgetary JJ cord-291400-o9skj94r 34 15 constraints constraint NNS cord-291400-o9skj94r 34 16 . . . cord-291400-o9skj94r 35 1 The the DT cord-291400-o9skj94r 35 2 consolidation consolidation NN cord-291400-o9skj94r 35 3 of of IN cord-291400-o9skj94r 35 4 many many JJ cord-291400-o9skj94r 35 5 hospitals hospital NNS cord-291400-o9skj94r 35 6 has have VBZ cord-291400-o9skj94r 35 7 led lead VBN cord-291400-o9skj94r 35 8 to to IN cord-291400-o9skj94r 35 9 the the DT cord-291400-o9skj94r 35 10 use use NN cord-291400-o9skj94r 35 11 of of IN cord-291400-o9skj94r 35 12 centralized centralized JJ cord-291400-o9skj94r 35 13 or or CC cord-291400-o9skj94r 35 14 reference reference NN cord-291400-o9skj94r 35 15 laboratories laboratory NNS cord-291400-o9skj94r 35 16 , , , cord-291400-o9skj94r 35 17 which which WDT cord-291400-o9skj94r 35 18 prolongs prolong VBZ cord-291400-o9skj94r 35 19 the the DT cord-291400-o9skj94r 35 20 time time NN cord-291400-o9skj94r 35 21 from from IN cord-291400-o9skj94r 35 22 specimen specimen JJ cord-291400-o9skj94r 35 23 collection collection NN cord-291400-o9skj94r 35 24 to to IN cord-291400-o9skj94r 35 25 processing processing NN cord-291400-o9skj94r 35 26 . . . cord-291400-o9skj94r 36 1 These these DT cord-291400-o9skj94r 36 2 factors factor NNS cord-291400-o9skj94r 36 3 have have VBP cord-291400-o9skj94r 36 4 decreased decrease VBN cord-291400-o9skj94r 36 5 the the DT cord-291400-o9skj94r 36 6 ability ability NN cord-291400-o9skj94r 36 7 to to TO cord-291400-o9skj94r 36 8 culture culture VB cord-291400-o9skj94r 36 9 pyogenic pyogenic JJ cord-291400-o9skj94r 36 10 organisms organism NNS cord-291400-o9skj94r 36 11 , , , cord-291400-o9skj94r 36 12 such such JJ cord-291400-o9skj94r 36 13 as as IN cord-291400-o9skj94r 36 14 S s NN cord-291400-o9skj94r 36 15 pneumoniae pneumoniae NN cord-291400-o9skj94r 36 16 . . . cord-291400-o9skj94r 37 1 Centers center NNS cord-291400-o9skj94r 37 2 that that WDT cord-291400-o9skj94r 37 3 use use VBP cord-291400-o9skj94r 37 4 methods method NNS cord-291400-o9skj94r 37 5 in in IN cord-291400-o9skj94r 37 6 addition addition NN cord-291400-o9skj94r 37 7 to to IN cord-291400-o9skj94r 37 8 culture culture NN cord-291400-o9skj94r 37 9 for for IN cord-291400-o9skj94r 37 10 S s NN cord-291400-o9skj94r 37 11 pneumoniae pneumoniae NN cord-291400-o9skj94r 37 12 ( ( -LRB- cord-291400-o9skj94r 37 13 antigen antigen NN cord-291400-o9skj94r 37 14 detection detection NN cord-291400-o9skj94r 37 15 , , , cord-291400-o9skj94r 37 16 serological serological JJ cord-291400-o9skj94r 37 17 means mean NNS cord-291400-o9skj94r 37 18 ) ) -RRB- cord-291400-o9skj94r 37 19 have have VBP cord-291400-o9skj94r 37 20 reported report VBN cord-291400-o9skj94r 37 21 finding find VBG cord-291400-o9skj94r 37 22 more more JJR cord-291400-o9skj94r 37 23 cases case NNS cord-291400-o9skj94r 37 24 of of IN cord-291400-o9skj94r 37 25 pneumococcal pneumococcal JJ cord-291400-o9skj94r 37 26 pneumonia pneumonia NN cord-291400-o9skj94r 37 27 than than IN cord-291400-o9skj94r 37 28 cases case NNS cord-291400-o9skj94r 37 29 of of IN cord-291400-o9skj94r 37 30 pneumonia pneumonia NN cord-291400-o9skj94r 37 31 caused cause VBN cord-291400-o9skj94r 37 32 by by IN cord-291400-o9skj94r 37 33 unidentified unidentified JJ cord-291400-o9skj94r 37 34 pathogens pathogen NNS cord-291400-o9skj94r 37 35 , , , cord-291400-o9skj94r 37 36 suggesting suggest VBG cord-291400-o9skj94r 37 37 that that IN cord-291400-o9skj94r 37 38 many many JJ cord-291400-o9skj94r 37 39 patients patient NNS cord-291400-o9skj94r 37 40 without without IN cord-291400-o9skj94r 37 41 a a DT cord-291400-o9skj94r 37 42 definable definable JJ cord-291400-o9skj94r 37 43 cause cause NN cord-291400-o9skj94r 37 44 have have VBP cord-291400-o9skj94r 37 45 pneumococcal pneumococcal JJ cord-291400-o9skj94r 37 46 pneumonia pneumonia NN cord-291400-o9skj94r 37 47 [ [ -LRB- cord-291400-o9skj94r 37 48 10 10 CD cord-291400-o9skj94r 37 49 , , , cord-291400-o9skj94r 37 50 16 16 CD cord-291400-o9skj94r 37 51 ] ] -RRB- cord-291400-o9skj94r 37 52 . . . cord-291400-o9skj94r 38 1 Patients patient NNS cord-291400-o9skj94r 38 2 with with IN cord-291400-o9skj94r 38 3 increased increase VBN cord-291400-o9skj94r 38 4 susceptibility susceptibility NN cord-291400-o9skj94r 38 5 to to IN cord-291400-o9skj94r 38 6 pneumococcus pneumococcus NNP cord-291400-o9skj94r 38 7 may may MD cord-291400-o9skj94r 38 8 be be VB cord-291400-o9skj94r 38 9 susceptible susceptible JJ cord-291400-o9skj94r 38 10 to to IN cord-291400-o9skj94r 38 11 other other JJ cord-291400-o9skj94r 38 12 pulmonary pulmonary JJ cord-291400-o9skj94r 38 13 pathogens pathogen NNS cord-291400-o9skj94r 38 14 , , , cord-291400-o9skj94r 38 15 leading lead VBG cord-291400-o9skj94r 38 16 to to IN cord-291400-o9skj94r 38 17 dual dual JJ cord-291400-o9skj94r 38 18 infections infection NNS cord-291400-o9skj94r 38 19 . . . cord-291400-o9skj94r 39 1 Some some DT cord-291400-o9skj94r 39 2 pathogens pathogen NNS cord-291400-o9skj94r 39 3 , , , cord-291400-o9skj94r 39 4 such such JJ cord-291400-o9skj94r 39 5 as as IN cord-291400-o9skj94r 39 6 influenza influenza NN cord-291400-o9skj94r 39 7 virus virus NN cord-291400-o9skj94r 39 8 , , , cord-291400-o9skj94r 39 9 render render VB cord-291400-o9skj94r 39 10 the the DT cord-291400-o9skj94r 39 11 host host NN cord-291400-o9skj94r 39 12 more more RBR cord-291400-o9skj94r 39 13 susceptible susceptible JJ cord-291400-o9skj94r 39 14 to to IN cord-291400-o9skj94r 39 15 the the DT cord-291400-o9skj94r 39 16 pneumococcus pneumococcus NN cord-291400-o9skj94r 39 17 [ [ -LRB- cord-291400-o9skj94r 39 18 24 24 CD cord-291400-o9skj94r 39 19 ] ] -RRB- cord-291400-o9skj94r 39 20 . . . cord-291400-o9skj94r 40 1 Predisposition predisposition NN cord-291400-o9skj94r 40 2 to to IN cord-291400-o9skj94r 40 3 pneumococcal pneumococcal JJ cord-291400-o9skj94r 40 4 infection infection NN cord-291400-o9skj94r 40 5 may may MD cord-291400-o9skj94r 40 6 hold hold VB cord-291400-o9skj94r 40 7 true true JJ cord-291400-o9skj94r 40 8 for for IN cord-291400-o9skj94r 40 9 patients patient NNS cord-291400-o9skj94r 40 10 with with IN cord-291400-o9skj94r 40 11 antecedent antecedent JJ cord-291400-o9skj94r 40 12 M M NNP cord-291400-o9skj94r 40 13 pneumoniae pneumoniae NN cord-291400-o9skj94r 40 14 and and CC cord-291400-o9skj94r 40 15 C c NN cord-291400-o9skj94r 40 16 pneumoniae pneumoniae NN cord-291400-o9skj94r 40 17 infections infection NNS cord-291400-o9skj94r 40 18 [ [ -LRB- cord-291400-o9skj94r 40 19 13 13 CD cord-291400-o9skj94r 40 20 ] ] -RRB- cord-291400-o9skj94r 41 1 [ [ -LRB- cord-291400-o9skj94r 41 2 14 14 CD cord-291400-o9skj94r 41 3 ] ] -RRB- cord-291400-o9skj94r 41 4 [ [ -LRB- cord-291400-o9skj94r 41 5 15 15 CD cord-291400-o9skj94r 41 6 ] ] -RRB- cord-291400-o9skj94r 41 7 [ [ -LRB- cord-291400-o9skj94r 41 8 16 16 CD cord-291400-o9skj94r 41 9 ] ] -RRB- cord-291400-o9skj94r 41 10 . . . cord-291400-o9skj94r 42 1 Lessons lesson NNS cord-291400-o9skj94r 42 2 learned learn VBD cord-291400-o9skj94r 42 3 from from IN cord-291400-o9skj94r 42 4 the the DT cord-291400-o9skj94r 42 5 series series NN cord-291400-o9skj94r 42 6 of of IN cord-291400-o9skj94r 42 7 patients patient NNS cord-291400-o9skj94r 42 8 with with IN cord-291400-o9skj94r 42 9 CAP CAP NNP cord-291400-o9skj94r 42 10 include include VBP cord-291400-o9skj94r 42 11 the the DT cord-291400-o9skj94r 42 12 fact fact NN cord-291400-o9skj94r 42 13 that that IN cord-291400-o9skj94r 42 14 it -PRON- PRP cord-291400-o9skj94r 42 15 may may MD cord-291400-o9skj94r 42 16 be be VB cord-291400-o9skj94r 42 17 difficult difficult JJ cord-291400-o9skj94r 42 18 to to TO cord-291400-o9skj94r 42 19 identify identify VB cord-291400-o9skj94r 42 20 cases case NNS cord-291400-o9skj94r 42 21 of of IN cord-291400-o9skj94r 42 22 pneumococcal pneumococcal JJ cord-291400-o9skj94r 42 23 pneumonia pneumonia NN cord-291400-o9skj94r 42 24 , , , cord-291400-o9skj94r 42 25 patients patient NNS cord-291400-o9skj94r 42 26 with with IN cord-291400-o9skj94r 42 27 pneumococcal pneumococcal JJ cord-291400-o9skj94r 42 28 pneumonia pneumonia NN cord-291400-o9skj94r 42 29 may may MD cord-291400-o9skj94r 42 30 have have VB cord-291400-o9skj94r 42 31 additional additional JJ cord-291400-o9skj94r 42 32 infections infection NNS cord-291400-o9skj94r 42 33 [ [ -LRB- cord-291400-o9skj94r 42 34 25 25 CD cord-291400-o9skj94r 42 35 , , , cord-291400-o9skj94r 42 36 26 26 CD cord-291400-o9skj94r 42 37 ] ] -RRB- cord-291400-o9skj94r 42 38 , , , cord-291400-o9skj94r 42 39 and and CC cord-291400-o9skj94r 42 40 patients patient NNS cord-291400-o9skj94r 42 41 with with IN cord-291400-o9skj94r 42 42 pneumonia pneumonia NN cord-291400-o9skj94r 42 43 reflect reflect VBP cord-291400-o9skj94r 42 44 the the DT cord-291400-o9skj94r 42 45 demographics demographic NNS cord-291400-o9skj94r 42 46 of of IN cord-291400-o9skj94r 42 47 the the DT cord-291400-o9skj94r 42 48 changing change VBG cord-291400-o9skj94r 42 49 U.S. U.S. NNP cord-291400-o9skj94r 42 50 population population NN cord-291400-o9skj94r 42 51 . . . cord-291400-o9skj94r 43 1 Studies study NNS cord-291400-o9skj94r 43 2 of of IN cord-291400-o9skj94r 43 3 pneumococcal pneumococcal JJ cord-291400-o9skj94r 43 4 bacteremia bacteremia NN cord-291400-o9skj94r 43 5 suggest suggest VBP cord-291400-o9skj94r 43 6 that that IN cord-291400-o9skj94r 43 7 the the DT cord-291400-o9skj94r 43 8 incidence incidence NN cord-291400-o9skj94r 43 9 of of IN cord-291400-o9skj94r 43 10 disease disease NN cord-291400-o9skj94r 43 11 is be VBZ cord-291400-o9skj94r 43 12 increasing increase VBG cord-291400-o9skj94r 43 13 in in IN cord-291400-o9skj94r 43 14 the the DT cord-291400-o9skj94r 43 15 U.S. U.S. NNP cord-291400-o9skj94r 43 16 population population NN cord-291400-o9skj94r 43 17 [ [ -LRB- cord-291400-o9skj94r 43 18 5 5 CD cord-291400-o9skj94r 43 19 , , , cord-291400-o9skj94r 43 20 [ [ -LRB- cord-291400-o9skj94r 43 21 27 27 CD cord-291400-o9skj94r 43 22 ] ] -RRB- cord-291400-o9skj94r 43 23 [ [ -LRB- cord-291400-o9skj94r 43 24 28 28 CD cord-291400-o9skj94r 43 25 ] ] -RRB- cord-291400-o9skj94r 43 26 [ [ -LRB- cord-291400-o9skj94r 43 27 29 29 CD cord-291400-o9skj94r 43 28 ] ] -RRB- cord-291400-o9skj94r 43 29 . . . cord-291400-o9skj94r 44 1 Pathophysiology pathophysiology NN cord-291400-o9skj94r 44 2 S S NNP cord-291400-o9skj94r 44 3 pneumoniae pneumoniae NN cord-291400-o9skj94r 44 4 is be VBZ cord-291400-o9skj94r 44 5 acquired acquire VBN cord-291400-o9skj94r 44 6 through through IN cord-291400-o9skj94r 44 7 inhalation inhalation NN cord-291400-o9skj94r 44 8 of of IN cord-291400-o9skj94r 44 9 large large JJ cord-291400-o9skj94r 44 10 droplets droplet NNS cord-291400-o9skj94r 44 11 from from IN cord-291400-o9skj94r 44 12 a a DT cord-291400-o9skj94r 44 13 carrier carrier NN cord-291400-o9skj94r 44 14 . . . cord-291400-o9skj94r 45 1 The the DT cord-291400-o9skj94r 45 2 pneumococcus pneumococcus NN cord-291400-o9skj94r 45 3 must must MD cord-291400-o9skj94r 45 4 colonize colonize VB cord-291400-o9skj94r 45 5 the the DT cord-291400-o9skj94r 45 6 oropharyngeal oropharyngeal JJ cord-291400-o9skj94r 45 7 epithelial epithelial JJ cord-291400-o9skj94r 45 8 cells cell NNS cord-291400-o9skj94r 45 9 and and CC cord-291400-o9skj94r 45 10 then then RB cord-291400-o9skj94r 45 11 be be VB cord-291400-o9skj94r 45 12 able able JJ cord-291400-o9skj94r 45 13 to to TO cord-291400-o9skj94r 45 14 multiply multiply VB cord-291400-o9skj94r 45 15 . . . cord-291400-o9skj94r 46 1 Microaspiration Microaspiration NNP cord-291400-o9skj94r 46 2 of of IN cord-291400-o9skj94r 46 3 these these DT cord-291400-o9skj94r 46 4 organisms organism NNS cord-291400-o9skj94r 46 5 to to IN cord-291400-o9skj94r 46 6 the the DT cord-291400-o9skj94r 46 7 lungs lung NNS cord-291400-o9skj94r 46 8 causes cause VBZ cord-291400-o9skj94r 46 9 the the DT cord-291400-o9skj94r 46 10 pneumonia pneumonia NN cord-291400-o9skj94r 46 11 . . . cord-291400-o9skj94r 47 1 The the DT cord-291400-o9skj94r 47 2 efficiency efficiency NN cord-291400-o9skj94r 47 3 of of IN cord-291400-o9skj94r 47 4 this this DT cord-291400-o9skj94r 47 5 process process NN cord-291400-o9skj94r 47 6 is be VBZ cord-291400-o9skj94r 47 7 low low JJ cord-291400-o9skj94r 47 8 in in IN cord-291400-o9skj94r 47 9 most most JJS cord-291400-o9skj94r 47 10 instances instance NNS cord-291400-o9skj94r 47 11 , , , cord-291400-o9skj94r 47 12 as as IN cord-291400-o9skj94r 47 13 patients patient NNS cord-291400-o9skj94r 47 14 with with IN cord-291400-o9skj94r 47 15 pneumococcal pneumococcal JJ cord-291400-o9skj94r 47 16 pneumonia pneumonia NN cord-291400-o9skj94r 47 17 are be VBP cord-291400-o9skj94r 47 18 not not RB cord-291400-o9skj94r 47 19 placed place VBN cord-291400-o9skj94r 47 20 in in IN cord-291400-o9skj94r 47 21 respiratory respiratory JJ cord-291400-o9skj94r 47 22 isolation isolation NN cord-291400-o9skj94r 47 23 . . . cord-291400-o9skj94r 48 1 In in IN cord-291400-o9skj94r 48 2 certain certain JJ cord-291400-o9skj94r 48 3 closed closed JJ cord-291400-o9skj94r 48 4 populations population NNS cord-291400-o9skj94r 48 5 , , , cord-291400-o9skj94r 48 6 such such JJ cord-291400-o9skj94r 48 7 as as IN cord-291400-o9skj94r 48 8 jails jail NNS cord-291400-o9skj94r 48 9 , , , cord-291400-o9skj94r 48 10 long long JJ cord-291400-o9skj94r 48 11 - - HYPH cord-291400-o9skj94r 48 12 term term NN cord-291400-o9skj94r 48 13 care care NN cord-291400-o9skj94r 48 14 facilities facility NNS cord-291400-o9skj94r 48 15 , , , cord-291400-o9skj94r 48 16 and and CC cord-291400-o9skj94r 48 17 day day NN cord-291400-o9skj94r 48 18 care care NN cord-291400-o9skj94r 48 19 centers center NNS cord-291400-o9skj94r 48 20 , , , cord-291400-o9skj94r 48 21 the the DT cord-291400-o9skj94r 48 22 process process NN cord-291400-o9skj94r 48 23 ' ' '' cord-291400-o9skj94r 48 24 efficiency efficiency NN cord-291400-o9skj94r 48 25 is be VBZ cord-291400-o9skj94r 48 26 higher high JJR cord-291400-o9skj94r 48 27 , , , cord-291400-o9skj94r 48 28 and and CC cord-291400-o9skj94r 48 29 outbreaks outbreak NNS cord-291400-o9skj94r 48 30 can can MD cord-291400-o9skj94r 48 31 occur occur VB cord-291400-o9skj94r 48 32 . . . cord-291400-o9skj94r 49 1 The the DT cord-291400-o9skj94r 49 2 defense defense NN cord-291400-o9skj94r 49 3 system system NN cord-291400-o9skj94r 49 4 of of IN cord-291400-o9skj94r 49 5 the the DT cord-291400-o9skj94r 49 6 host host NN cord-291400-o9skj94r 49 7 is be VBZ cord-291400-o9skj94r 49 8 helpful helpful JJ cord-291400-o9skj94r 49 9 in in IN cord-291400-o9skj94r 49 10 controlling control VBG cord-291400-o9skj94r 49 11 S s NN cord-291400-o9skj94r 49 12 pneumoniae pneumoniae NN cord-291400-o9skj94r 49 13 attachment attachment NN cord-291400-o9skj94r 49 14 ( ( -LRB- cord-291400-o9skj94r 49 15 conjugate conjugate JJ cord-291400-o9skj94r 49 16 vaccine vaccine NN cord-291400-o9skj94r 49 17 ) ) -RRB- cord-291400-o9skj94r 49 18 , , , cord-291400-o9skj94r 49 19 growth growth NN cord-291400-o9skj94r 49 20 , , , cord-291400-o9skj94r 49 21 and and CC cord-291400-o9skj94r 49 22 spread spread VBD cord-291400-o9skj94r 49 23 to to IN cord-291400-o9skj94r 49 24 lungs lung NNS cord-291400-o9skj94r 49 25 . . . cord-291400-o9skj94r 50 1 Factors factor NNS cord-291400-o9skj94r 50 2 that that WDT cord-291400-o9skj94r 50 3 inhibit inhibit VBP cord-291400-o9skj94r 50 4 ciliary ciliary NN cord-291400-o9skj94r 50 5 function function NN cord-291400-o9skj94r 50 6 , , , cord-291400-o9skj94r 50 7 such such JJ cord-291400-o9skj94r 50 8 as as IN cord-291400-o9skj94r 50 9 smoking smoking NN cord-291400-o9skj94r 50 10 or or CC cord-291400-o9skj94r 50 11 viral viral JJ cord-291400-o9skj94r 50 12 infections infection NNS cord-291400-o9skj94r 50 13 , , , cord-291400-o9skj94r 50 14 increase increase VB cord-291400-o9skj94r 50 15 the the DT cord-291400-o9skj94r 50 16 likelihood likelihood NN cord-291400-o9skj94r 50 17 of of IN cord-291400-o9skj94r 50 18 acquiring acquire VBG cord-291400-o9skj94r 50 19 pneumococcal pneumococcal JJ cord-291400-o9skj94r 50 20 pneumonia pneumonia NN cord-291400-o9skj94r 50 21 . . . cord-291400-o9skj94r 51 1 Once once RB cord-291400-o9skj94r 51 2 in in IN cord-291400-o9skj94r 51 3 the the DT cord-291400-o9skj94r 51 4 pulmonary pulmonary JJ cord-291400-o9skj94r 51 5 parenchyma parenchyma NN cord-291400-o9skj94r 51 6 , , , cord-291400-o9skj94r 51 7 the the DT cord-291400-o9skj94r 51 8 pneumococcus pneumococcus NN cord-291400-o9skj94r 51 9 elicits elicit VBZ cord-291400-o9skj94r 51 10 an an DT cord-291400-o9skj94r 51 11 intense intense JJ cord-291400-o9skj94r 51 12 inflammatory inflammatory JJ cord-291400-o9skj94r 51 13 reaction reaction NN cord-291400-o9skj94r 51 14 . . . cord-291400-o9skj94r 52 1 Phagocytosis Phagocytosis NNP cord-291400-o9skj94r 52 2 in in IN cord-291400-o9skj94r 52 3 enhanced enhance VBN cord-291400-o9skj94r 52 4 if if IN cord-291400-o9skj94r 52 5 type type NN cord-291400-o9skj94r 52 6 - - HYPH cord-291400-o9skj94r 52 7 specific specific JJ cord-291400-o9skj94r 52 8 opsonizing opsonize VBG cord-291400-o9skj94r 52 9 antibodies antibody NNS cord-291400-o9skj94r 52 10 are be VBP cord-291400-o9skj94r 52 11 present present JJ cord-291400-o9skj94r 52 12 . . . cord-291400-o9skj94r 53 1 Bacteremia Bacteremia NNP cord-291400-o9skj94r 53 2 is be VBZ cord-291400-o9skj94r 53 3 more more RBR cord-291400-o9skj94r 53 4 likely likely JJ cord-291400-o9skj94r 53 5 to to TO cord-291400-o9skj94r 53 6 occur occur VB cord-291400-o9skj94r 53 7 in in IN cord-291400-o9skj94r 53 8 the the DT cord-291400-o9skj94r 53 9 absence absence NN cord-291400-o9skj94r 53 10 of of IN cord-291400-o9skj94r 53 11 these these DT cord-291400-o9skj94r 53 12 antibodies antibody NNS cord-291400-o9skj94r 53 13 ( ( -LRB- cord-291400-o9skj94r 53 14 hypogammaglobulinemia hypogammaglobulinemia NNP cord-291400-o9skj94r 53 15 ) ) -RRB- cord-291400-o9skj94r 53 16 , , , cord-291400-o9skj94r 53 17 diminished diminished JJ cord-291400-o9skj94r 53 18 function function NN cord-291400-o9skj94r 53 19 of of IN cord-291400-o9skj94r 53 20 phagocytic phagocytic JJ cord-291400-o9skj94r 53 21 cells cell NNS cord-291400-o9skj94r 53 22 ( ( -LRB- cord-291400-o9skj94r 53 23 alcoholism alcoholism NN cord-291400-o9skj94r 53 24 ) ) -RRB- cord-291400-o9skj94r 53 25 , , , cord-291400-o9skj94r 53 26 decreased decrease VBD cord-291400-o9skj94r 53 27 inflammatory inflammatory JJ cord-291400-o9skj94r 53 28 response response NN cord-291400-o9skj94r 53 29 ( ( -LRB- cord-291400-o9skj94r 53 30 complement complement NN cord-291400-o9skj94r 53 31 deficiencies deficiency NNS cord-291400-o9skj94r 53 32 ) ) -RRB- cord-291400-o9skj94r 53 33 , , , cord-291400-o9skj94r 53 34 and and CC cord-291400-o9skj94r 53 35 the the DT cord-291400-o9skj94r 53 36 absence absence NN cord-291400-o9skj94r 53 37 of of IN cord-291400-o9skj94r 53 38 the the DT cord-291400-o9skj94r 53 39 clearing clearing NN cord-291400-o9skj94r 53 40 function function NN cord-291400-o9skj94r 53 41 of of IN cord-291400-o9skj94r 53 42 the the DT cord-291400-o9skj94r 53 43 spleen spleen NNS cord-291400-o9skj94r 53 44 ( ( -LRB- cord-291400-o9skj94r 53 45 sickle sickle NN cord-291400-o9skj94r 53 46 cell cell NN cord-291400-o9skj94r 53 47 disease disease NN cord-291400-o9skj94r 53 48 , , , cord-291400-o9skj94r 53 49 splenectomy splenectomy NN cord-291400-o9skj94r 53 50 ) ) -RRB- cord-291400-o9skj94r 53 51 . . . cord-291400-o9skj94r 54 1 Before before IN cord-291400-o9skj94r 54 2 the the DT cord-291400-o9skj94r 54 3 early early JJ cord-291400-o9skj94r 54 4 1990s 1990 NNS cord-291400-o9skj94r 54 5 , , , cord-291400-o9skj94r 54 6 most most JJS cord-291400-o9skj94r 54 7 S s NN cord-291400-o9skj94r 54 8 pneumoniae pneumoniae NN cord-291400-o9skj94r 54 9 isolates isolate NNS cord-291400-o9skj94r 54 10 were be VBD cord-291400-o9skj94r 54 11 susceptible susceptible JJ cord-291400-o9skj94r 54 12 to to IN cord-291400-o9skj94r 54 13 most most JJS cord-291400-o9skj94r 54 14 of of IN cord-291400-o9skj94r 54 15 the the DT cord-291400-o9skj94r 54 16 antimicrobial antimicrobial JJ cord-291400-o9skj94r 54 17 agents agent NNS cord-291400-o9skj94r 54 18 that that WDT cord-291400-o9skj94r 54 19 were be VBD cord-291400-o9skj94r 54 20 used use VBN cord-291400-o9skj94r 54 21 to to TO cord-291400-o9skj94r 54 22 treat treat VB cord-291400-o9skj94r 54 23 respiratory respiratory JJ cord-291400-o9skj94r 54 24 infections infection NNS cord-291400-o9skj94r 54 25 . . . cord-291400-o9skj94r 55 1 Since since IN cord-291400-o9skj94r 55 2 then then RB cord-291400-o9skj94r 55 3 , , , cord-291400-o9skj94r 55 4 higher high JJR cord-291400-o9skj94r 55 5 concentrations concentration NNS cord-291400-o9skj94r 55 6 of of IN cord-291400-o9skj94r 55 7 penicillin penicillin NN cord-291400-o9skj94r 55 8 have have VBP cord-291400-o9skj94r 55 9 been be VBN cord-291400-o9skj94r 55 10 required require VBN cord-291400-o9skj94r 55 11 to to TO cord-291400-o9skj94r 55 12 inhibit inhibit VB cord-291400-o9skj94r 55 13 growth growth NN cord-291400-o9skj94r 55 14 of of IN cord-291400-o9skj94r 55 15 the the DT cord-291400-o9skj94r 55 16 pneumococcus pneumococcus NN cord-291400-o9skj94r 55 17 [ [ -LRB- cord-291400-o9skj94r 55 18 4 4 CD cord-291400-o9skj94r 55 19 ] ] -RRB- cord-291400-o9skj94r 55 20 . . . cord-291400-o9skj94r 56 1 The the DT cord-291400-o9skj94r 56 2 changing change VBG cord-291400-o9skj94r 56 3 susceptibilities susceptibility NNS cord-291400-o9skj94r 56 4 of of IN cord-291400-o9skj94r 56 5 antimicrobial antimicrobial JJ cord-291400-o9skj94r 56 6 agents agent NNS cord-291400-o9skj94r 56 7 are be VBP cord-291400-o9skj94r 56 8 discussed discuss VBN cord-291400-o9skj94r 56 9 in in IN cord-291400-o9skj94r 56 10 detail detail NN cord-291400-o9skj94r 56 11 in in IN cord-291400-o9skj94r 56 12 another another DT cord-291400-o9skj94r 56 13 article article NN cord-291400-o9skj94r 56 14 in in IN cord-291400-o9skj94r 56 15 this this DT cord-291400-o9skj94r 56 16 issue issue NN cord-291400-o9skj94r 56 17 . . . cord-291400-o9skj94r 57 1 In in IN cord-291400-o9skj94r 57 2 general general JJ cord-291400-o9skj94r 57 3 , , , cord-291400-o9skj94r 57 4 b b NN cord-291400-o9skj94r 57 5 - - HYPH cord-291400-o9skj94r 57 6 lactam lactam NN cord-291400-o9skj94r 57 7 antibiotics antibiotic NNS cord-291400-o9skj94r 57 8 effectively effectively RB cord-291400-o9skj94r 57 9 treat treat VBP cord-291400-o9skj94r 57 10 nonmeningeal nonmeningeal NNP cord-291400-o9skj94r 57 11 ( ( -LRB- cord-291400-o9skj94r 57 12 ie ie FW cord-291400-o9skj94r 57 13 , , , cord-291400-o9skj94r 57 14 pneumonia pneumonia NN cord-291400-o9skj94r 57 15 , , , cord-291400-o9skj94r 57 16 bacteremia bacteremia NN cord-291400-o9skj94r 57 17 ) ) -RRB- cord-291400-o9skj94r 57 18 pneumococcal pneumococcal JJ cord-291400-o9skj94r 57 19 disease disease NN cord-291400-o9skj94r 57 20 in in IN cord-291400-o9skj94r 57 21 most most JJS cord-291400-o9skj94r 57 22 cases case NNS cord-291400-o9skj94r 57 23 . . . cord-291400-o9skj94r 58 1 Although although IN cord-291400-o9skj94r 58 2 several several JJ cord-291400-o9skj94r 58 3 respiratory respiratory JJ cord-291400-o9skj94r 58 4 pathogens pathogen NNS cord-291400-o9skj94r 58 5 may may MD cord-291400-o9skj94r 58 6 have have VB cord-291400-o9skj94r 58 7 a a DT cord-291400-o9skj94r 58 8 higher high JJR cord-291400-o9skj94r 58 9 CFR CFR NNP cord-291400-o9skj94r 58 10 ( ( -LRB- cord-291400-o9skj94r 58 11 rate rate NN cord-291400-o9skj94r 58 12 for for IN cord-291400-o9skj94r 58 13 Pseudomonas Pseudomonas NNP cord-291400-o9skj94r 58 14 aeruginosa aeruginosa NN cord-291400-o9skj94r 58 15 , , , cord-291400-o9skj94r 58 16 70 70 CD cord-291400-o9skj94r 58 17 % % NN cord-291400-o9skj94r 58 18 ) ) -RRB- cord-291400-o9skj94r 58 19 than than IN cord-291400-o9skj94r 58 20 S S NNP cord-291400-o9skj94r 58 21 pneumoniae pneumoniae NN cord-291400-o9skj94r 58 22 ( ( -LRB- cord-291400-o9skj94r 58 23 10%-20 10%-20 CD cord-291400-o9skj94r 58 24 % % NN cord-291400-o9skj94r 58 25 ) ) -RRB- cord-291400-o9skj94r 58 26 , , , cord-291400-o9skj94r 58 27 the the DT cord-291400-o9skj94r 58 28 total total JJ cord-291400-o9skj94r 58 29 number number NN cord-291400-o9skj94r 58 30 of of IN cord-291400-o9skj94r 58 31 CAP cap NN cord-291400-o9skj94r 58 32 - - HYPH cord-291400-o9skj94r 58 33 related relate VBN cord-291400-o9skj94r 58 34 deaths death NNS cord-291400-o9skj94r 58 35 caused cause VBN cord-291400-o9skj94r 58 36 by by IN cord-291400-o9skj94r 58 37 pneumococci pneumococci NNP cord-291400-o9skj94r 58 38 exceeds exceed VBZ cord-291400-o9skj94r 58 39 the the DT cord-291400-o9skj94r 58 40 number number NN cord-291400-o9skj94r 58 41 of of IN cord-291400-o9skj94r 58 42 deaths death NNS cord-291400-o9skj94r 58 43 caused cause VBN cord-291400-o9skj94r 58 44 by by IN cord-291400-o9skj94r 58 45 all all DT cord-291400-o9skj94r 58 46 other other JJ cord-291400-o9skj94r 58 47 pathogens pathogen NNS cord-291400-o9skj94r 58 48 [ [ -LRB- cord-291400-o9skj94r 58 49 30 30 CD cord-291400-o9skj94r 58 50 ] ] -RRB- cord-291400-o9skj94r 58 51 . . . cord-291400-o9skj94r 59 1 It -PRON- PRP cord-291400-o9skj94r 59 2 seems seem VBZ cord-291400-o9skj94r 59 3 logical logical JJ cord-291400-o9skj94r 59 4 that that IN cord-291400-o9skj94r 59 5 the the DT cord-291400-o9skj94r 59 6 changes change NNS cord-291400-o9skj94r 59 7 in in IN cord-291400-o9skj94r 59 8 the the DT cord-291400-o9skj94r 59 9 treatment treatment NN cord-291400-o9skj94r 59 10 of of IN cord-291400-o9skj94r 59 11 CAP cap NN cord-291400-o9skj94r 59 12 that that WDT cord-291400-o9skj94r 59 13 result result VBP cord-291400-o9skj94r 59 14 in in IN cord-291400-o9skj94r 59 15 more more RBR cord-291400-o9skj94r 59 16 favorable favorable JJ cord-291400-o9skj94r 59 17 outcomes outcome NNS cord-291400-o9skj94r 59 18 also also RB cord-291400-o9skj94r 59 19 would would MD cord-291400-o9skj94r 59 20 be be VB cord-291400-o9skj94r 59 21 beneficial beneficial JJ cord-291400-o9skj94r 59 22 in in IN cord-291400-o9skj94r 59 23 patients patient NNS cord-291400-o9skj94r 59 24 with with IN cord-291400-o9skj94r 59 25 pneumococcal pneumococcal JJ cord-291400-o9skj94r 59 26 pneumonia pneumonia NN cord-291400-o9skj94r 59 27 . . . cord-291400-o9skj94r 60 1 Changes change NNS cord-291400-o9skj94r 60 2 that that WDT cord-291400-o9skj94r 60 3 have have VBP cord-291400-o9skj94r 60 4 been be VBN cord-291400-o9skj94r 60 5 associated associate VBN cord-291400-o9skj94r 60 6 with with IN cord-291400-o9skj94r 60 7 improvements improvement NNS cord-291400-o9skj94r 60 8 in in IN cord-291400-o9skj94r 60 9 CFR CFR NNP cord-291400-o9skj94r 60 10 in in IN cord-291400-o9skj94r 60 11 some some DT cord-291400-o9skj94r 60 12 series series NN cord-291400-o9skj94r 60 13 of of IN cord-291400-o9skj94r 60 14 patients patient NNS cord-291400-o9skj94r 60 15 with with IN cord-291400-o9skj94r 60 16 CAP CAP NNP cord-291400-o9skj94r 60 17 include include VBP cord-291400-o9skj94r 60 18 more more RBR cord-291400-o9skj94r 60 19 rapid rapid JJ cord-291400-o9skj94r 60 20 antibiotic antibiotic JJ cord-291400-o9skj94r 60 21 delivery delivery NN cord-291400-o9skj94r 60 22 [ [ -LRB- cord-291400-o9skj94r 60 23 31 31 CD cord-291400-o9skj94r 60 24 ] ] -RRB- cord-291400-o9skj94r 60 25 , , , cord-291400-o9skj94r 60 26 combination combination NN cord-291400-o9skj94r 60 27 therapy therapy NN cord-291400-o9skj94r 60 28 with with IN cord-291400-o9skj94r 60 29 a a DT cord-291400-o9skj94r 60 30 cephalosporin cephalosporin NN cord-291400-o9skj94r 60 31 with with IN cord-291400-o9skj94r 60 32 good good JJ cord-291400-o9skj94r 60 33 pneumococcal pneumococcal JJ cord-291400-o9skj94r 60 34 activity activity NN cord-291400-o9skj94r 60 35 and and CC cord-291400-o9skj94r 60 36 macrolide macrolide NN cord-291400-o9skj94r 60 37 ( ( -LRB- cord-291400-o9skj94r 60 38 versus versus IN cord-291400-o9skj94r 60 39 the the DT cord-291400-o9skj94r 60 40 cephalosporin cephalosporin NN cord-291400-o9skj94r 60 41 alone alone RB cord-291400-o9skj94r 60 42 ) ) -RRB- cord-291400-o9skj94r 60 43 , , , cord-291400-o9skj94r 60 44 and and CC cord-291400-o9skj94r 60 45 therapy therapy NN cord-291400-o9skj94r 60 46 with with IN cord-291400-o9skj94r 60 47 a a DT cord-291400-o9skj94r 60 48 fluoroquinolone fluoroquinolone NN cord-291400-o9skj94r 60 49 ( ( -LRB- cord-291400-o9skj94r 60 50 ciprofloxacin ciprofloxacin NN cord-291400-o9skj94r 60 51 ; ; : cord-291400-o9skj94r 60 52 versus versus IN cord-291400-o9skj94r 60 53 a a DT cord-291400-o9skj94r 60 54 cephalosporin cephalosporin NN cord-291400-o9skj94r 60 55 alone alone RB cord-291400-o9skj94r 60 56 ) ) -RRB- cord-291400-o9skj94r 60 57 [ [ -LRB- cord-291400-o9skj94r 60 58 32 32 CD cord-291400-o9skj94r 60 59 ] ] -RRB- cord-291400-o9skj94r 60 60 . . . cord-291400-o9skj94r 61 1 Culture culture NN cord-291400-o9skj94r 61 2 of of IN cord-291400-o9skj94r 61 3 S S NNP cord-291400-o9skj94r 61 4 pneumoniae pneumoniae NN cord-291400-o9skj94r 61 5 from from IN cord-291400-o9skj94r 61 6 a a DT cord-291400-o9skj94r 61 7 normally normally RB cord-291400-o9skj94r 61 8 sterile sterile JJ cord-291400-o9skj94r 61 9 body body NN cord-291400-o9skj94r 61 10 fluid fluid NN cord-291400-o9skj94r 61 11 ( ( -LRB- cord-291400-o9skj94r 61 12 blood blood NN cord-291400-o9skj94r 61 13 pleural pleural NN cord-291400-o9skj94r 61 14 fluid fluid NN cord-291400-o9skj94r 61 15 ) ) -RRB- cord-291400-o9skj94r 61 16 in in IN cord-291400-o9skj94r 61 17 a a DT cord-291400-o9skj94r 61 18 patient patient NN cord-291400-o9skj94r 61 19 with with IN cord-291400-o9skj94r 61 20 an an DT cord-291400-o9skj94r 61 21 acute acute JJ cord-291400-o9skj94r 61 22 pneumonia pneumonia NN cord-291400-o9skj94r 61 23 usually usually RB cord-291400-o9skj94r 61 24 is be VBZ cord-291400-o9skj94r 61 25 accepted accept VBN cord-291400-o9skj94r 61 26 as as IN cord-291400-o9skj94r 61 27 definite definite JJ cord-291400-o9skj94r 61 28 sign sign NN cord-291400-o9skj94r 61 29 of of IN cord-291400-o9skj94r 61 30 pneumococcal pneumococcal JJ cord-291400-o9skj94r 61 31 pneumonia pneumonia NN cord-291400-o9skj94r 61 32 [ [ -LRB- cord-291400-o9skj94r 61 33 33 33 CD cord-291400-o9skj94r 61 34 , , , cord-291400-o9skj94r 61 35 34 34 CD cord-291400-o9skj94r 61 36 ] ] -RRB- cord-291400-o9skj94r 61 37 . . . cord-291400-o9skj94r 62 1 There there EX cord-291400-o9skj94r 62 2 is be VBZ cord-291400-o9skj94r 62 3 some some DT cord-291400-o9skj94r 62 4 debate debate NN cord-291400-o9skj94r 62 5 as as IN cord-291400-o9skj94r 62 6 to to IN cord-291400-o9skj94r 62 7 the the DT cord-291400-o9skj94r 62 8 value value NN cord-291400-o9skj94r 62 9 of of IN cord-291400-o9skj94r 62 10 culturing culture VBG cord-291400-o9skj94r 62 11 S s NN cord-291400-o9skj94r 62 12 pneumoniae pneumoniae NN cord-291400-o9skj94r 62 13 from from IN cord-291400-o9skj94r 62 14 expectorated expectorated JJ cord-291400-o9skj94r 62 15 sputum sputum NN cord-291400-o9skj94r 62 16 even even RB cord-291400-o9skj94r 62 17 with with IN cord-291400-o9skj94r 62 18 a a DT cord-291400-o9skj94r 62 19 compatible compatible JJ cord-291400-o9skj94r 62 20 gram gram NN cord-291400-o9skj94r 62 21 stain stain NN cord-291400-o9skj94r 62 22 , , , cord-291400-o9skj94r 62 23 although although IN cord-291400-o9skj94r 62 24 clinicians clinician NNS cord-291400-o9skj94r 62 25 with with IN cord-291400-o9skj94r 62 26 experience experience NN cord-291400-o9skj94r 62 27 in in IN cord-291400-o9skj94r 62 28 pneumococcal pneumococcal JJ cord-291400-o9skj94r 62 29 pneumonia pneumonia NN cord-291400-o9skj94r 62 30 value value NN cord-291400-o9skj94r 62 31 the the DT cord-291400-o9skj94r 62 32 information information NN cord-291400-o9skj94r 62 33 provided provide VBN cord-291400-o9skj94r 62 34 by by IN cord-291400-o9skj94r 62 35 high high JJ cord-291400-o9skj94r 62 36 - - HYPH cord-291400-o9skj94r 62 37 quality quality NN cord-291400-o9skj94r 62 38 pulmonary pulmonary JJ cord-291400-o9skj94r 62 39 secretions secretion NNS cord-291400-o9skj94r 62 40 [ [ -LRB- cord-291400-o9skj94r 62 41 35 35 CD cord-291400-o9skj94r 62 42 ] ] -RRB- cord-291400-o9skj94r 62 43 . . . cord-291400-o9skj94r 63 1 A a DT cord-291400-o9skj94r 63 2 rapid rapid JJ cord-291400-o9skj94r 63 3 S S NNP cord-291400-o9skj94r 63 4 pneumoniae pneumoniae NN cord-291400-o9skj94r 63 5 urinary urinary JJ cord-291400-o9skj94r 63 6 antigen antigen NN cord-291400-o9skj94r 63 7 has have VBZ cord-291400-o9skj94r 63 8 been be VBN cord-291400-o9skj94r 63 9 evaluated evaluate VBN cord-291400-o9skj94r 63 10 [ [ -LRB- cord-291400-o9skj94r 63 11 36 36 CD cord-291400-o9skj94r 63 12 , , , cord-291400-o9skj94r 63 13 37 37 CD cord-291400-o9skj94r 63 14 ] ] -RRB- cord-291400-o9skj94r 63 15 and and CC cord-291400-o9skj94r 63 16 shown show VBN cord-291400-o9skj94r 63 17 to to TO cord-291400-o9skj94r 63 18 have have VB cord-291400-o9skj94r 63 19 good good JJ cord-291400-o9skj94r 63 20 specificity specificity NN cord-291400-o9skj94r 63 21 in in IN cord-291400-o9skj94r 63 22 the the DT cord-291400-o9skj94r 63 23 adult adult NN cord-291400-o9skj94r 63 24 population population NN cord-291400-o9skj94r 63 25 ( ( -LRB- cord-291400-o9skj94r 63 26 [ [ -LRB- cord-291400-o9skj94r 63 27 95 95 CD cord-291400-o9skj94r 63 28 % % NN cord-291400-o9skj94r 63 29 in in IN cord-291400-o9skj94r 63 30 most most JJS cord-291400-o9skj94r 63 31 studies study NNS cord-291400-o9skj94r 63 32 ) ) -RRB- cord-291400-o9skj94r 63 33 and and CC cord-291400-o9skj94r 63 34 reasonable reasonable JJ cord-291400-o9skj94r 63 35 sensitivity sensitivity NN cord-291400-o9skj94r 63 36 ( ( -LRB- cord-291400-o9skj94r 63 37 70%-80 70%-80 CD cord-291400-o9skj94r 63 38 % % NN cord-291400-o9skj94r 63 39 in in IN cord-291400-o9skj94r 63 40 most most JJS cord-291400-o9skj94r 63 41 studies study NNS cord-291400-o9skj94r 63 42 ) ) -RRB- cord-291400-o9skj94r 63 43 . . . cord-291400-o9skj94r 64 1 The the DT cord-291400-o9skj94r 64 2 test test NN cord-291400-o9skj94r 64 3 was be VBD cord-291400-o9skj94r 64 4 too too RB cord-291400-o9skj94r 64 5 sensitive sensitive JJ cord-291400-o9skj94r 64 6 in in IN cord-291400-o9skj94r 64 7 heavily heavily RB cord-291400-o9skj94r 64 8 colonized colonize VBN cord-291400-o9skj94r 64 9 children child NNS cord-291400-o9skj94r 64 10 and and CC cord-291400-o9skj94r 64 11 could could MD cord-291400-o9skj94r 64 12 not not RB cord-291400-o9skj94r 64 13 discriminate discriminate VB cord-291400-o9skj94r 64 14 among among IN cord-291400-o9skj94r 64 15 infected infected JJ cord-291400-o9skj94r 64 16 or or CC cord-291400-o9skj94r 64 17 colonized colonize VBN cord-291400-o9skj94r 64 18 children child NNS cord-291400-o9skj94r 64 19 in in IN cord-291400-o9skj94r 64 20 underdeveloped underdeveloped JJ cord-291400-o9skj94r 64 21 countries country NNS cord-291400-o9skj94r 64 22 [ [ -LRB- cord-291400-o9skj94r 64 23 38 38 CD cord-291400-o9skj94r 64 24 ] ] -RRB- cord-291400-o9skj94r 64 25 . . . cord-291400-o9skj94r 65 1 A a DT cord-291400-o9skj94r 65 2 study study NN cord-291400-o9skj94r 65 3 from from IN cord-291400-o9skj94r 65 4 Spain Spain NNP cord-291400-o9skj94r 65 5 studied study VBD cord-291400-o9skj94r 65 6 452 452 CD cord-291400-o9skj94r 65 7 patients patient NNS cord-291400-o9skj94r 65 8 who who WP cord-291400-o9skj94r 65 9 were be VBD cord-291400-o9skj94r 65 10 hospitalized hospitalize VBN cord-291400-o9skj94r 65 11 with with IN cord-291400-o9skj94r 65 12 acute acute JJ cord-291400-o9skj94r 65 13 CAP cap NN cord-291400-o9skj94r 65 14 in in IN cord-291400-o9skj94r 65 15 whom whom WP cord-291400-o9skj94r 65 16 a a DT cord-291400-o9skj94r 65 17 S S NNP cord-291400-o9skj94r 65 18 pneumoniae pneumoniae NN cord-291400-o9skj94r 65 19 urinary urinary JJ cord-291400-o9skj94r 65 20 antigen antigen NN cord-291400-o9skj94r 65 21 ( ( -LRB- cord-291400-o9skj94r 65 22 SpUA SpUA NNP cord-291400-o9skj94r 65 23 ) ) -RRB- cord-291400-o9skj94r 65 24 test test NN cord-291400-o9skj94r 65 25 was be VBD cord-291400-o9skj94r 65 26 performed perform VBN cord-291400-o9skj94r 65 27 [ [ -LRB- cord-291400-o9skj94r 65 28 39 39 CD cord-291400-o9skj94r 65 29 ] ] -RRB- cord-291400-o9skj94r 65 30 . . . cord-291400-o9skj94r 66 1 Pneumococci pneumococcus NNS cord-291400-o9skj94r 66 2 were be VBD cord-291400-o9skj94r 66 3 found find VBN cord-291400-o9skj94r 66 4 in in IN cord-291400-o9skj94r 66 5 cultures culture NNS cord-291400-o9skj94r 66 6 from from IN cord-291400-o9skj94r 66 7 only only RB cord-291400-o9skj94r 66 8 27 27 CD cord-291400-o9skj94r 66 9 patients patient NNS cord-291400-o9skj94r 66 10 ( ( -LRB- cord-291400-o9skj94r 66 11 7 7 CD cord-291400-o9skj94r 66 12 % % NN cord-291400-o9skj94r 66 13 ; ; , cord-291400-o9skj94r 66 14 half half NN cord-291400-o9skj94r 66 15 from from IN cord-291400-o9skj94r 66 16 blood blood NN cord-291400-o9skj94r 66 17 , , , cord-291400-o9skj94r 66 18 half half NN cord-291400-o9skj94r 66 19 from from IN cord-291400-o9skj94r 66 20 sputum sputum NN cord-291400-o9skj94r 66 21 ) ) -RRB- cord-291400-o9skj94r 66 22 . . . cord-291400-o9skj94r 67 1 The the DT cord-291400-o9skj94r 67 2 SpUA spua NN cord-291400-o9skj94r 67 3 test test NN cord-291400-o9skj94r 67 4 was be VBD cord-291400-o9skj94r 67 5 positive positive JJ cord-291400-o9skj94r 67 6 in in IN cord-291400-o9skj94r 67 7 19 19 CD cord-291400-o9skj94r 67 8 of of IN cord-291400-o9skj94r 67 9 27 27 CD cord-291400-o9skj94r 67 10 patients patient NNS cord-291400-o9skj94r 67 11 with with IN cord-291400-o9skj94r 67 12 positive positive JJ cord-291400-o9skj94r 67 13 cultures culture NNS cord-291400-o9skj94r 67 14 ( ( -LRB- cord-291400-o9skj94r 67 15 70 70 CD cord-291400-o9skj94r 67 16 % % NN cord-291400-o9skj94r 67 17 ) ) -RRB- cord-291400-o9skj94r 67 18 ; ; : cord-291400-o9skj94r 67 19 however however RB cord-291400-o9skj94r 67 20 , , , cord-291400-o9skj94r 67 21 an an DT cord-291400-o9skj94r 67 22 additional additional JJ cord-291400-o9skj94r 67 23 85 85 CD cord-291400-o9skj94r 67 24 patients patient NNS cord-291400-o9skj94r 67 25 had have VBD cord-291400-o9skj94r 67 26 positive positive JJ cord-291400-o9skj94r 67 27 SpUA spua NN cord-291400-o9skj94r 67 28 tests test NNS cord-291400-o9skj94r 67 29 with with IN cord-291400-o9skj94r 67 30 cultures culture NNS cord-291400-o9skj94r 67 31 that that WDT cord-291400-o9skj94r 67 32 were be VBD cord-291400-o9skj94r 67 33 negative negative JJ cord-291400-o9skj94r 67 34 for for IN cord-291400-o9skj94r 67 35 pneumococcus pneumococcus NNP cord-291400-o9skj94r 67 36 . . . cord-291400-o9skj94r 68 1 Because because IN cord-291400-o9skj94r 68 2 the the DT cord-291400-o9skj94r 68 3 specificity specificity NN cord-291400-o9skj94r 68 4 has have VBZ cord-291400-o9skj94r 68 5 been be VBN cord-291400-o9skj94r 68 6 reported report VBN cord-291400-o9skj94r 68 7 to to TO cord-291400-o9skj94r 68 8 be be VB cord-291400-o9skj94r 68 9 greater great JJR cord-291400-o9skj94r 68 10 than than IN cord-291400-o9skj94r 68 11 95 95 CD cord-291400-o9skj94r 68 12 % % NN cord-291400-o9skj94r 68 13 in in IN cord-291400-o9skj94r 68 14 adults adult NNS cord-291400-o9skj94r 68 15 , , , cord-291400-o9skj94r 68 16 most most JJS cord-291400-o9skj94r 68 17 of of IN cord-291400-o9skj94r 68 18 these these DT cord-291400-o9skj94r 68 19 patients patient NNS cord-291400-o9skj94r 68 20 also also RB cord-291400-o9skj94r 68 21 had have VBD cord-291400-o9skj94r 68 22 pneumococcal pneumococcal JJ cord-291400-o9skj94r 68 23 pneumonia pneumonia NN cord-291400-o9skj94r 68 24 . . . cord-291400-o9skj94r 69 1 In in IN cord-291400-o9skj94r 69 2 this this DT cord-291400-o9skj94r 69 3 study study NN cord-291400-o9skj94r 69 4 , , , cord-291400-o9skj94r 69 5 112 112 CD cord-291400-o9skj94r 69 6 of of IN cord-291400-o9skj94r 69 7 452 452 CD cord-291400-o9skj94r 69 8 patients patient NNS cord-291400-o9skj94r 69 9 ( ( -LRB- cord-291400-o9skj94r 69 10 25 25 CD cord-291400-o9skj94r 69 11 % % NN cord-291400-o9skj94r 69 12 ) ) -RRB- cord-291400-o9skj94r 69 13 would would MD cord-291400-o9skj94r 69 14 have have VB cord-291400-o9skj94r 69 15 pneumococcal pneumococcal JJ cord-291400-o9skj94r 69 16 pneumonia pneumonia NN cord-291400-o9skj94r 69 17 , , , cord-291400-o9skj94r 69 18 a a DT cord-291400-o9skj94r 69 19 proportion proportion NN cord-291400-o9skj94r 69 20 of of IN cord-291400-o9skj94r 69 21 pneumococcal pneumococcal JJ cord-291400-o9skj94r 69 22 pneumonia pneumonia NN cord-291400-o9skj94r 69 23 cases case NNS cord-291400-o9skj94r 69 24 that that WDT cord-291400-o9skj94r 69 25 is be VBZ cord-291400-o9skj94r 69 26 similar similar JJ cord-291400-o9skj94r 69 27 to to IN cord-291400-o9skj94r 69 28 the the DT cord-291400-o9skj94r 69 29 proportion proportion NN cord-291400-o9skj94r 69 30 in in IN cord-291400-o9skj94r 69 31 other other JJ cord-291400-o9skj94r 69 32 large large JJ cord-291400-o9skj94r 69 33 series series NN cord-291400-o9skj94r 69 34 of of IN cord-291400-o9skj94r 69 35 hospitalized hospitalize VBN cord-291400-o9skj94r 69 36 cases case NNS cord-291400-o9skj94r 69 37 of of IN cord-291400-o9skj94r 69 38 CAP CAP NNP cord-291400-o9skj94r 69 39 . . . cord-291400-o9skj94r 70 1 The the DT cord-291400-o9skj94r 70 2 sensitivity sensitivity NN cord-291400-o9skj94r 70 3 of of IN cord-291400-o9skj94r 70 4 the the DT cord-291400-o9skj94r 70 5 SpUA spua NN cord-291400-o9skj94r 70 6 test test NN cord-291400-o9skj94r 70 7 would would MD cord-291400-o9skj94r 70 8 be be VB cord-291400-o9skj94r 70 9 104 104 CD cord-291400-o9skj94r 70 10 of of IN cord-291400-o9skj94r 70 11 112 112 CD cord-291400-o9skj94r 70 12 patients patient NNS cord-291400-o9skj94r 70 13 ( ( -LRB- cord-291400-o9skj94r 70 14 93 93 CD cord-291400-o9skj94r 70 15 % % NN cord-291400-o9skj94r 70 16 ) ) -RRB- cord-291400-o9skj94r 70 17 or or CC cord-291400-o9skj94r 70 18 at at IN cord-291400-o9skj94r 70 19 least least JJS cord-291400-o9skj94r 70 20 would would MD cord-291400-o9skj94r 70 21 be be VB cord-291400-o9skj94r 70 22 four four CD cord-291400-o9skj94r 70 23 times time NNS cord-291400-o9skj94r 70 24 greater great JJR cord-291400-o9skj94r 70 25 than than IN cord-291400-o9skj94r 70 26 the the DT cord-291400-o9skj94r 70 27 combination combination NN cord-291400-o9skj94r 70 28 of of IN cord-291400-o9skj94r 70 29 cultures culture NNS cord-291400-o9skj94r 70 30 of of IN cord-291400-o9skj94r 70 31 sputum sputum NN cord-291400-o9skj94r 70 32 and and CC cord-291400-o9skj94r 70 33 blood blood NN cord-291400-o9skj94r 70 34 ( ( -LRB- cord-291400-o9skj94r 70 35 27 27 CD cord-291400-o9skj94r 70 36 of of IN cord-291400-o9skj94r 70 37 112 112 CD cord-291400-o9skj94r 70 38 patients patient NNS cord-291400-o9skj94r 70 39 [ [ -LRB- cord-291400-o9skj94r 70 40 24 24 CD cord-291400-o9skj94r 70 41 % % NN cord-291400-o9skj94r 70 42 ] ] -RRB- cord-291400-o9skj94r 70 43 ) ) -RRB- cord-291400-o9skj94r 70 44 . . . cord-291400-o9skj94r 71 1 Cultures culture NNS cord-291400-o9skj94r 71 2 still still RB cord-291400-o9skj94r 71 3 would would MD cord-291400-o9skj94r 71 4 be be VB cord-291400-o9skj94r 71 5 important important JJ cord-291400-o9skj94r 71 6 in in IN cord-291400-o9skj94r 71 7 determining determine VBG cord-291400-o9skj94r 71 8 antimicrobial antimicrobial JJ cord-291400-o9skj94r 71 9 susceptibility susceptibility NN cord-291400-o9skj94r 71 10 . . . cord-291400-o9skj94r 72 1 Several several JJ cord-291400-o9skj94r 72 2 retrospective retrospective JJ cord-291400-o9skj94r 72 3 studies study NNS cord-291400-o9skj94r 72 4 suggest suggest VBP cord-291400-o9skj94r 72 5 that that IN cord-291400-o9skj94r 72 6 monotherapy monotherapy IN cord-291400-o9skj94r 72 7 with with IN cord-291400-o9skj94r 72 8 an an DT cord-291400-o9skj94r 72 9 effective effective JJ cord-291400-o9skj94r 72 10 cephalosporin cephalosporin NN cord-291400-o9skj94r 72 11 is be VBZ cord-291400-o9skj94r 72 12 not not RB cord-291400-o9skj94r 72 13 adequate adequate JJ cord-291400-o9skj94r 72 14 treatment treatment NN cord-291400-o9skj94r 72 15 for for IN cord-291400-o9skj94r 72 16 pneumococcal pneumococcal JJ cord-291400-o9skj94r 72 17 pneumonia pneumonia NN cord-291400-o9skj94r 72 18 . . . cord-291400-o9skj94r 73 1 Mufson Mufson NNP cord-291400-o9skj94r 73 2 and and CC cord-291400-o9skj94r 73 3 Stanek Stanek NNP cord-291400-o9skj94r 73 4 [ [ -LRB- cord-291400-o9skj94r 73 5 5 5 CD cord-291400-o9skj94r 73 6 ] ] -RRB- cord-291400-o9skj94r 73 7 reported report VBN cord-291400-o9skj94r 73 8 on on IN cord-291400-o9skj94r 73 9 423 423 CD cord-291400-o9skj94r 73 10 patients patient NNS cord-291400-o9skj94r 73 11 with with IN cord-291400-o9skj94r 73 12 pneumococcal pneumococcal JJ cord-291400-o9skj94r 73 13 bacteremia bacteremia NN cord-291400-o9skj94r 73 14 in in IN cord-291400-o9skj94r 73 15 Huntington Huntington NNP cord-291400-o9skj94r 73 16 , , , cord-291400-o9skj94r 73 17 West West NNP cord-291400-o9skj94r 73 18 Virginia Virginia NNP cord-291400-o9skj94r 73 19 over over IN cord-291400-o9skj94r 73 20 20 20 CD cord-291400-o9skj94r 73 21 years year NNS cord-291400-o9skj94r 73 22 . . . cord-291400-o9skj94r 74 1 The the DT cord-291400-o9skj94r 74 2 data datum NNS cord-291400-o9skj94r 74 3 were be VBD cord-291400-o9skj94r 74 4 analyzed analyze VBN cord-291400-o9skj94r 74 5 in in IN cord-291400-o9skj94r 74 6 5-year 5-year CD cord-291400-o9skj94r 74 7 periods period NNS cord-291400-o9skj94r 74 8 . . . cord-291400-o9skj94r 75 1 Overall overall RB cord-291400-o9skj94r 75 2 , , , cord-291400-o9skj94r 75 3 the the DT cord-291400-o9skj94r 75 4 incidence incidence NN cord-291400-o9skj94r 75 5 of of IN cord-291400-o9skj94r 75 6 pneumococcall pneumococcall NNP cord-291400-o9skj94r 75 7 bacteremia bacteremia NN cord-291400-o9skj94r 75 8 increased increase VBD cord-291400-o9skj94r 75 9 , , , cord-291400-o9skj94r 75 10 and and CC cord-291400-o9skj94r 75 11 the the DT cord-291400-o9skj94r 75 12 CFR CFR NNP cord-291400-o9skj94r 75 13 decreased decrease VBD cord-291400-o9skj94r 75 14 . . . cord-291400-o9skj94r 76 1 In in IN cord-291400-o9skj94r 76 2 each each DT cord-291400-o9skj94r 76 3 5-year 5-year CD cord-291400-o9skj94r 76 4 period period NN cord-291400-o9skj94r 76 5 , , , cord-291400-o9skj94r 76 6 a a DT cord-291400-o9skj94r 76 7 regimen regimen NN cord-291400-o9skj94r 76 8 including include VBG cord-291400-o9skj94r 76 9 a a DT cord-291400-o9skj94r 76 10 macrolide macrolide NN cord-291400-o9skj94r 76 11 and and CC cord-291400-o9skj94r 76 12 b b NN cord-291400-o9skj94r 76 13 - - HYPH cord-291400-o9skj94r 76 14 lactam lactam NN cord-291400-o9skj94r 76 15 resulted result VBD cord-291400-o9skj94r 76 16 in in IN cord-291400-o9skj94r 76 17 lower low JJR cord-291400-o9skj94r 76 18 CFR CFR NNP cord-291400-o9skj94r 76 19 than than IN cord-291400-o9skj94r 76 20 did do VBD cord-291400-o9skj94r 76 21 regimens regimen NNS cord-291400-o9skj94r 76 22 involving involve VBG cord-291400-o9skj94r 76 23 a a DT cord-291400-o9skj94r 76 24 b b NN cord-291400-o9skj94r 76 25 - - HYPH cord-291400-o9skj94r 76 26 lactam lactam NN cord-291400-o9skj94r 76 27 alone alone RB cord-291400-o9skj94r 76 28 or or CC cord-291400-o9skj94r 76 29 two two CD cord-291400-o9skj94r 76 30 antibiotics antibiotic NNS cord-291400-o9skj94r 76 31 ( ( -LRB- cord-291400-o9skj94r 76 32 excluding exclude VBG cord-291400-o9skj94r 76 33 macrolides macrolide NNS cord-291400-o9skj94r 76 34 ) ) -RRB- cord-291400-o9skj94r 76 35 . . . cord-291400-o9skj94r 77 1 No no DT cord-291400-o9skj94r 77 2 specifics specific NNS cord-291400-o9skj94r 77 3 were be VBD cord-291400-o9skj94r 77 4 provided provide VBN cord-291400-o9skj94r 77 5 on on IN cord-291400-o9skj94r 77 6 the the DT cord-291400-o9skj94r 77 7 timing timing NN cord-291400-o9skj94r 77 8 of of IN cord-291400-o9skj94r 77 9 the the DT cord-291400-o9skj94r 77 10 initial initial JJ cord-291400-o9skj94r 77 11 dose dose NN cord-291400-o9skj94r 77 12 and and CC cord-291400-o9skj94r 77 13 changes change NNS cord-291400-o9skj94r 77 14 in in IN cord-291400-o9skj94r 77 15 therapy therapy NN cord-291400-o9skj94r 77 16 . . . cord-291400-o9skj94r 78 1 Fluoroquinolones fluoroquinolone NNS cord-291400-o9skj94r 78 2 were be VBD cord-291400-o9skj94r 78 3 used use VBN cord-291400-o9skj94r 78 4 infrequently infrequently RB cord-291400-o9skj94r 78 5 . . . cord-291400-o9skj94r 79 1 Although although IN cord-291400-o9skj94r 79 2 this this DT cord-291400-o9skj94r 79 3 study study NN cord-291400-o9skj94r 79 4 was be VBD cord-291400-o9skj94r 79 5 retrospective retrospective JJ cord-291400-o9skj94r 79 6 and and CC cord-291400-o9skj94r 79 7 did do VBD cord-291400-o9skj94r 79 8 not not RB cord-291400-o9skj94r 79 9 control control VB cord-291400-o9skj94r 79 10 for for IN cord-291400-o9skj94r 79 11 severity severity NN cord-291400-o9skj94r 79 12 of of IN cord-291400-o9skj94r 79 13 illness illness NN cord-291400-o9skj94r 79 14 , , , cord-291400-o9skj94r 79 15 it -PRON- PRP cord-291400-o9skj94r 79 16 may may MD cord-291400-o9skj94r 79 17 have have VB cord-291400-o9skj94r 79 18 offered offer VBN cord-291400-o9skj94r 79 19 the the DT cord-291400-o9skj94r 79 20 first first JJ cord-291400-o9skj94r 79 21 clue clue NN cord-291400-o9skj94r 79 22 that that IN cord-291400-o9skj94r 79 23 monotherapy monotherapy NN cord-291400-o9skj94r 79 24 of of IN cord-291400-o9skj94r 79 25 pneumococcal pneumococcal JJ cord-291400-o9skj94r 79 26 bacteremia bacteremia NN cord-291400-o9skj94r 79 27 with with IN cord-291400-o9skj94r 79 28 a a DT cord-291400-o9skj94r 79 29 cephalosporin cephalosporin NN cord-291400-o9skj94r 79 30 is be VBZ cord-291400-o9skj94r 79 31 less less RBR cord-291400-o9skj94r 79 32 efficacious efficacious JJ cord-291400-o9skj94r 79 33 than than IN cord-291400-o9skj94r 79 34 combination combination NN cord-291400-o9skj94r 79 35 therapy therapy NN cord-291400-o9skj94r 79 36 with with IN cord-291400-o9skj94r 79 37 a a DT cord-291400-o9skj94r 79 38 cephalosporin cephalosporin NN cord-291400-o9skj94r 79 39 and and CC cord-291400-o9skj94r 79 40 a a DT cord-291400-o9skj94r 79 41 macrolide macrolide NN cord-291400-o9skj94r 79 42 . . . cord-291400-o9skj94r 80 1 Waterer Waterer NNP cord-291400-o9skj94r 80 2 et et NNP cord-291400-o9skj94r 80 3 al al NNP cord-291400-o9skj94r 80 4 [ [ -LRB- cord-291400-o9skj94r 80 5 6 6 CD cord-291400-o9skj94r 80 6 ] ] -RRB- cord-291400-o9skj94r 80 7 reported report VBN cord-291400-o9skj94r 80 8 data datum NNS cord-291400-o9skj94r 80 9 on on IN cord-291400-o9skj94r 80 10 antimicrobial antimicrobial JJ cord-291400-o9skj94r 80 11 therapy therapy NN cord-291400-o9skj94r 80 12 in in IN cord-291400-o9skj94r 80 13 225 225 CD cord-291400-o9skj94r 80 14 patients patient NNS cord-291400-o9skj94r 80 15 with with IN cord-291400-o9skj94r 80 16 bacteremic bacteremic JJ cord-291400-o9skj94r 80 17 pneumococcal pneumococcal JJ cord-291400-o9skj94r 80 18 pneumonia pneumonia NN cord-291400-o9skj94r 80 19 from from IN cord-291400-o9skj94r 80 20 13 13 CD cord-291400-o9skj94r 80 21 hospitals hospital NNS cord-291400-o9skj94r 80 22 in in IN cord-291400-o9skj94r 80 23 Tennessee Tennessee NNP cord-291400-o9skj94r 80 24 between between IN cord-291400-o9skj94r 80 25 January January NNP cord-291400-o9skj94r 80 26 1996 1996 CD cord-291400-o9skj94r 80 27 and and CC cord-291400-o9skj94r 80 28 July July NNP cord-291400-o9skj94r 80 29 2000 2000 CD cord-291400-o9skj94r 80 30 . . . cord-291400-o9skj94r 81 1 Immune immune NN cord-291400-o9skj94r 81 2 - - HYPH cord-291400-o9skj94r 81 3 compromised compromise VBN cord-291400-o9skj94r 81 4 patients patient NNS cord-291400-o9skj94r 81 5 were be VBD cord-291400-o9skj94r 81 6 excluded exclude VBN cord-291400-o9skj94r 81 7 . . . cord-291400-o9skj94r 82 1 Seven seven CD cord-291400-o9skj94r 82 2 patients patient NNS cord-291400-o9skj94r 82 3 with with IN cord-291400-o9skj94r 82 4 S s NN cord-291400-o9skj94r 82 5 pneumoniae pneumoniae NN cord-291400-o9skj94r 82 6 isolates isolate VBZ cord-291400-o9skj94r 82 7 resistant resistant JJ cord-291400-o9skj94r 82 8 to to IN cord-291400-o9skj94r 82 9 empiric empiric JJ cord-291400-o9skj94r 82 10 therapy therapy NN cord-291400-o9skj94r 82 11 also also RB cord-291400-o9skj94r 82 12 were be VBD cord-291400-o9skj94r 82 13 excluded exclude VBN cord-291400-o9skj94r 82 14 . . . cord-291400-o9skj94r 83 1 Patients patient NNS cord-291400-o9skj94r 83 2 received receive VBD cord-291400-o9skj94r 83 3 one one CD cord-291400-o9skj94r 83 4 antibiotic antibiotic NN cord-291400-o9skj94r 83 5 active active JJ cord-291400-o9skj94r 83 6 against against IN cord-291400-o9skj94r 83 7 the the DT cord-291400-o9skj94r 83 8 patient patient NN cord-291400-o9skj94r 83 9 's 's POS cord-291400-o9skj94r 83 10 isolate isolate NN cord-291400-o9skj94r 83 11 ( ( -LRB- cord-291400-o9skj94r 83 12 single single JJ cord-291400-o9skj94r 83 13 effective effective JJ cord-291400-o9skj94r 83 14 therapy therapy NN cord-291400-o9skj94r 83 15 [ [ -LRB- cord-291400-o9skj94r 83 16 SET set NN cord-291400-o9skj94r 83 17 ] ] -RRB- cord-291400-o9skj94r 83 18 ) ) -RRB- cord-291400-o9skj94r 83 19 , , , cord-291400-o9skj94r 83 20 two two CD cord-291400-o9skj94r 83 21 effective effective JJ cord-291400-o9skj94r 83 22 antibiotics antibiotic NNS cord-291400-o9skj94r 83 23 ( ( -LRB- cord-291400-o9skj94r 83 24 dual dual JJ cord-291400-o9skj94r 83 25 effective effective JJ cord-291400-o9skj94r 83 26 therapy therapy NN cord-291400-o9skj94r 83 27 [ [ -LRB- cord-291400-o9skj94r 83 28 DET DET NNP cord-291400-o9skj94r 83 29 ] ] -RRB- cord-291400-o9skj94r 83 30 ) ) -RRB- cord-291400-o9skj94r 83 31 , , , cord-291400-o9skj94r 83 32 or or CC cord-291400-o9skj94r 83 33 more more JJR cord-291400-o9skj94r 83 34 than than IN cord-291400-o9skj94r 83 35 two two CD cord-291400-o9skj94r 83 36 effective effective JJ cord-291400-o9skj94r 83 37 antibiotics antibiotic NNS cord-291400-o9skj94r 83 38 ( ( -LRB- cord-291400-o9skj94r 83 39 MET MET NNP cord-291400-o9skj94r 83 40 ) ) -RRB- cord-291400-o9skj94r 83 41 . . . cord-291400-o9skj94r 84 1 Logistic logistic JJ cord-291400-o9skj94r 84 2 regression regression NN cord-291400-o9skj94r 84 3 analysis analysis NN cord-291400-o9skj94r 84 4 was be VBD cord-291400-o9skj94r 84 5 used use VBN cord-291400-o9skj94r 84 6 to to TO cord-291400-o9skj94r 84 7 calculate calculate VB cord-291400-o9skj94r 84 8 the the DT cord-291400-o9skj94r 84 9 odds odd NNS cord-291400-o9skj94r 84 10 ratio ratio NN cord-291400-o9skj94r 84 11 ( ( -LRB- cord-291400-o9skj94r 84 12 OR or CC cord-291400-o9skj94r 84 13 ) ) -RRB- cord-291400-o9skj94r 84 14 for for IN cord-291400-o9skj94r 84 15 death death NN cord-291400-o9skj94r 84 16 adjusted adjust VBN cord-291400-o9skj94r 84 17 for for IN cord-291400-o9skj94r 84 18 predicted predict VBN cord-291400-o9skj94r 84 19 mortality mortality NN cord-291400-o9skj94r 84 20 . . . cord-291400-o9skj94r 85 1 Compared compare VBN cord-291400-o9skj94r 85 2 with with IN cord-291400-o9skj94r 85 3 DET DET NNP cord-291400-o9skj94r 85 4 , , , cord-291400-o9skj94r 85 5 the the DT cord-291400-o9skj94r 85 6 OR OR NNP cord-291400-o9skj94r 85 7 for for IN cord-291400-o9skj94r 85 8 SET set NN cord-291400-o9skj94r 85 9 was be VBD cord-291400-o9skj94r 85 10 6.4 6.4 CD cord-291400-o9skj94r 85 11 ( ( -LRB- cord-291400-o9skj94r 85 12 95 95 CD cord-291400-o9skj94r 85 13 % % NN cord-291400-o9skj94r 85 14 confidence confidence NN cord-291400-o9skj94r 85 15 interval interval NN cord-291400-o9skj94r 85 16 [ [ -LRB- cord-291400-o9skj94r 85 17 CI CI NNP cord-291400-o9skj94r 85 18 ] ] -RRB- cord-291400-o9skj94r 85 19 , , , cord-291400-o9skj94r 85 20 1.9 1.9 CD cord-291400-o9skj94r 85 21 - - SYM cord-291400-o9skj94r 85 22 21.7 21.7 CD cord-291400-o9skj94r 85 23 ) ) -RRB- cord-291400-o9skj94r 85 24 . . . cord-291400-o9skj94r 86 1 All all DT cord-291400-o9skj94r 86 2 deaths death NNS cord-291400-o9skj94r 86 3 occurred occur VBD cord-291400-o9skj94r 86 4 in in IN cord-291400-o9skj94r 86 5 cases case NNS cord-291400-o9skj94r 86 6 with with IN cord-291400-o9skj94r 86 7 pneumonia pneumonia NN cord-291400-o9skj94r 86 8 severity severity NN cord-291400-o9skj94r 86 9 index index NN cord-291400-o9skj94r 86 10 ( ( -LRB- cord-291400-o9skj94r 86 11 PSI PSI NNP cord-291400-o9skj94r 86 12 ) ) -RRB- cord-291400-o9skj94r 86 13 classes class NNS cord-291400-o9skj94r 86 14 IV IV NNP cord-291400-o9skj94r 86 15 and and CC cord-291400-o9skj94r 86 16 V. V. NNP cord-291400-o9skj94r 87 1 Even even RB cord-291400-o9skj94r 87 2 after after IN cord-291400-o9skj94r 87 3 excluding exclude VBG cord-291400-o9skj94r 87 4 deaths death NNS cord-291400-o9skj94r 87 5 that that WDT cord-291400-o9skj94r 87 6 occurred occur VBD cord-291400-o9skj94r 87 7 in in IN cord-291400-o9skj94r 87 8 first first JJ cord-291400-o9skj94r 87 9 48 48 CD cord-291400-o9skj94r 87 10 hours hour NNS cord-291400-o9skj94r 87 11 of of IN cord-291400-o9skj94r 87 12 hospitalization hospitalization NN cord-291400-o9skj94r 87 13 , , , cord-291400-o9skj94r 87 14 SET SET NNP cord-291400-o9skj94r 87 15 was be VBD cord-291400-o9skj94r 87 16 an an DT cord-291400-o9skj94r 87 17 independent independent JJ cord-291400-o9skj94r 87 18 predictor predictor NN cord-291400-o9skj94r 87 19 of of IN cord-291400-o9skj94r 87 20 death death NN cord-291400-o9skj94r 87 21 ( ( -LRB- cord-291400-o9skj94r 87 22 OR or CC cord-291400-o9skj94r 87 23 , , , cord-291400-o9skj94r 87 24 4.9 4.9 CD cord-291400-o9skj94r 87 25 ; ; : cord-291400-o9skj94r 87 26 95%CI 95%ci CD cord-291400-o9skj94r 87 27 1.6 1.6 CD cord-291400-o9skj94r 87 28 - - SYM cord-291400-o9skj94r 87 29 18.3 18.3 CD cord-291400-o9skj94r 87 30 ) ) -RRB- cord-291400-o9skj94r 87 31 . . . cord-291400-o9skj94r 88 1 Analysis analysis NN cord-291400-o9skj94r 88 2 was be VBD cord-291400-o9skj94r 88 3 done do VBN cord-291400-o9skj94r 88 4 to to TO cord-291400-o9skj94r 88 5 evaluate evaluate VB cord-291400-o9skj94r 88 6 coverage coverage NN cord-291400-o9skj94r 88 7 for for IN cord-291400-o9skj94r 88 8 atypical atypical JJ cord-291400-o9skj94r 88 9 pathogens pathogen NNS cord-291400-o9skj94r 88 10 . . . cord-291400-o9skj94r 89 1 The the DT cord-291400-o9skj94r 89 2 CFR CFR NNP cord-291400-o9skj94r 89 3 was be VBD cord-291400-o9skj94r 89 4 9.9 9.9 CD cord-291400-o9skj94r 89 5 % % NN cord-291400-o9skj94r 89 6 ( ( -LRB- cord-291400-o9skj94r 89 7 17 17 CD cord-291400-o9skj94r 89 8 of of IN cord-291400-o9skj94r 89 9 172 172 CD cord-291400-o9skj94r 89 10 patients patient NNS cord-291400-o9skj94r 89 11 ) ) -RRB- cord-291400-o9skj94r 89 12 in in IN cord-291400-o9skj94r 89 13 patients patient NNS cord-291400-o9skj94r 89 14 receiving receive VBG cord-291400-o9skj94r 89 15 atypical atypical JJ cord-291400-o9skj94r 89 16 coverage coverage NN cord-291400-o9skj94r 89 17 and and CC cord-291400-o9skj94r 89 18 was be VBD cord-291400-o9skj94r 89 19 22.6 22.6 CD cord-291400-o9skj94r 89 20 % % NN cord-291400-o9skj94r 89 21 ( ( -LRB- cord-291400-o9skj94r 89 22 12 12 CD cord-291400-o9skj94r 89 23 of of IN cord-291400-o9skj94r 89 24 53 53 CD cord-291400-o9skj94r 89 25 ) ) -RRB- cord-291400-o9skj94r 89 26 in in IN cord-291400-o9skj94r 89 27 patients patient NNS cord-291400-o9skj94r 89 28 not not RB cord-291400-o9skj94r 89 29 receiving receive VBG cord-291400-o9skj94r 89 30 atypical atypical JJ cord-291400-o9skj94r 89 31 coverage coverage NN cord-291400-o9skj94r 89 32 ; ; : cord-291400-o9skj94r 89 33 however however RB cord-291400-o9skj94r 89 34 , , , cord-291400-o9skj94r 89 35 the the DT cord-291400-o9skj94r 89 36 predicted predict VBN cord-291400-o9skj94r 89 37 mortality mortality NN cord-291400-o9skj94r 89 38 rate rate NN cord-291400-o9skj94r 89 39 was be VBD cord-291400-o9skj94r 89 40 higher high JJR cord-291400-o9skj94r 89 41 in in IN cord-291400-o9skj94r 89 42 the the DT cord-291400-o9skj94r 89 43 latter latter JJ cord-291400-o9skj94r 89 44 group group NN cord-291400-o9skj94r 89 45 of of IN cord-291400-o9skj94r 89 46 patients patient NNS cord-291400-o9skj94r 89 47 . . . cord-291400-o9skj94r 90 1 Multivariate multivariate JJ cord-291400-o9skj94r 90 2 analysis analysis NN cord-291400-o9skj94r 90 3 did do VBD cord-291400-o9skj94r 90 4 not not RB cord-291400-o9skj94r 90 5 show show VB cord-291400-o9skj94r 90 6 that that IN cord-291400-o9skj94r 90 7 lack lack NN cord-291400-o9skj94r 90 8 of of IN cord-291400-o9skj94r 90 9 atypical atypical JJ cord-291400-o9skj94r 90 10 coverage coverage NN cord-291400-o9skj94r 90 11 was be VBD cord-291400-o9skj94r 90 12 a a DT cord-291400-o9skj94r 90 13 predictor predictor NN cord-291400-o9skj94r 90 14 of of IN cord-291400-o9skj94r 90 15 death death NN cord-291400-o9skj94r 90 16 ( ( -LRB- cord-291400-o9skj94r 90 17 P p NN cord-291400-o9skj94r 90 18 = = SYM cord-291400-o9skj94r 90 19 0.17 0.17 CD cord-291400-o9skj94r 90 20 ) ) -RRB- cord-291400-o9skj94r 90 21 . . . cord-291400-o9skj94r 91 1 The the DT cord-291400-o9skj94r 91 2 investigators investigator NNS cord-291400-o9skj94r 91 3 suggest suggest VBP cord-291400-o9skj94r 91 4 that that IN cord-291400-o9skj94r 91 5 prospective prospective JJ cord-291400-o9skj94r 91 6 studies study NNS cord-291400-o9skj94r 91 7 should should MD cord-291400-o9skj94r 91 8 address address VB cord-291400-o9skj94r 91 9 SET SET NNP cord-291400-o9skj94r 91 10 versus versus IN cord-291400-o9skj94r 91 11 DET DET NNP cord-291400-o9skj94r 91 12 in in IN cord-291400-o9skj94r 91 13 patients patient NNS cord-291400-o9skj94r 91 14 with with IN cord-291400-o9skj94r 91 15 pneumococcal pneumococcal JJ cord-291400-o9skj94r 91 16 bacteremia bacteremia NN cord-291400-o9skj94r 91 17 in in IN cord-291400-o9skj94r 91 18 PSI PSI NNP cord-291400-o9skj94r 91 19 classes class NNS cord-291400-o9skj94r 91 20 IV IV NNP cord-291400-o9skj94r 91 21 and and CC cord-291400-o9skj94r 91 22 V. V. NNP cord-291400-o9skj94r 91 23 They -PRON- PRP cord-291400-o9skj94r 91 24 state state VBP cord-291400-o9skj94r 91 25 that that IN cord-291400-o9skj94r 91 26 the the DT cord-291400-o9skj94r 91 27 S S NNP cord-291400-o9skj94r 91 28 pneumoniae pneumoniae NN cord-291400-o9skj94r 91 29 urinary urinary JJ cord-291400-o9skj94r 91 30 antigen antigen NN cord-291400-o9skj94r 91 31 should should MD cord-291400-o9skj94r 91 32 help help VB cord-291400-o9skj94r 91 33 in in IN cord-291400-o9skj94r 91 34 rapidly rapidly RB cord-291400-o9skj94r 91 35 identifying identify VBG cord-291400-o9skj94r 91 36 the the DT cord-291400-o9skj94r 91 37 subset subset NN cord-291400-o9skj94r 91 38 of of IN cord-291400-o9skj94r 91 39 patients patient NNS cord-291400-o9skj94r 91 40 with with IN cord-291400-o9skj94r 91 41 pneumococcal pneumococcal JJ cord-291400-o9skj94r 91 42 pneumonia pneumonia NN cord-291400-o9skj94r 91 43 . . . cord-291400-o9skj94r 92 1 Martinez Martinez NNP cord-291400-o9skj94r 92 2 et et NNP cord-291400-o9skj94r 92 3 al al NNP cord-291400-o9skj94r 92 4 [ [ -LRB- cord-291400-o9skj94r 92 5 7 7 CD cord-291400-o9skj94r 92 6 ] ] -RRB- cord-291400-o9skj94r 92 7 performed perform VBD cord-291400-o9skj94r 92 8 a a DT cord-291400-o9skj94r 92 9 retrospective retrospective JJ cord-291400-o9skj94r 92 10 analysis analysis NN cord-291400-o9skj94r 92 11 of of IN cord-291400-o9skj94r 92 12 a a DT cord-291400-o9skj94r 92 13 10-year 10-year CD cord-291400-o9skj94r 92 14 ( ( -LRB- cord-291400-o9skj94r 92 15 1991 1991 CD cord-291400-o9skj94r 92 16 - - SYM cord-291400-o9skj94r 92 17 2000 2000 CD cord-291400-o9skj94r 92 18 ) ) -RRB- cord-291400-o9skj94r 92 19 database database NN cord-291400-o9skj94r 92 20 of of IN cord-291400-o9skj94r 92 21 patients patient NNS cord-291400-o9skj94r 92 22 with with IN cord-291400-o9skj94r 92 23 bacteremic bacteremic JJ cord-291400-o9skj94r 92 24 pneumococcal pneumococcal JJ cord-291400-o9skj94r 92 25 pneumonia pneumonia NN cord-291400-o9skj94r 92 26 . . . cord-291400-o9skj94r 93 1 Of of IN cord-291400-o9skj94r 93 2 409 409 CD cord-291400-o9skj94r 93 3 patients patient NNS cord-291400-o9skj94r 93 4 analyzed analyze VBN cord-291400-o9skj94r 93 5 , , , cord-291400-o9skj94r 93 6 238 238 CD cord-291400-o9skj94r 93 7 ( ( -LRB- cord-291400-o9skj94r 93 8 58 58 CD cord-291400-o9skj94r 93 9 % % NN cord-291400-o9skj94r 93 10 ) ) -RRB- cord-291400-o9skj94r 93 11 received receive VBD cord-291400-o9skj94r 93 12 empiric empiric JJ cord-291400-o9skj94r 93 13 therapy therapy NN cord-291400-o9skj94r 93 14 with with IN cord-291400-o9skj94r 93 15 a a DT cord-291400-o9skj94r 93 16 b b NN cord-291400-o9skj94r 93 17 - - HYPH cord-291400-o9skj94r 93 18 lactam lactam NN cord-291400-o9skj94r 93 19 plus plus CC cord-291400-o9skj94r 93 20 a a DT cord-291400-o9skj94r 93 21 macrolide macrolide NN cord-291400-o9skj94r 93 22 , , , cord-291400-o9skj94r 93 23 whereas whereas IN cord-291400-o9skj94r 93 24 171 171 CD cord-291400-o9skj94r 93 25 ( ( -LRB- cord-291400-o9skj94r 93 26 42 42 CD cord-291400-o9skj94r 93 27 % % NN cord-291400-o9skj94r 93 28 ) ) -RRB- cord-291400-o9skj94r 93 29 received receive VBD cord-291400-o9skj94r 93 30 empiric empiric JJ cord-291400-o9skj94r 93 31 therapy therapy NN cord-291400-o9skj94r 93 32 with with IN cord-291400-o9skj94r 93 33 a a DT cord-291400-o9skj94r 93 34 b b NN cord-291400-o9skj94r 93 35 - - HYPH cord-291400-o9skj94r 93 36 lactam lactam NN cord-291400-o9skj94r 93 37 alone alone RB cord-291400-o9skj94r 93 38 . . . cord-291400-o9skj94r 94 1 Potential potential JJ cord-291400-o9skj94r 94 2 risk risk NN cord-291400-o9skj94r 94 3 factors factor NNS cord-291400-o9skj94r 94 4 for for IN cord-291400-o9skj94r 94 5 in in IN cord-291400-o9skj94r 94 6 - - HYPH cord-291400-o9skj94r 94 7 hospital hospital NN cord-291400-o9skj94r 94 8 death death NN cord-291400-o9skj94r 94 9 were be VBD cord-291400-o9skj94r 94 10 identified identify VBN cord-291400-o9skj94r 94 11 in in IN cord-291400-o9skj94r 94 12 stepwise stepwise JJ cord-291400-o9skj94r 94 13 logistic logistic JJ cord-291400-o9skj94r 94 14 regression regression NN cord-291400-o9skj94r 94 15 analysis analysis NN cord-291400-o9skj94r 94 16 . . . cord-291400-o9skj94r 95 1 Multivariate multivariate JJ cord-291400-o9skj94r 95 2 analysis analysis NN cord-291400-o9skj94r 95 3 revealed reveal VBD cord-291400-o9skj94r 95 4 that that IN cord-291400-o9skj94r 95 5 absence absence NN cord-291400-o9skj94r 95 6 of of IN cord-291400-o9skj94r 95 7 a a DT cord-291400-o9skj94r 95 8 macrolide macrolide NN cord-291400-o9skj94r 95 9 in in IN cord-291400-o9skj94r 95 10 the the DT cord-291400-o9skj94r 95 11 initial initial JJ cord-291400-o9skj94r 95 12 empiric empiric JJ cord-291400-o9skj94r 95 13 regimen regimen NN cord-291400-o9skj94r 95 14 independently independently RB cord-291400-o9skj94r 95 15 was be VBD cord-291400-o9skj94r 95 16 associated associate VBN cord-291400-o9skj94r 95 17 with with IN cord-291400-o9skj94r 95 18 death death NN cord-291400-o9skj94r 95 19 ( ( -LRB- cord-291400-o9skj94r 95 20 P p NN cord-291400-o9skj94r 95 21 = = SYM cord-291400-o9skj94r 95 22 0.03 0.03 CD cord-291400-o9skj94r 95 23 ) ) -RRB- cord-291400-o9skj94r 95 24 . . . cord-291400-o9skj94r 96 1 Other other JJ cord-291400-o9skj94r 96 2 independent independent JJ cord-291400-o9skj94r 96 3 predictors predictor NNS cord-291400-o9skj94r 96 4 of of IN cord-291400-o9skj94r 96 5 death death NN cord-291400-o9skj94r 96 6 included include VBD cord-291400-o9skj94r 96 7 shock shock NN cord-291400-o9skj94r 96 8 , , , cord-291400-o9skj94r 96 9 age age NN cord-291400-o9skj94r 96 10 greater great JJR cord-291400-o9skj94r 96 11 than than IN cord-291400-o9skj94r 96 12 64 64 CD cord-291400-o9skj94r 96 13 years year NNS cord-291400-o9skj94r 96 14 , , , cord-291400-o9skj94r 96 15 and and CC cord-291400-o9skj94r 96 16 a a DT cord-291400-o9skj94r 96 17 blood blood NN cord-291400-o9skj94r 96 18 culture culture NN cord-291400-o9skj94r 96 19 isolate isolate NN cord-291400-o9skj94r 96 20 of of IN cord-291400-o9skj94r 96 21 an an DT cord-291400-o9skj94r 96 22 S S NNP cord-291400-o9skj94r 96 23 pneumoniae pneumoniae NN cord-291400-o9skj94r 96 24 strain strain VBP cord-291400-o9skj94r 96 25 resistant resistant JJ cord-291400-o9skj94r 96 26 to to IN cord-291400-o9skj94r 96 27 penicillin penicillin NN cord-291400-o9skj94r 96 28 and and CC cord-291400-o9skj94r 96 29 erythromycin erythromycin NN cord-291400-o9skj94r 96 30 . . . cord-291400-o9skj94r 97 1 A a DT cord-291400-o9skj94r 97 2 total total NN cord-291400-o9skj94r 97 3 of of IN cord-291400-o9skj94r 97 4 35 35 CD cord-291400-o9skj94r 97 5 patients patient NNS cord-291400-o9skj94r 97 6 ( ( -LRB- cord-291400-o9skj94r 97 7 9 9 CD cord-291400-o9skj94r 97 8 % % NN cord-291400-o9skj94r 97 9 ) ) -RRB- cord-291400-o9skj94r 97 10 died die VBD cord-291400-o9skj94r 97 11 . . . cord-291400-o9skj94r 98 1 Even even RB cord-291400-o9skj94r 98 2 when when WRB cord-291400-o9skj94r 98 3 the the DT cord-291400-o9skj94r 98 4 data datum NNS cord-291400-o9skj94r 98 5 were be VBD cord-291400-o9skj94r 98 6 reanalyzed reanalyze VBN cord-291400-o9skj94r 98 7 to to TO cord-291400-o9skj94r 98 8 exclude exclude VB cord-291400-o9skj94r 98 9 10 10 CD cord-291400-o9skj94r 98 10 early early JJ cord-291400-o9skj94r 98 11 deaths death NNS cord-291400-o9skj94r 98 12 ( ( -LRB- cord-291400-o9skj94r 98 13 occurred occur VBN cord-291400-o9skj94r 98 14 \48 \48 CD cord-291400-o9skj94r 98 15 hours hour NNS cord-291400-o9skj94r 98 16 after after IN cord-291400-o9skj94r 98 17 presentation presentation NN cord-291400-o9skj94r 98 18 ) ) -RRB- cord-291400-o9skj94r 98 19 , , , cord-291400-o9skj94r 98 20 the the DT cord-291400-o9skj94r 98 21 absence absence NN cord-291400-o9skj94r 98 22 of of IN cord-291400-o9skj94r 98 23 a a DT cord-291400-o9skj94r 98 24 macrolide macrolide NN cord-291400-o9skj94r 98 25 in in IN cord-291400-o9skj94r 98 26 initial initial JJ cord-291400-o9skj94r 98 27 therapy therapy NN cord-291400-o9skj94r 98 28 was be VBD cord-291400-o9skj94r 98 29 associated associate VBN cord-291400-o9skj94r 98 30 with with IN cord-291400-o9skj94r 98 31 death death NN cord-291400-o9skj94r 98 32 ( ( -LRB- cord-291400-o9skj94r 98 33 OR or CC cord-291400-o9skj94r 98 34 , , , cord-291400-o9skj94r 98 35 .4 .4 NN cord-291400-o9skj94r 98 36 ; ; : cord-291400-o9skj94r 98 37 95%CI 95%ci CD cord-291400-o9skj94r 98 38 , , , cord-291400-o9skj94r 98 39 0.09 0.09 CD cord-291400-o9skj94r 98 40 - - SYM cord-291400-o9skj94r 98 41 0.9 0.9 CD cord-291400-o9skj94r 98 42 ) ) -RRB- cord-291400-o9skj94r 98 43 . . . cord-291400-o9skj94r 99 1 In in IN cord-291400-o9skj94r 99 2 this this DT cord-291400-o9skj94r 99 3 study study NN cord-291400-o9skj94r 99 4 , , , cord-291400-o9skj94r 99 5 a a DT cord-291400-o9skj94r 99 6 macrolide macrolide NN cord-291400-o9skj94r 99 7 could could MD cord-291400-o9skj94r 99 8 be be VB cord-291400-o9skj94r 99 9 combined combine VBN cord-291400-o9skj94r 99 10 favorably favorably RB cord-291400-o9skj94r 99 11 with with IN cord-291400-o9skj94r 99 12 a a DT cord-291400-o9skj94r 99 13 cephalosporin cephalosporin NN cord-291400-o9skj94r 99 14 or or CC cord-291400-o9skj94r 99 15 a a DT cord-291400-o9skj94r 99 16 b b NN cord-291400-o9skj94r 99 17 - - HYPH cord-291400-o9skj94r 99 18 lactamase lactamase NN cord-291400-o9skj94r 99 19 inhibitor inhibitor NN cord-291400-o9skj94r 99 20 . . . cord-291400-o9skj94r 100 1 A a DT cord-291400-o9skj94r 100 2 previous previous JJ cord-291400-o9skj94r 100 3 study study NN cord-291400-o9skj94r 100 4 of of IN cord-291400-o9skj94r 100 5 patients patient NNS cord-291400-o9skj94r 100 6 with with IN cord-291400-o9skj94r 100 7 CAP CAP NNP cord-291400-o9skj94r 100 8 , , , cord-291400-o9skj94r 100 9 but but CC cord-291400-o9skj94r 100 10 not not RB cord-291400-o9skj94r 100 11 nonbacteremic nonbacteremic JJ cord-291400-o9skj94r 100 12 pneumococcal pneumococcal JJ cord-291400-o9skj94r 100 13 pneumonia pneumonia NN cord-291400-o9skj94r 100 14 , , , cord-291400-o9skj94r 100 15 found find VBD cord-291400-o9skj94r 100 16 that that IN cord-291400-o9skj94r 100 17 treated treat VBN cord-291400-o9skj94r 100 18 with with IN cord-291400-o9skj94r 100 19 blactamase blactamase NN cord-291400-o9skj94r 100 20 inhibitors inhibitor NNS cord-291400-o9skj94r 100 21 and and CC cord-291400-o9skj94r 100 22 a a DT cord-291400-o9skj94r 100 23 macrolide macrolide NN cord-291400-o9skj94r 100 24 were be VBD cord-291400-o9skj94r 100 25 less less RBR cord-291400-o9skj94r 100 26 effective effective JJ cord-291400-o9skj94r 100 27 than than IN cord-291400-o9skj94r 100 28 treatment treatment NN cord-291400-o9skj94r 100 29 with with IN cord-291400-o9skj94r 100 30 a a DT cord-291400-o9skj94r 100 31 cephalosporin cephalosporin NN cord-291400-o9skj94r 100 32 alone alone JJ cord-291400-o9skj94r 100 33 [ [ -LRB- cord-291400-o9skj94r 100 34 32 32 CD cord-291400-o9skj94r 100 35 ] ] -RRB- cord-291400-o9skj94r 100 36 . . . cord-291400-o9skj94r 101 1 As as IN cord-291400-o9skj94r 101 2 with with IN cord-291400-o9skj94r 101 3 most most JJS cord-291400-o9skj94r 101 4 retrospective retrospective JJ cord-291400-o9skj94r 101 5 studies study NNS cord-291400-o9skj94r 101 6 , , , cord-291400-o9skj94r 101 7 there there EX cord-291400-o9skj94r 101 8 were be VBD cord-291400-o9skj94r 101 9 differences difference NNS cord-291400-o9skj94r 101 10 among among IN cord-291400-o9skj94r 101 11 the the DT cord-291400-o9skj94r 101 12 popuations popuation NNS cord-291400-o9skj94r 101 13 . . . cord-291400-o9skj94r 102 1 The the DT cord-291400-o9skj94r 102 2 group group NN cord-291400-o9skj94r 102 3 receiving receive VBG cord-291400-o9skj94r 102 4 cephalosporin cephalosporin NN cord-291400-o9skj94r 102 5 alone alone RB cord-291400-o9skj94r 102 6 had have VBD cord-291400-o9skj94r 102 7 higher high JJR cord-291400-o9skj94r 102 8 incidences incidence NNS cord-291400-o9skj94r 102 9 of of IN cord-291400-o9skj94r 102 10 comorbid comorbid NN cord-291400-o9skj94r 102 11 conditions condition NNS cord-291400-o9skj94r 102 12 , , , cord-291400-o9skj94r 102 13 HIV HIV NNP cord-291400-o9skj94r 102 14 infection infection NN cord-291400-o9skj94r 102 15 , , , cord-291400-o9skj94r 102 16 hematologic hematologic JJ cord-291400-o9skj94r 102 17 malignancies malignancy NNS cord-291400-o9skj94r 102 18 , , , cord-291400-o9skj94r 103 1 neutropenia neutropenia NN cord-291400-o9skj94r 103 2 , , , cord-291400-o9skj94r 103 3 nosocomial nosocomial JJ cord-291400-o9skj94r 103 4 bacteremia bacteremia NN cord-291400-o9skj94r 103 5 , , , cord-291400-o9skj94r 103 6 and and CC cord-291400-o9skj94r 103 7 penicillin penicillin NN cord-291400-o9skj94r 103 8 - - HYPH cord-291400-o9skj94r 103 9 resistant resistant JJ cord-291400-o9skj94r 103 10 isolates isolate NNS cord-291400-o9skj94r 103 11 . . . cord-291400-o9skj94r 104 1 In in IN cord-291400-o9skj94r 104 2 the the DT cord-291400-o9skj94r 104 3 group group NN cord-291400-o9skj94r 104 4 receiving receive VBG cord-291400-o9skj94r 104 5 b b NN cord-291400-o9skj94r 104 6 - - HYPH cord-291400-o9skj94r 104 7 lactamase lactamase NN cord-291400-o9skj94r 104 8 inhibitors inhibitor NNS cord-291400-o9skj94r 104 9 and and CC cord-291400-o9skj94r 104 10 a a DT cord-291400-o9skj94r 104 11 macrolide macrolide NN cord-291400-o9skj94r 104 12 , , , cord-291400-o9skj94r 104 13 more more JJR cord-291400-o9skj94r 104 14 patients patient NNS cord-291400-o9skj94r 104 15 experienced experience VBD cord-291400-o9skj94r 104 16 shock shock NN cord-291400-o9skj94r 104 17 and and CC cord-291400-o9skj94r 104 18 resultant resultant JJ cord-291400-o9skj94r 104 19 admission admission NN cord-291400-o9skj94r 104 20 to to IN cord-291400-o9skj94r 104 21 ICU ICU NNP cord-291400-o9skj94r 104 22 . . . cord-291400-o9skj94r 105 1 The the DT cord-291400-o9skj94r 105 2 investigators investigator NNS cord-291400-o9skj94r 105 3 caution caution VBP cord-291400-o9skj94r 105 4 that that IN cord-291400-o9skj94r 105 5 a a DT cord-291400-o9skj94r 105 6 prospective prospective NN cord-291400-o9skj94r 105 7 , , , cord-291400-o9skj94r 105 8 randomized randomized JJ cord-291400-o9skj94r 105 9 trial trial NN cord-291400-o9skj94r 105 10 is be VBZ cord-291400-o9skj94r 105 11 necessary necessary JJ cord-291400-o9skj94r 105 12 to to TO cord-291400-o9skj94r 105 13 definitively definitively RB cord-291400-o9skj94r 105 14 determine determine VB cord-291400-o9skj94r 105 15 the the DT cord-291400-o9skj94r 105 16 effect effect NN cord-291400-o9skj94r 105 17 of of IN cord-291400-o9skj94r 105 18 macrolides macrolide NNS cord-291400-o9skj94r 105 19 . . . cord-291400-o9skj94r 106 1 Bacteremic Bacteremic NNP cord-291400-o9skj94r 106 2 pneumococcal pneumococcal JJ cord-291400-o9skj94r 106 3 pneumonia pneumonia NN cord-291400-o9skj94r 106 4 remains remain VBZ cord-291400-o9skj94r 106 5 a a DT cord-291400-o9skj94r 106 6 serious serious JJ cord-291400-o9skj94r 106 7 life life NN cord-291400-o9skj94r 106 8 - - HYPH cord-291400-o9skj94r 106 9 threatening threaten VBG cord-291400-o9skj94r 106 10 infection infection NN cord-291400-o9skj94r 106 11 . . . cord-291400-o9skj94r 107 1 The the DT cord-291400-o9skj94r 107 2 incidence incidence NN cord-291400-o9skj94r 107 3 of of IN cord-291400-o9skj94r 107 4 pneumococcal pneumococcal JJ cord-291400-o9skj94r 107 5 bacteremia bacteremia NN cord-291400-o9skj94r 107 6 seems seem VBZ cord-291400-o9skj94r 107 7 to to TO cord-291400-o9skj94r 107 8 be be VB cord-291400-o9skj94r 107 9 increasing increase VBG cord-291400-o9skj94r 107 10 . . . cord-291400-o9skj94r 108 1 The the DT cord-291400-o9skj94r 108 2 CFR CFR NNP cord-291400-o9skj94r 108 3 with with IN cord-291400-o9skj94r 108 4 bacteremic bacteremic JJ cord-291400-o9skj94r 108 5 pneumococcal pneumococcal JJ cord-291400-o9skj94r 108 6 pneumonia pneumonia NN cord-291400-o9skj94r 108 7 has have VBZ cord-291400-o9skj94r 108 8 not not RB cord-291400-o9skj94r 108 9 changed change VBN cord-291400-o9skj94r 108 10 much much JJ cord-291400-o9skj94r 108 11 in in IN cord-291400-o9skj94r 108 12 the the DT cord-291400-o9skj94r 108 13 past past JJ cord-291400-o9skj94r 108 14 50 50 CD cord-291400-o9skj94r 108 15 years year NNS cord-291400-o9skj94r 108 16 . . . cord-291400-o9skj94r 109 1 There there EX cord-291400-o9skj94r 109 2 always always RB cord-291400-o9skj94r 109 3 have have VBP cord-291400-o9skj94r 109 4 been be VBN cord-291400-o9skj94r 109 5 unanswered unanswered JJ cord-291400-o9skj94r 109 6 questions question NNS cord-291400-o9skj94r 109 7 with with IN cord-291400-o9skj94r 109 8 regard regard NN cord-291400-o9skj94r 109 9 to to IN cord-291400-o9skj94r 109 10 severe severe JJ cord-291400-o9skj94r 109 11 pneumococcal pneumococcal JJ cord-291400-o9skj94r 109 12 disease disease NN cord-291400-o9skj94r 109 13 . . . cord-291400-o9skj94r 110 1 Why why WRB cord-291400-o9skj94r 110 2 does do VBZ cord-291400-o9skj94r 110 3 the the DT cord-291400-o9skj94r 110 4 CFR CFR NNP cord-291400-o9skj94r 110 5 differ differ VBP cord-291400-o9skj94r 110 6 among among IN cord-291400-o9skj94r 110 7 different different JJ cord-291400-o9skj94r 110 8 centers center NNS cord-291400-o9skj94r 110 9 and and CC cord-291400-o9skj94r 110 10 countries country NNS cord-291400-o9skj94r 110 11 [ [ -LRB- cord-291400-o9skj94r 110 12 40 40 CD cord-291400-o9skj94r 110 13 , , , cord-291400-o9skj94r 110 14 41 41 CD cord-291400-o9skj94r 110 15 ] ] -RRB- cord-291400-o9skj94r 110 16 ? ? . cord-291400-o9skj94r 111 1 Why why WRB cord-291400-o9skj94r 111 2 do do VBP cord-291400-o9skj94r 111 3 some some DT cord-291400-o9skj94r 111 4 countries country NNS cord-291400-o9skj94r 111 5 have have VBP cord-291400-o9skj94r 111 6 many many JJ cord-291400-o9skj94r 111 7 cases case NNS cord-291400-o9skj94r 111 8 of of IN cord-291400-o9skj94r 111 9 nosocomial nosocomial JJ cord-291400-o9skj94r 111 10 S S NNP cord-291400-o9skj94r 111 11 pneumoniae pneumoniae NN cord-291400-o9skj94r 111 12 infections infection NNS cord-291400-o9skj94r 111 13 [ [ -LRB- cord-291400-o9skj94r 111 14 7 7 CD cord-291400-o9skj94r 111 15 ] ] -RRB- cord-291400-o9skj94r 111 16 and and CC cord-291400-o9skj94r 111 17 others other NNS cord-291400-o9skj94r 111 18 ( ( -LRB- cord-291400-o9skj94r 111 19 eg eg UH cord-291400-o9skj94r 111 20 , , , cord-291400-o9skj94r 111 21 the the DT cord-291400-o9skj94r 111 22 United United NNP cord-291400-o9skj94r 111 23 States States NNP cord-291400-o9skj94r 111 24 ) ) -RRB- cord-291400-o9skj94r 111 25 have have VBP cord-291400-o9skj94r 111 26 a a DT cord-291400-o9skj94r 111 27 minimal minimal JJ cord-291400-o9skj94r 111 28 number number NN cord-291400-o9skj94r 111 29 of of IN cord-291400-o9skj94r 111 30 such such JJ cord-291400-o9skj94r 111 31 cases case NNS cord-291400-o9skj94r 111 32 [ [ -LRB- cord-291400-o9skj94r 111 33 27 27 CD cord-291400-o9skj94r 111 34 ] ] -RRB- cord-291400-o9skj94r 111 35 ? ? . cord-291400-o9skj94r 112 1 Reports report NNS cord-291400-o9skj94r 112 2 have have VBP cord-291400-o9skj94r 112 3 suggested suggest VBN cord-291400-o9skj94r 112 4 that that IN cord-291400-o9skj94r 112 5 combination combination NN cord-291400-o9skj94r 112 6 antimicrobial antimicrobial JJ cord-291400-o9skj94r 112 7 therapy therapy NN cord-291400-o9skj94r 112 8 containing contain VBG cord-291400-o9skj94r 112 9 a a DT cord-291400-o9skj94r 112 10 macrolide macrolide NN cord-291400-o9skj94r 112 11 is be VBZ cord-291400-o9skj94r 112 12 more more RBR cord-291400-o9skj94r 112 13 effective effective JJ cord-291400-o9skj94r 112 14 than than IN cord-291400-o9skj94r 112 15 therapy therapy NN cord-291400-o9skj94r 112 16 with with IN cord-291400-o9skj94r 112 17 a a DT cord-291400-o9skj94r 112 18 cephalosporin cephalosporin NN cord-291400-o9skj94r 112 19 or or CC cord-291400-o9skj94r 112 20 b b NN cord-291400-o9skj94r 112 21 - - : cord-291400-o9skj94r 112 22 lactam lactam NN cord-291400-o9skj94r 112 23 alone alone RB cord-291400-o9skj94r 113 1 [ [ -LRB- cord-291400-o9skj94r 113 2 5 5 CD cord-291400-o9skj94r 113 3 ] ] -RRB- cord-291400-o9skj94r 113 4 [ [ -LRB- cord-291400-o9skj94r 113 5 6 6 CD cord-291400-o9skj94r 113 6 ] ] -RRB- cord-291400-o9skj94r 113 7 [ [ -LRB- cord-291400-o9skj94r 113 8 7 7 CD cord-291400-o9skj94r 113 9 ] ] -RRB- cord-291400-o9skj94r 113 10 . . . cord-291400-o9skj94r 114 1 This this DT cord-291400-o9skj94r 114 2 article article NN cord-291400-o9skj94r 114 3 addresses address VBZ cord-291400-o9skj94r 114 4 the the DT cord-291400-o9skj94r 114 5 published publish VBN cord-291400-o9skj94r 114 6 literature literature NN cord-291400-o9skj94r 114 7 . . . cord-291400-o9skj94r 115 1 Why why WRB cord-291400-o9skj94r 115 2 would would MD cord-291400-o9skj94r 115 3 a a DT cord-291400-o9skj94r 115 4 b b NN cord-291400-o9skj94r 115 5 - - : cord-291400-o9skj94r 115 6 lactam lactam NNP cord-291400-o9skj94r 115 7 ( ( -LRB- cord-291400-o9skj94r 115 8 cephalosporin cephalosporin NNP cord-291400-o9skj94r 115 9 ) ) -RRB- cord-291400-o9skj94r 115 10 in in IN cord-291400-o9skj94r 115 11 combination combination NN cord-291400-o9skj94r 115 12 with with IN cord-291400-o9skj94r 115 13 a a DT cord-291400-o9skj94r 115 14 macrolide macrolide NN cord-291400-o9skj94r 115 15 be be VB cord-291400-o9skj94r 115 16 more more RBR cord-291400-o9skj94r 115 17 efficacious efficacious JJ cord-291400-o9skj94r 115 18 than than IN cord-291400-o9skj94r 115 19 a a DT cord-291400-o9skj94r 115 20 b b NN cord-291400-o9skj94r 115 21 - - HYPH cord-291400-o9skj94r 115 22 lactam lactam NNP cord-291400-o9skj94r 115 23 ( ( -LRB- cord-291400-o9skj94r 115 24 cephalosporin cephalosporin NNP cord-291400-o9skj94r 115 25 ) ) -RRB- cord-291400-o9skj94r 115 26 alone alone RB cord-291400-o9skj94r 115 27 in in IN cord-291400-o9skj94r 115 28 the the DT cord-291400-o9skj94r 115 29 treatment treatment NN cord-291400-o9skj94r 115 30 of of IN cord-291400-o9skj94r 115 31 patients patient NNS cord-291400-o9skj94r 115 32 with with IN cord-291400-o9skj94r 115 33 bacteremic bacteremic JJ cord-291400-o9skj94r 115 34 pneumococcal pneumococcal JJ cord-291400-o9skj94r 115 35 pneumonia pneumonia NN cord-291400-o9skj94r 115 36 ? ? . cord-291400-o9skj94r 116 1 Are be VBP cord-291400-o9skj94r 116 2 there there EX cord-291400-o9skj94r 116 3 interactions interaction NNS cord-291400-o9skj94r 116 4 between between IN cord-291400-o9skj94r 116 5 the the DT cord-291400-o9skj94r 116 6 two two CD cord-291400-o9skj94r 116 7 antibiotics antibiotic NNS cord-291400-o9skj94r 116 8 against against IN cord-291400-o9skj94r 116 9 Streptococcus streptococcus NN cord-291400-o9skj94r 116 10 pneumoniae pneumoniae NN cord-291400-o9skj94r 116 11 ? ? . cord-291400-o9skj94r 117 1 Although although IN cord-291400-o9skj94r 117 2 some some DT cord-291400-o9skj94r 117 3 antibiotic antibiotic JJ cord-291400-o9skj94r 117 4 combinations combination NNS cord-291400-o9skj94r 117 5 have have VBP cord-291400-o9skj94r 117 6 been be VBN cord-291400-o9skj94r 117 7 shown show VBN cord-291400-o9skj94r 117 8 to to TO cord-291400-o9skj94r 117 9 be be VB cord-291400-o9skj94r 117 10 synergistic synergistic JJ cord-291400-o9skj94r 117 11 in in IN cord-291400-o9skj94r 117 12 vitro vitro FW cord-291400-o9skj94r 117 13 and and CC cord-291400-o9skj94r 117 14 in in IN cord-291400-o9skj94r 117 15 vivo vivo NNP cord-291400-o9skj94r 117 16 ( ( -LRB- cord-291400-o9skj94r 117 17 ie ie FW cord-291400-o9skj94r 117 18 , , , cord-291400-o9skj94r 117 19 ampicillin ampicillin NN cord-291400-o9skj94r 117 20 and and CC cord-291400-o9skj94r 117 21 gentamicin gentamicin NNS cord-291400-o9skj94r 117 22 against against IN cord-291400-o9skj94r 117 23 enterococci enterococci NNP cord-291400-o9skj94r 117 24 ) ) -RRB- cord-291400-o9skj94r 117 25 , , , cord-291400-o9skj94r 117 26 no no DT cord-291400-o9skj94r 117 27 data datum NNS cord-291400-o9skj94r 117 28 suggest suggest VBP cord-291400-o9skj94r 117 29 that that IN cord-291400-o9skj94r 117 30 such such PDT cord-291400-o9skj94r 117 31 a a DT cord-291400-o9skj94r 117 32 synergistic synergistic JJ cord-291400-o9skj94r 117 33 activity activity NN cord-291400-o9skj94r 117 34 exists exist VBZ cord-291400-o9skj94r 117 35 between between IN cord-291400-o9skj94r 117 36 a a DT cord-291400-o9skj94r 117 37 cephalosporin cephalosporin NN cord-291400-o9skj94r 117 38 or or CC cord-291400-o9skj94r 117 39 penicillins penicillin NNS cord-291400-o9skj94r 117 40 and and CC cord-291400-o9skj94r 117 41 a a DT cord-291400-o9skj94r 117 42 macrolide macrolide NN cord-291400-o9skj94r 117 43 against against IN cord-291400-o9skj94r 117 44 pneumococci pneumococci NNP cord-291400-o9skj94r 117 45 [ [ -LRB- cord-291400-o9skj94r 117 46 42 42 CD cord-291400-o9skj94r 117 47 ] ] -RRB- cord-291400-o9skj94r 117 48 . . . cord-291400-o9skj94r 118 1 There there EX cord-291400-o9skj94r 118 2 is be VBZ cord-291400-o9skj94r 118 3 evidence evidence NN cord-291400-o9skj94r 118 4 that that IN cord-291400-o9skj94r 118 5 the the DT cord-291400-o9skj94r 118 6 combination combination NN cord-291400-o9skj94r 118 7 of of IN cord-291400-o9skj94r 118 8 penicillin penicillin NN cord-291400-o9skj94r 118 9 and and CC cord-291400-o9skj94r 118 10 tetracycline tetracycline NNP cord-291400-o9skj94r 118 11 have have VBP cord-291400-o9skj94r 118 12 antagonistic antagonistic JJ cord-291400-o9skj94r 118 13 effects effect NNS cord-291400-o9skj94r 118 14 in in IN cord-291400-o9skj94r 118 15 patients patient NNS cord-291400-o9skj94r 118 16 with with IN cord-291400-o9skj94r 118 17 pneumococcal pneumococcal JJ cord-291400-o9skj94r 118 18 meningitis meningitis NN cord-291400-o9skj94r 118 19 [ [ -LRB- cord-291400-o9skj94r 118 20 43 43 CD cord-291400-o9skj94r 118 21 ] ] -RRB- cord-291400-o9skj94r 118 22 . . . cord-291400-o9skj94r 119 1 One one CD cord-291400-o9skj94r 119 2 possible possible JJ cord-291400-o9skj94r 119 3 explanation explanation NN cord-291400-o9skj94r 119 4 for for IN cord-291400-o9skj94r 119 5 the the DT cord-291400-o9skj94r 119 6 decreased decreased JJ cord-291400-o9skj94r 119 7 mortality mortality NN cord-291400-o9skj94r 119 8 rate rate NN cord-291400-o9skj94r 119 9 with with IN cord-291400-o9skj94r 119 10 combination combination NN cord-291400-o9skj94r 119 11 therapy therapy NN cord-291400-o9skj94r 119 12 could could MD cord-291400-o9skj94r 119 13 be be VB cord-291400-o9skj94r 119 14 that that IN cord-291400-o9skj94r 119 15 the the DT cord-291400-o9skj94r 119 16 macrolide macrolide NN cord-291400-o9skj94r 119 17 is be VBZ cord-291400-o9skj94r 119 18 somewhat somewhat RB cord-291400-o9skj94r 119 19 antagonistic antagonistic JJ cord-291400-o9skj94r 119 20 against against IN cord-291400-o9skj94r 119 21 the the DT cord-291400-o9skj94r 119 22 rapid rapid JJ cord-291400-o9skj94r 119 23 killing killing NN cord-291400-o9skj94r 119 24 of of IN cord-291400-o9skj94r 119 25 the the DT cord-291400-o9skj94r 119 26 pneumococci pneumococcus NNS cord-291400-o9skj94r 119 27 by by IN cord-291400-o9skj94r 119 28 the the DT cord-291400-o9skj94r 119 29 cephalosporin cephalosporin NN cord-291400-o9skj94r 119 30 . . . cord-291400-o9skj94r 120 1 This this DT cord-291400-o9skj94r 120 2 effect effect NN cord-291400-o9skj94r 120 3 could could MD cord-291400-o9skj94r 120 4 slow slow VB cord-291400-o9skj94r 120 5 the the DT cord-291400-o9skj94r 120 6 rapid rapid JJ cord-291400-o9skj94r 120 7 lysis lysis NN cord-291400-o9skj94r 120 8 of of IN cord-291400-o9skj94r 120 9 pneumococci pneumococcus NNS cord-291400-o9skj94r 120 10 and and CC cord-291400-o9skj94r 120 11 abate abate VB cord-291400-o9skj94r 120 12 the the DT cord-291400-o9skj94r 120 13 resultant resultant JJ cord-291400-o9skj94r 120 14 intense intense JJ cord-291400-o9skj94r 120 15 inflammatory inflammatory JJ cord-291400-o9skj94r 120 16 response response NN cord-291400-o9skj94r 120 17 . . . cord-291400-o9skj94r 121 1 Would Would MD cord-291400-o9skj94r 121 2 the the DT cord-291400-o9skj94r 121 3 use use NN cord-291400-o9skj94r 121 4 of of IN cord-291400-o9skj94r 121 5 two two CD cord-291400-o9skj94r 121 6 empiric empiric JJ cord-291400-o9skj94r 121 7 antibiotics antibiotic NNS cord-291400-o9skj94r 121 8 make make VBP cord-291400-o9skj94r 121 9 it -PRON- PRP cord-291400-o9skj94r 121 10 more more RBR cord-291400-o9skj94r 121 11 likely likely JJ cord-291400-o9skj94r 121 12 that that IN cord-291400-o9skj94r 121 13 at at RB cord-291400-o9skj94r 121 14 least least RBS cord-291400-o9skj94r 121 15 one one PRP cord-291400-o9skj94r 121 16 would would MD cord-291400-o9skj94r 121 17 be be VB cord-291400-o9skj94r 121 18 active active JJ cord-291400-o9skj94r 121 19 against against IN cord-291400-o9skj94r 121 20 the the DT cord-291400-o9skj94r 121 21 pneumococcus pneumococcus NN cord-291400-o9skj94r 121 22 ? ? . cord-291400-o9skj94r 122 1 In in IN cord-291400-o9skj94r 122 2 their -PRON- PRP$ cord-291400-o9skj94r 122 3 study study NN cord-291400-o9skj94r 122 4 , , , cord-291400-o9skj94r 122 5 Waterer Waterer NNP cord-291400-o9skj94r 122 6 et et NNP cord-291400-o9skj94r 122 7 al al NNP cord-291400-o9skj94r 122 8 [ [ -LRB- cord-291400-o9skj94r 122 9 6 6 CD cord-291400-o9skj94r 122 10 ] ] -RRB- cord-291400-o9skj94r 122 11 excluded exclude VBN cord-291400-o9skj94r 122 12 organisms organism NNS cord-291400-o9skj94r 122 13 resistant resistant JJ cord-291400-o9skj94r 122 14 to to IN cord-291400-o9skj94r 122 15 empiric empiric JJ cord-291400-o9skj94r 122 16 therapy therapy NN cord-291400-o9skj94r 122 17 and and CC cord-291400-o9skj94r 122 18 still still RB cord-291400-o9skj94r 122 19 demonstrated demonstrate VBD cord-291400-o9skj94r 122 20 a a DT cord-291400-o9skj94r 122 21 benefit benefit NN cord-291400-o9skj94r 122 22 of of IN cord-291400-o9skj94r 122 23 macrolide macrolide JJ cord-291400-o9skj94r 122 24 use use NN cord-291400-o9skj94r 122 25 . . . cord-291400-o9skj94r 123 1 Lujan Lujan NNP cord-291400-o9skj94r 123 2 et et NNP cord-291400-o9skj94r 123 3 al al NNP cord-291400-o9skj94r 123 4 [ [ -LRB- cord-291400-o9skj94r 123 5 44 44 CD cord-291400-o9skj94r 123 6 ] ] -RRB- cord-291400-o9skj94r 123 7 demonstrated demonstrate VBD cord-291400-o9skj94r 123 8 that that IN cord-291400-o9skj94r 123 9 discordant discordant JJ cord-291400-o9skj94r 123 10 therapy therapy NN cord-291400-o9skj94r 123 11 was be VBD cord-291400-o9skj94r 123 12 associated associate VBN cord-291400-o9skj94r 123 13 with with IN cord-291400-o9skj94r 123 14 a a DT cord-291400-o9skj94r 123 15 higher high JJR cord-291400-o9skj94r 123 16 CFR CFR NNP cord-291400-o9skj94r 123 17 . . . cord-291400-o9skj94r 124 1 This this DT cord-291400-o9skj94r 124 2 finding finding NN cord-291400-o9skj94r 124 3 was be VBD cord-291400-o9skj94r 124 4 seen see VBN cord-291400-o9skj94r 124 5 only only RB cord-291400-o9skj94r 124 6 among among IN cord-291400-o9skj94r 124 7 physicians physician NNS cord-291400-o9skj94r 124 8 who who WP cord-291400-o9skj94r 124 9 did do VBD cord-291400-o9skj94r 124 10 not not RB cord-291400-o9skj94r 124 11 use use VB cord-291400-o9skj94r 124 12 third third JJ cord-291400-o9skj94r 124 13 - - HYPH cord-291400-o9skj94r 124 14 generation generation NN cord-291400-o9skj94r 124 15 cephalosporins cephalosporin NNS cord-291400-o9skj94r 124 16 . . . cord-291400-o9skj94r 125 1 Pneumococcal pneumococcal JJ cord-291400-o9skj94r 125 2 resistance resistance NN cord-291400-o9skj94r 125 3 to to IN cord-291400-o9skj94r 125 4 ceftriaxone ceftriaxone NN cord-291400-o9skj94r 125 5 or or CC cord-291400-o9skj94r 125 6 cefotaxime cefotaxime NN cord-291400-o9skj94r 125 7 was be VBD cord-291400-o9skj94r 125 8 minimal minimal JJ cord-291400-o9skj94r 125 9 ( ( -LRB- cord-291400-o9skj94r 125 10 2 2 CD cord-291400-o9skj94r 125 11 % % NN cord-291400-o9skj94r 125 12 of of IN cord-291400-o9skj94r 125 13 patients patient NNS cord-291400-o9skj94r 125 14 ) ) -RRB- cord-291400-o9skj94r 125 15 . . . cord-291400-o9skj94r 126 1 What what WP cord-291400-o9skj94r 126 2 is be VBZ cord-291400-o9skj94r 126 3 the the DT cord-291400-o9skj94r 126 4 possibility possibility NN cord-291400-o9skj94r 126 5 that that IN cord-291400-o9skj94r 126 6 the the DT cord-291400-o9skj94r 126 7 macrolide macrolide NN cord-291400-o9skj94r 126 8 is be VBZ cord-291400-o9skj94r 126 9 treating treat VBG cord-291400-o9skj94r 126 10 a a DT cord-291400-o9skj94r 126 11 secondary secondary JJ cord-291400-o9skj94r 126 12 infection infection NN cord-291400-o9skj94r 126 13 in in IN cord-291400-o9skj94r 126 14 a a DT cord-291400-o9skj94r 126 15 patient patient NN cord-291400-o9skj94r 126 16 with with IN cord-291400-o9skj94r 126 17 pneumococcal pneumococcal JJ cord-291400-o9skj94r 126 18 bacteremia bacteremia NN cord-291400-o9skj94r 126 19 ? ? . cord-291400-o9skj94r 127 1 Influenza influenza NN cord-291400-o9skj94r 127 2 infection infection NN cord-291400-o9skj94r 127 3 predisposes predispose VBZ cord-291400-o9skj94r 127 4 to to IN cord-291400-o9skj94r 127 5 pneumococcal pneumococcal JJ cord-291400-o9skj94r 127 6 pneumonia pneumonia NN cord-291400-o9skj94r 127 7 and and CC cord-291400-o9skj94r 127 8 bacteremia bacteremia NN cord-291400-o9skj94r 127 9 through through IN cord-291400-o9skj94r 127 10 several several JJ cord-291400-o9skj94r 127 11 mechanisms mechanism NNS cord-291400-o9skj94r 127 12 . . . cord-291400-o9skj94r 128 1 Co Co NNS cord-291400-o9skj94r 128 2 - - NNS cord-291400-o9skj94r 128 3 infections infection NNS cord-291400-o9skj94r 128 4 with with IN cord-291400-o9skj94r 128 5 atypical atypical JJ cord-291400-o9skj94r 128 6 pathogens pathogen NNS cord-291400-o9skj94r 128 7 that that WDT cord-291400-o9skj94r 128 8 would would MD cord-291400-o9skj94r 128 9 be be VB cord-291400-o9skj94r 128 10 resistant resistant JJ cord-291400-o9skj94r 128 11 to to IN cord-291400-o9skj94r 128 12 a a DT cord-291400-o9skj94r 128 13 cephalosporin cephalosporin NN cord-291400-o9skj94r 128 14 but but CC cord-291400-o9skj94r 128 15 susceptible susceptible JJ cord-291400-o9skj94r 128 16 to to IN cord-291400-o9skj94r 128 17 a a DT cord-291400-o9skj94r 128 18 macrolide macrolide NN cord-291400-o9skj94r 128 19 , , , cord-291400-o9skj94r 128 20 including include VBG cord-291400-o9skj94r 128 21 M M NNP cord-291400-o9skj94r 128 22 pneumoniae pneumoniae NNS cord-291400-o9skj94r 128 23 and and CC cord-291400-o9skj94r 128 24 C C NNP cord-291400-o9skj94r 128 25 pneumoniae pneumoniae NNS cord-291400-o9skj94r 128 26 , , , cord-291400-o9skj94r 128 27 have have VBP cord-291400-o9skj94r 128 28 been be VBN cord-291400-o9skj94r 128 29 described describe VBN cord-291400-o9skj94r 128 30 [ [ -LRB- cord-291400-o9skj94r 128 31 8 8 CD cord-291400-o9skj94r 128 32 ] ] -RRB- cord-291400-o9skj94r 129 1 [ [ -LRB- cord-291400-o9skj94r 129 2 9 9 CD cord-291400-o9skj94r 129 3 ] ] -RRB- cord-291400-o9skj94r 129 4 [ [ -LRB- cord-291400-o9skj94r 129 5 10 10 CD cord-291400-o9skj94r 129 6 ] ] -RRB- cord-291400-o9skj94r 129 7 [ [ -LRB- cord-291400-o9skj94r 129 8 11 11 CD cord-291400-o9skj94r 129 9 ] ] -RRB- cord-291400-o9skj94r 130 1 [ [ -LRB- cord-291400-o9skj94r 130 2 14 14 CD cord-291400-o9skj94r 130 3 ] ] -RRB- cord-291400-o9skj94r 130 4 [ [ -LRB- cord-291400-o9skj94r 130 5 15 15 CD cord-291400-o9skj94r 130 6 ] ] -RRB- cord-291400-o9skj94r 130 7 [ [ -LRB- cord-291400-o9skj94r 130 8 16 16 CD cord-291400-o9skj94r 130 9 ] ] -RRB- cord-291400-o9skj94r 130 10 . . . cord-291400-o9skj94r 131 1 It -PRON- PRP cord-291400-o9skj94r 131 2 is be VBZ cord-291400-o9skj94r 131 3 not not RB cord-291400-o9skj94r 131 4 clear clear JJ cord-291400-o9skj94r 131 5 whether whether IN cord-291400-o9skj94r 131 6 patients patient NNS cord-291400-o9skj94r 131 7 with with IN cord-291400-o9skj94r 131 8 dual dual JJ cord-291400-o9skj94r 131 9 infections infection NNS cord-291400-o9skj94r 131 10 fare fare VBP cord-291400-o9skj94r 131 11 worse worse RBR cord-291400-o9skj94r 131 12 if if IN cord-291400-o9skj94r 131 13 only only RB cord-291400-o9skj94r 131 14 the the DT cord-291400-o9skj94r 131 15 pneumococcal pneumococcal JJ cord-291400-o9skj94r 131 16 bacteremia bacteremia NN cord-291400-o9skj94r 131 17 is be VBZ cord-291400-o9skj94r 131 18 treated treat VBN cord-291400-o9skj94r 131 19 . . . cord-291400-o9skj94r 132 1 Co co NN cord-291400-o9skj94r 132 2 - - NN cord-291400-o9skj94r 132 3 infection infection NN cord-291400-o9skj94r 132 4 with with IN cord-291400-o9skj94r 132 5 S S NNP cord-291400-o9skj94r 132 6 pneumoniae pneumoniae NN cord-291400-o9skj94r 132 7 and and CC cord-291400-o9skj94r 132 8 L L NNP cord-291400-o9skj94r 132 9 pneumophila pneumophila NN cord-291400-o9skj94r 132 10 has have VBZ cord-291400-o9skj94r 132 11 been be VBN cord-291400-o9skj94r 132 12 described describe VBN cord-291400-o9skj94r 132 13 [ [ -LRB- cord-291400-o9skj94r 132 14 26 26 CD cord-291400-o9skj94r 132 15 ] ] -RRB- cord-291400-o9skj94r 132 16 . . . cord-291400-o9skj94r 133 1 In in IN cord-291400-o9skj94r 133 2 most most JJS cord-291400-o9skj94r 133 3 epidemiologic epidemiologic JJ cord-291400-o9skj94r 133 4 studies study NNS cord-291400-o9skj94r 133 5 of of IN cord-291400-o9skj94r 133 6 CAP CAP NNP cord-291400-o9skj94r 133 7 , , , cord-291400-o9skj94r 133 8 an an DT cord-291400-o9skj94r 133 9 etiologic etiologic JJ cord-291400-o9skj94r 133 10 agent agent NN cord-291400-o9skj94r 133 11 is be VBZ cord-291400-o9skj94r 133 12 not not RB cord-291400-o9skj94r 133 13 identified identify VBN cord-291400-o9skj94r 133 14 in in IN cord-291400-o9skj94r 133 15 a a DT cord-291400-o9skj94r 133 16 large large JJ cord-291400-o9skj94r 133 17 proportion proportion NN cord-291400-o9skj94r 133 18 of of IN cord-291400-o9skj94r 133 19 patients patient NNS cord-291400-o9skj94r 133 20 ( ( -LRB- cord-291400-o9skj94r 133 21 25%-50 25%-50 CD cord-291400-o9skj94r 133 22 % % NN cord-291400-o9skj94r 133 23 ) ) -RRB- cord-291400-o9skj94r 133 24 [ [ -LRB- cord-291400-o9skj94r 133 25 12 12 CD cord-291400-o9skj94r 133 26 , , , cord-291400-o9skj94r 133 27 15 15 CD cord-291400-o9skj94r 133 28 ] ] -RRB- cord-291400-o9skj94r 133 29 . . . cord-291400-o9skj94r 134 1 It -PRON- PRP cord-291400-o9skj94r 134 2 is be VBZ cord-291400-o9skj94r 134 3 possible possible JJ cord-291400-o9skj94r 134 4 that that IN cord-291400-o9skj94r 134 5 other other JJ cord-291400-o9skj94r 134 6 pulmonary pulmonary JJ cord-291400-o9skj94r 134 7 pathogens pathogen NNS cord-291400-o9skj94r 134 8 that that WDT cord-291400-o9skj94r 134 9 are be VBP cord-291400-o9skj94r 134 10 susceptible susceptible JJ cord-291400-o9skj94r 134 11 to to IN cord-291400-o9skj94r 134 12 macrolides macrolide NNS cord-291400-o9skj94r 134 13 have have VBP cord-291400-o9skj94r 134 14 not not RB cord-291400-o9skj94r 134 15 been be VBN cord-291400-o9skj94r 134 16 identified identify VBN cord-291400-o9skj94r 134 17 . . . cord-291400-o9skj94r 135 1 McNally McNally NNP cord-291400-o9skj94r 135 2 et et NNP cord-291400-o9skj94r 135 3 al al NNP cord-291400-o9skj94r 135 4 [ [ -LRB- cord-291400-o9skj94r 135 5 45 45 CD cord-291400-o9skj94r 135 6 ] ] -RRB- cord-291400-o9skj94r 135 7 screened screen VBD cord-291400-o9skj94r 135 8 100 100 CD cord-291400-o9skj94r 135 9 acute acute JJ cord-291400-o9skj94r 135 10 and and CC cord-291400-o9skj94r 135 11 convalescent convalescent JJ cord-291400-o9skj94r 135 12 serum serum NN cord-291400-o9skj94r 135 13 samples sample NNS cord-291400-o9skj94r 135 14 from from IN cord-291400-o9skj94r 135 15 patients patient NNS cord-291400-o9skj94r 135 16 with with IN cord-291400-o9skj94r 135 17 pneumonia pneumonia NN cord-291400-o9skj94r 135 18 of of IN cord-291400-o9skj94r 135 19 unknown unknown JJ cord-291400-o9skj94r 135 20 cause cause NN cord-291400-o9skj94r 135 21 . . . cord-291400-o9skj94r 136 1 Legionella Legionella NNP cord-291400-o9skj94r 136 2 bozemanii bozemanii NNP cord-291400-o9skj94r 136 3 was be VBD cord-291400-o9skj94r 136 4 identified identify VBN cord-291400-o9skj94r 136 5 as as IN cord-291400-o9skj94r 136 6 the the DT cord-291400-o9skj94r 136 7 potential potential JJ cord-291400-o9skj94r 136 8 cause cause NN cord-291400-o9skj94r 136 9 in in IN cord-291400-o9skj94r 136 10 8 8 CD cord-291400-o9skj94r 136 11 % % NN cord-291400-o9skj94r 136 12 of of IN cord-291400-o9skj94r 136 13 cases case NNS cord-291400-o9skj94r 136 14 using use VBG cord-291400-o9skj94r 136 15 the the DT cord-291400-o9skj94r 136 16 criterion criterion NN cord-291400-o9skj94r 136 17 of of IN cord-291400-o9skj94r 136 18 fourfold fourfold JJ cord-291400-o9skj94r 136 19 rise rise NN cord-291400-o9skj94r 136 20 in in IN cord-291400-o9skj94r 136 21 antibody antibody NN cord-291400-o9skj94r 136 22 titers titer NNS cord-291400-o9skj94r 136 23 between between IN cord-291400-o9skj94r 136 24 acute acute JJ cord-291400-o9skj94r 136 25 and and CC cord-291400-o9skj94r 136 26 convalescent convalescent JJ cord-291400-o9skj94r 136 27 samples sample NNS cord-291400-o9skj94r 136 28 . . . cord-291400-o9skj94r 137 1 It -PRON- PRP cord-291400-o9skj94r 137 2 is be VBZ cord-291400-o9skj94r 137 3 possible possible JJ cord-291400-o9skj94r 137 4 that that IN cord-291400-o9skj94r 137 5 other other JJ cord-291400-o9skj94r 137 6 Legionella Legionella NNP cord-291400-o9skj94r 137 7 [ [ -LRB- cord-291400-o9skj94r 137 8 46 46 CD cord-291400-o9skj94r 137 9 ] ] -RRB- cord-291400-o9skj94r 137 10 or or CC cord-291400-o9skj94r 137 11 Legionella Legionella NNP cord-291400-o9skj94r 137 12 - - HYPH cord-291400-o9skj94r 137 13 like like JJ cord-291400-o9skj94r 137 14 organisms organism NNS cord-291400-o9skj94r 137 15 requiring require VBG cord-291400-o9skj94r 137 16 different different JJ cord-291400-o9skj94r 137 17 growth growth NN cord-291400-o9skj94r 137 18 medium medium NN cord-291400-o9skj94r 137 19 will will MD cord-291400-o9skj94r 137 20 be be VB cord-291400-o9skj94r 137 21 identified identify VBN cord-291400-o9skj94r 137 22 [ [ -LRB- cord-291400-o9skj94r 137 23 47 47 CD cord-291400-o9skj94r 137 24 , , , cord-291400-o9skj94r 137 25 48 48 CD cord-291400-o9skj94r 137 26 ] ] -RRB- cord-291400-o9skj94r 137 27 . . . cord-291400-o9skj94r 138 1 What what WP cord-291400-o9skj94r 138 2 is be VBZ cord-291400-o9skj94r 138 3 the the DT cord-291400-o9skj94r 138 4 possibility possibility NN cord-291400-o9skj94r 138 5 that that IN cord-291400-o9skj94r 138 6 the the DT cord-291400-o9skj94r 138 7 immune immune NN cord-291400-o9skj94r 138 8 - - HYPH cord-291400-o9skj94r 138 9 modulating modulate VBG cord-291400-o9skj94r 138 10 activity activity NN cord-291400-o9skj94r 138 11 of of IN cord-291400-o9skj94r 138 12 macrolides macrolide NNS cord-291400-o9skj94r 138 13 is be VBZ cord-291400-o9skj94r 138 14 important important JJ cord-291400-o9skj94r 138 15 in in IN cord-291400-o9skj94r 138 16 reducing reduce VBG cord-291400-o9skj94r 138 17 the the DT cord-291400-o9skj94r 138 18 mortality mortality NN cord-291400-o9skj94r 138 19 rate rate NN cord-291400-o9skj94r 138 20 ? ? . cord-291400-o9skj94r 139 1 The the DT cord-291400-o9skj94r 139 2 intense intense JJ cord-291400-o9skj94r 139 3 host host NN cord-291400-o9skj94r 139 4 inflammatory inflammatory JJ cord-291400-o9skj94r 139 5 response response NN cord-291400-o9skj94r 139 6 with with IN cord-291400-o9skj94r 139 7 sepsis sepsis NN cord-291400-o9skj94r 139 8 sometimes sometimes RB cord-291400-o9skj94r 139 9 is be VBZ cord-291400-o9skj94r 139 10 deleterious deleterious JJ cord-291400-o9skj94r 139 11 . . . cord-291400-o9skj94r 140 1 Multiple multiple JJ cord-291400-o9skj94r 140 2 studies study NNS cord-291400-o9skj94r 140 3 have have VBP cord-291400-o9skj94r 140 4 used use VBN cord-291400-o9skj94r 140 5 different different JJ cord-291400-o9skj94r 140 6 agents agent NNS cord-291400-o9skj94r 140 7 to to TO cord-291400-o9skj94r 140 8 try try VB cord-291400-o9skj94r 140 9 to to TO cord-291400-o9skj94r 140 10 diminish diminish VB cord-291400-o9skj94r 140 11 this this DT cord-291400-o9skj94r 140 12 exaggerated exaggerated JJ cord-291400-o9skj94r 140 13 immune immune JJ cord-291400-o9skj94r 140 14 response response NN cord-291400-o9skj94r 140 15 [ [ -LRB- cord-291400-o9skj94r 140 16 49 49 CD cord-291400-o9skj94r 140 17 ] ] -RRB- cord-291400-o9skj94r 140 18 [ [ -LRB- cord-291400-o9skj94r 140 19 50 50 CD cord-291400-o9skj94r 140 20 ] ] -RRB- cord-291400-o9skj94r 140 21 [ [ -LRB- cord-291400-o9skj94r 140 22 51 51 CD cord-291400-o9skj94r 140 23 ] ] -RRB- cord-291400-o9skj94r 140 24 [ [ -LRB- cord-291400-o9skj94r 140 25 52 52 CD cord-291400-o9skj94r 140 26 ] ] -RRB- cord-291400-o9skj94r 140 27 . . . cord-291400-o9skj94r 141 1 Steroids steroid NNS cord-291400-o9skj94r 141 2 were be VBD cord-291400-o9skj94r 141 3 studied study VBN cord-291400-o9skj94r 141 4 in in IN cord-291400-o9skj94r 141 5 multiple multiple JJ cord-291400-o9skj94r 141 6 doses dose NNS cord-291400-o9skj94r 141 7 in in IN cord-291400-o9skj94r 141 8 many many JJ cord-291400-o9skj94r 141 9 studies study NNS cord-291400-o9skj94r 141 10 , , , cord-291400-o9skj94r 141 11 and and CC cord-291400-o9skj94r 141 12 success success NN cord-291400-o9skj94r 141 13 was be VBD cord-291400-o9skj94r 141 14 difficult difficult JJ cord-291400-o9skj94r 141 15 to to TO cord-291400-o9skj94r 141 16 demonstrate demonstrate VB cord-291400-o9skj94r 141 17 in in IN cord-291400-o9skj94r 141 18 patients patient NNS cord-291400-o9skj94r 141 19 with with IN cord-291400-o9skj94r 141 20 sepsis sepsis NN cord-291400-o9skj94r 141 21 . . . cord-291400-o9skj94r 142 1 If if IN cord-291400-o9skj94r 142 2 given give VBN cord-291400-o9skj94r 142 3 before before IN cord-291400-o9skj94r 142 4 antibiotics antibiotic NNS cord-291400-o9skj94r 142 5 , , , cord-291400-o9skj94r 142 6 however however RB cord-291400-o9skj94r 142 7 , , , cord-291400-o9skj94r 142 8 steroids steroid NNS cord-291400-o9skj94r 142 9 seemed seem VBD cord-291400-o9skj94r 142 10 to to TO cord-291400-o9skj94r 142 11 help help VB cord-291400-o9skj94r 142 12 reduce reduce VB cord-291400-o9skj94r 142 13 the the DT cord-291400-o9skj94r 142 14 morbidity morbidity NN cord-291400-o9skj94r 142 15 rate rate NN cord-291400-o9skj94r 142 16 in in IN cord-291400-o9skj94r 142 17 patients patient NNS cord-291400-o9skj94r 142 18 with with IN cord-291400-o9skj94r 142 19 bacterial bacterial JJ cord-291400-o9skj94r 142 20 meningitis meningitis NN cord-291400-o9skj94r 142 21 [ [ -LRB- cord-291400-o9skj94r 142 22 53 53 CD cord-291400-o9skj94r 142 23 , , , cord-291400-o9skj94r 142 24 54 54 CD cord-291400-o9skj94r 142 25 ] ] -RRB- cord-291400-o9skj94r 142 26 . . . cord-291400-o9skj94r 143 1 Studies study NNS cord-291400-o9skj94r 143 2 of of IN cord-291400-o9skj94r 143 3 patients patient NNS cord-291400-o9skj94r 143 4 with with IN cord-291400-o9skj94r 143 5 difficult difficult JJ cord-291400-o9skj94r 143 6 sepsis sepsis NN cord-291400-o9skj94r 143 7 in in IN cord-291400-o9skj94r 143 8 various various JJ cord-291400-o9skj94r 143 9 stages stage NNS cord-291400-o9skj94r 143 10 of of IN cord-291400-o9skj94r 143 11 illness illness NN cord-291400-o9skj94r 143 12 who who WP cord-291400-o9skj94r 143 13 were be VBD cord-291400-o9skj94r 143 14 treated treat VBN cord-291400-o9skj94r 143 15 with with IN cord-291400-o9skj94r 143 16 antibodies antibody NNS cord-291400-o9skj94r 143 17 to to TO cord-291400-o9skj94r 143 18 endotoxin endotoxin VB cord-291400-o9skj94r 143 19 and and CC cord-291400-o9skj94r 143 20 tumor tumor NN cord-291400-o9skj94r 143 21 necrosis necrosis NN cord-291400-o9skj94r 143 22 factor factor NN cord-291400-o9skj94r 143 23 ( ( -LRB- cord-291400-o9skj94r 143 24 TNF TNF NNP cord-291400-o9skj94r 143 25 ) ) -RRB- cord-291400-o9skj94r 143 26 have have VBP cord-291400-o9skj94r 143 27 had have VBN cord-291400-o9skj94r 143 28 differing differ VBG cord-291400-o9skj94r 143 29 results result NNS cord-291400-o9skj94r 143 30 . . . cord-291400-o9skj94r 144 1 One one CD cord-291400-o9skj94r 144 2 murine murine JJ cord-291400-o9skj94r 144 3 study study NN cord-291400-o9skj94r 144 4 showed show VBD cord-291400-o9skj94r 144 5 that that IN cord-291400-o9skj94r 144 6 antibodies antibody NNS cord-291400-o9skj94r 144 7 to to IN cord-291400-o9skj94r 144 8 TNF TNF NNP cord-291400-o9skj94r 144 9 had have VBD cord-291400-o9skj94r 144 10 a a DT cord-291400-o9skj94r 144 11 deleterious deleterious JJ cord-291400-o9skj94r 144 12 effect effect NN cord-291400-o9skj94r 144 13 in in IN cord-291400-o9skj94r 144 14 mice mouse NNS cord-291400-o9skj94r 144 15 with with IN cord-291400-o9skj94r 144 16 pneumococcal pneumococcal JJ cord-291400-o9skj94r 144 17 pneumonia pneumonia NN cord-291400-o9skj94r 144 18 that that WDT cord-291400-o9skj94r 144 19 also also RB cord-291400-o9skj94r 144 20 were be VBD cord-291400-o9skj94r 144 21 treated treat VBN cord-291400-o9skj94r 144 22 with with IN cord-291400-o9skj94r 144 23 ceftriaxone ceftriaxone NN cord-291400-o9skj94r 144 24 [ [ -LRB- cord-291400-o9skj94r 144 25 55 55 CD cord-291400-o9skj94r 144 26 ] ] -RRB- cord-291400-o9skj94r 144 27 . . . cord-291400-o9skj94r 145 1 Review Review NNP cord-291400-o9skj94r 145 2 of of IN cord-291400-o9skj94r 145 3 human human JJ cord-291400-o9skj94r 145 4 trials trial NNS cord-291400-o9skj94r 145 5 with with IN cord-291400-o9skj94r 145 6 antibody antibody NN cord-291400-o9skj94r 145 7 to to IN cord-291400-o9skj94r 145 8 TNF TNF NNP cord-291400-o9skj94r 145 9 did do VBD cord-291400-o9skj94r 145 10 not not RB cord-291400-o9skj94r 145 11 show show VB cord-291400-o9skj94r 145 12 any any DT cord-291400-o9skj94r 145 13 effect effect NN cord-291400-o9skj94r 145 14 on on IN cord-291400-o9skj94r 145 15 the the DT cord-291400-o9skj94r 145 16 mortality mortality NN cord-291400-o9skj94r 145 17 rate rate NN cord-291400-o9skj94r 145 18 in in IN cord-291400-o9skj94r 145 19 patients patient NNS cord-291400-o9skj94r 145 20 with with IN cord-291400-o9skj94r 145 21 severe severe JJ cord-291400-o9skj94r 145 22 sepsis sepsis NN cord-291400-o9skj94r 145 23 and and CC cord-291400-o9skj94r 145 24 bacterial bacterial JJ cord-291400-o9skj94r 145 25 pneumonia pneumonia NN cord-291400-o9skj94r 145 26 [ [ -LRB- cord-291400-o9skj94r 145 27 56 56 CD cord-291400-o9skj94r 145 28 ] ] -RRB- cord-291400-o9skj94r 145 29 . . . cord-291400-o9skj94r 146 1 Other other JJ cord-291400-o9skj94r 146 2 components component NNS cord-291400-o9skj94r 146 3 of of IN cord-291400-o9skj94r 146 4 the the DT cord-291400-o9skj94r 146 5 complex complex JJ cord-291400-o9skj94r 146 6 inflammatory inflammatory JJ cord-291400-o9skj94r 146 7 response response NN cord-291400-o9skj94r 146 8 , , , cord-291400-o9skj94r 146 9 such such JJ cord-291400-o9skj94r 146 10 as as IN cord-291400-o9skj94r 146 11 granulocyte granulocyte NN cord-291400-o9skj94r 146 12 colony colony NN cord-291400-o9skj94r 146 13 - - HYPH cord-291400-o9skj94r 146 14 stimulating stimulate VBG cord-291400-o9skj94r 146 15 factor factor NN cord-291400-o9skj94r 146 16 ( ( -LRB- cord-291400-o9skj94r 146 17 G G NNP cord-291400-o9skj94r 146 18 - - HYPH cord-291400-o9skj94r 146 19 CSF CSF NNP cord-291400-o9skj94r 146 20 ) ) -RRB- cord-291400-o9skj94r 146 21 , , , cord-291400-o9skj94r 146 22 have have VBP cord-291400-o9skj94r 146 23 been be VBN cord-291400-o9skj94r 146 24 investigated investigate VBN cord-291400-o9skj94r 146 25 in in IN cord-291400-o9skj94r 146 26 mice mouse NNS cord-291400-o9skj94r 146 27 and and CC cord-291400-o9skj94r 146 28 humans human NNS cord-291400-o9skj94r 146 29 . . . cord-291400-o9skj94r 147 1 Local local JJ cord-291400-o9skj94r 147 2 production production NN cord-291400-o9skj94r 147 3 of of IN cord-291400-o9skj94r 147 4 G G NNP cord-291400-o9skj94r 147 5 - - HYPH cord-291400-o9skj94r 147 6 CSF CSF NNP cord-291400-o9skj94r 147 7 seems seem VBZ cord-291400-o9skj94r 147 8 to to TO cord-291400-o9skj94r 147 9 occur occur VB cord-291400-o9skj94r 147 10 at at IN cord-291400-o9skj94r 147 11 the the DT cord-291400-o9skj94r 147 12 site site NN cord-291400-o9skj94r 147 13 of of IN cord-291400-o9skj94r 147 14 infection infection NN cord-291400-o9skj94r 147 15 in in IN cord-291400-o9skj94r 147 16 patients patient NNS cord-291400-o9skj94r 147 17 with with IN cord-291400-o9skj94r 147 18 unilateral unilateral JJ cord-291400-o9skj94r 147 19 pneumonia pneumonia NN cord-291400-o9skj94r 147 20 [ [ -LRB- cord-291400-o9skj94r 147 21 57 57 CD cord-291400-o9skj94r 147 22 ] ] -RRB- cord-291400-o9skj94r 147 23 . . . cord-291400-o9skj94r 148 1 Macrolides macrolide NNS cord-291400-o9skj94r 148 2 have have VBP cord-291400-o9skj94r 148 3 been be VBN cord-291400-o9skj94r 148 4 shown show VBN cord-291400-o9skj94r 148 5 to to TO cord-291400-o9skj94r 148 6 inhibit inhibit VB cord-291400-o9skj94r 148 7 various various JJ cord-291400-o9skj94r 148 8 factors factor NNS cord-291400-o9skj94r 148 9 in in IN cord-291400-o9skj94r 148 10 the the DT cord-291400-o9skj94r 148 11 inflammatory inflammatory JJ cord-291400-o9skj94r 148 12 response response NN cord-291400-o9skj94r 148 13 , , , cord-291400-o9skj94r 148 14 mostly mostly RB cord-291400-o9skj94r 148 15 in in IN cord-291400-o9skj94r 148 16 mice mouse NNS cord-291400-o9skj94r 148 17 . . . cord-291400-o9skj94r 149 1 No no DT cord-291400-o9skj94r 149 2 human human JJ cord-291400-o9skj94r 149 3 studies study NNS cord-291400-o9skj94r 149 4 have have VBP cord-291400-o9skj94r 149 5 shown show VBN cord-291400-o9skj94r 149 6 that that IN cord-291400-o9skj94r 149 7 the the DT cord-291400-o9skj94r 149 8 immune immune NN cord-291400-o9skj94r 149 9 - - HYPH cord-291400-o9skj94r 149 10 modulating modulate VBG cord-291400-o9skj94r 149 11 activity activity NN cord-291400-o9skj94r 149 12 of of IN cord-291400-o9skj94r 149 13 macrolides macrolide NNS cord-291400-o9skj94r 149 14 has have VBZ cord-291400-o9skj94r 149 15 a a DT cord-291400-o9skj94r 149 16 beneficial beneficial JJ cord-291400-o9skj94r 149 17 effect effect NN cord-291400-o9skj94r 149 18 . . . cord-291400-o9skj94r 150 1 Further further JJ cord-291400-o9skj94r 150 2 investigation investigation NN cord-291400-o9skj94r 150 3 into into IN cord-291400-o9skj94r 150 4 the the DT cord-291400-o9skj94r 150 5 complex complex JJ cord-291400-o9skj94r 150 6 immune immune JJ cord-291400-o9skj94r 150 7 response response NN cord-291400-o9skj94r 150 8 and and CC cord-291400-o9skj94r 150 9 its -PRON- PRP$ cord-291400-o9skj94r 150 10 saluatory saluatory NN cord-291400-o9skj94r 150 11 or or CC cord-291400-o9skj94r 150 12 deleterious deleterious JJ cord-291400-o9skj94r 150 13 effect effect NN cord-291400-o9skj94r 150 14 on on IN cord-291400-o9skj94r 150 15 the the DT cord-291400-o9skj94r 150 16 mortality mortality NN cord-291400-o9skj94r 150 17 rate rate NN cord-291400-o9skj94r 150 18 is be VBZ cord-291400-o9skj94r 150 19 important important JJ cord-291400-o9skj94r 150 20 . . . cord-291400-o9skj94r 151 1 There there EX cord-291400-o9skj94r 151 2 have have VBP cord-291400-o9skj94r 151 3 been be VBN cord-291400-o9skj94r 151 4 a a DT cord-291400-o9skj94r 151 5 large large JJ cord-291400-o9skj94r 151 6 number number NN cord-291400-o9skj94r 151 7 of of IN cord-291400-o9skj94r 151 8 articles article NNS cord-291400-o9skj94r 151 9 addressing address VBG cord-291400-o9skj94r 151 10 the the DT cord-291400-o9skj94r 151 11 issue issue NN cord-291400-o9skj94r 151 12 of of IN cord-291400-o9skj94r 151 13 in in IN cord-291400-o9skj94r 151 14 vivo vivo NNP cord-291400-o9skj94r 151 15 susceptibility susceptibility NN cord-291400-o9skj94r 151 16 data datum NNS cord-291400-o9skj94r 151 17 with with IN cord-291400-o9skj94r 151 18 erythromycin erythromycin JJ cord-291400-o9skj94r 151 19 and and CC cord-291400-o9skj94r 151 20 other other JJ cord-291400-o9skj94r 151 21 macrolides macrolide NNS cord-291400-o9skj94r 151 22 [ [ -LRB- cord-291400-o9skj94r 151 23 58 58 CD cord-291400-o9skj94r 151 24 ] ] -RRB- cord-291400-o9skj94r 151 25 [ [ -LRB- cord-291400-o9skj94r 151 26 59 59 CD cord-291400-o9skj94r 151 27 ] ] -RRB- cord-291400-o9skj94r 151 28 [ [ -LRB- cord-291400-o9skj94r 151 29 60 60 CD cord-291400-o9skj94r 151 30 ] ] -RRB- cord-291400-o9skj94r 151 31 and and CC cord-291400-o9skj94r 151 32 how how WRB cord-291400-o9skj94r 151 33 it -PRON- PRP cord-291400-o9skj94r 151 34 correlates correlate VBZ cord-291400-o9skj94r 151 35 with with IN cord-291400-o9skj94r 151 36 clinical clinical JJ cord-291400-o9skj94r 151 37 outcome outcome NN cord-291400-o9skj94r 151 38 [ [ -LRB- cord-291400-o9skj94r 151 39 61 61 CD cord-291400-o9skj94r 151 40 ] ] -RRB- cord-291400-o9skj94r 151 41 . . . cord-291400-o9skj94r 152 1 A a DT cord-291400-o9skj94r 152 2 retrospective retrospective JJ cord-291400-o9skj94r 152 3 study study NN cord-291400-o9skj94r 152 4 ( ( -LRB- cord-291400-o9skj94r 152 5 1997 1997 CD cord-291400-o9skj94r 152 6 ) ) -RRB- cord-291400-o9skj94r 152 7 ( ( -LRB- cord-291400-o9skj94r 152 8 1998 1998 CD cord-291400-o9skj94r 152 9 ) ) -RRB- cord-291400-o9skj94r 152 10 ( ( -LRB- cord-291400-o9skj94r 152 11 1999 1999 CD cord-291400-o9skj94r 152 12 ) ) -RRB- cord-291400-o9skj94r 152 13 ( ( -LRB- cord-291400-o9skj94r 152 14 2000 2000 CD cord-291400-o9skj94r 152 15 ) ) -RRB- cord-291400-o9skj94r 152 16 from from IN cord-291400-o9skj94r 152 17 Spain Spain NNP cord-291400-o9skj94r 152 18 examined examine VBD cord-291400-o9skj94r 152 19 603 603 CD cord-291400-o9skj94r 152 20 patients patient NNS cord-291400-o9skj94r 152 21 who who WP cord-291400-o9skj94r 152 22 were be VBD cord-291400-o9skj94r 152 23 admitted admit VBN cord-291400-o9skj94r 152 24 with with IN cord-291400-o9skj94r 152 25 CAP CAP NNP cord-291400-o9skj94r 152 26 and and CC cord-291400-o9skj94r 152 27 treated treat VBN cord-291400-o9skj94r 152 28 with with IN cord-291400-o9skj94r 152 29 combination combination NN cord-291400-o9skj94r 152 30 therapy therapy NN cord-291400-o9skj94r 152 31 [ [ -LRB- cord-291400-o9skj94r 152 32 62 62 CD cord-291400-o9skj94r 152 33 ] ] -RRB- cord-291400-o9skj94r 152 34 . . . cord-291400-o9skj94r 153 1 All all DT cord-291400-o9skj94r 153 2 of of IN cord-291400-o9skj94r 153 3 the the DT cord-291400-o9skj94r 153 4 patients patient NNS cord-291400-o9skj94r 153 5 received receive VBD cord-291400-o9skj94r 153 6 ceftriaxone ceftriaxone NN cord-291400-o9skj94r 153 7 . . . cord-291400-o9skj94r 154 1 The the DT cord-291400-o9skj94r 154 2 type type NN cord-291400-o9skj94r 154 3 of of IN cord-291400-o9skj94r 154 4 macrolide macrolide JJ cord-291400-o9skj94r 154 5 therapy therapy NN cord-291400-o9skj94r 154 6 was be VBD cord-291400-o9skj94r 154 7 chosen choose VBN cord-291400-o9skj94r 154 8 by by IN cord-291400-o9skj94r 154 9 the the DT cord-291400-o9skj94r 154 10 attending attend VBG cord-291400-o9skj94r 154 11 physician physician NN cord-291400-o9skj94r 154 12 . . . cord-291400-o9skj94r 155 1 The the DT cord-291400-o9skj94r 155 2 choices choice NNS cord-291400-o9skj94r 155 3 were be VBD cord-291400-o9skj94r 155 4 500 500 CD cord-291400-o9skj94r 155 5 mg mg NNS cord-291400-o9skj94r 155 6 of of IN cord-291400-o9skj94r 155 7 oral oral JJ cord-291400-o9skj94r 155 8 azithromycin azithromycin NNP cord-291400-o9skj94r 155 9 daily daily RB cord-291400-o9skj94r 155 10 for for IN cord-291400-o9skj94r 155 11 3 3 CD cord-291400-o9skj94r 155 12 days day NNS cord-291400-o9skj94r 155 13 ( ( -LRB- cord-291400-o9skj94r 155 14 n n NN cord-291400-o9skj94r 155 15 = = SYM cord-291400-o9skj94r 155 16 383 383 CD cord-291400-o9skj94r 155 17 ) ) -RRB- cord-291400-o9skj94r 155 18 or or CC cord-291400-o9skj94r 155 19 500 500 CD cord-291400-o9skj94r 155 20 mg mg NN cord-291400-o9skj94r 155 21 of of IN cord-291400-o9skj94r 155 22 intravenous intravenous JJ cord-291400-o9skj94r 155 23 clarithromycin clarithromycin NNP cord-291400-o9skj94r 155 24 twice twice RB cord-291400-o9skj94r 155 25 daily daily RB cord-291400-o9skj94r 155 26 with with IN cord-291400-o9skj94r 155 27 a a DT cord-291400-o9skj94r 155 28 switch switch NN cord-291400-o9skj94r 155 29 to to IN cord-291400-o9skj94r 155 30 oral oral JJ cord-291400-o9skj94r 155 31 treatment treatment NN cord-291400-o9skj94r 155 32 ( ( -LRB- cord-291400-o9skj94r 155 33 total total JJ cord-291400-o9skj94r 155 34 duration duration NN cord-291400-o9skj94r 155 35 of of IN cord-291400-o9skj94r 155 36 treatment treatment NN cord-291400-o9skj94r 155 37 , , , cord-291400-o9skj94r 155 38 10 10 CD cord-291400-o9skj94r 155 39 days day NNS cord-291400-o9skj94r 155 40 ; ; : cord-291400-o9skj94r 155 41 n n NN cord-291400-o9skj94r 155 42 = = SYM cord-291400-o9skj94r 155 43 220 220 CD cord-291400-o9skj94r 155 44 ) ) -RRB- cord-291400-o9skj94r 155 45 . . . cord-291400-o9skj94r 156 1 The the DT cord-291400-o9skj94r 156 2 patients patient NNS cord-291400-o9skj94r 156 3 had have VBD cord-291400-o9skj94r 156 4 similar similar JJ cord-291400-o9skj94r 156 5 ages age NNS cord-291400-o9skj94r 156 6 , , , cord-291400-o9skj94r 156 7 comorbidities comorbiditie NNS cord-291400-o9skj94r 156 8 , , , cord-291400-o9skj94r 156 9 and and CC cord-291400-o9skj94r 156 10 PSIs psi NNS cord-291400-o9skj94r 156 11 . . . cord-291400-o9skj94r 157 1 The the DT cord-291400-o9skj94r 157 2 length length NN cord-291400-o9skj94r 157 3 of of IN cord-291400-o9skj94r 157 4 stay stay NN cord-291400-o9skj94r 157 5 ( ( -LRB- cord-291400-o9skj94r 157 6 LOS LOS NNP cord-291400-o9skj94r 157 7 ) ) -RRB- cord-291400-o9skj94r 157 8 for for IN cord-291400-o9skj94r 157 9 the the DT cord-291400-o9skj94r 157 10 azithromycin azithromycin NNP cord-291400-o9skj94r 157 11 group group NN cord-291400-o9skj94r 157 12 was be VBD cord-291400-o9skj94r 157 13 2 2 CD cord-291400-o9skj94r 157 14 days day NNS cord-291400-o9skj94r 157 15 shorter short JJR cord-291400-o9skj94r 157 16 ( ( -LRB- cord-291400-o9skj94r 157 17 P p NN cord-291400-o9skj94r 157 18 \ \ CD cord-291400-o9skj94r 157 19 0.01 0.01 CD cord-291400-o9skj94r 157 20 ) ) -RRB- cord-291400-o9skj94r 157 21 . . . cord-291400-o9skj94r 158 1 The the DT cord-291400-o9skj94r 158 2 CFR CFR NNP cord-291400-o9skj94r 158 3 was be VBD cord-291400-o9skj94r 158 4 3.6 3.6 CD cord-291400-o9skj94r 158 5 % % NN cord-291400-o9skj94r 158 6 in in IN cord-291400-o9skj94r 158 7 the the DT cord-291400-o9skj94r 158 8 azithromycin azithromycin NNP cord-291400-o9skj94r 158 9 group group NN cord-291400-o9skj94r 158 10 and and CC cord-291400-o9skj94r 158 11 7.2 7.2 CD cord-291400-o9skj94r 158 12 % % NN cord-291400-o9skj94r 158 13 in in IN cord-291400-o9skj94r 158 14 the the DT cord-291400-o9skj94r 158 15 clarithromycin clarithromycin NNP cord-291400-o9skj94r 158 16 group group NN cord-291400-o9skj94r 158 17 ( ( -LRB- cord-291400-o9skj94r 158 18 P p NN cord-291400-o9skj94r 158 19 \ \ CD cord-291400-o9skj94r 158 20 0.05 0.05 CD cord-291400-o9skj94r 158 21 ) ) -RRB- cord-291400-o9skj94r 158 22 . . . cord-291400-o9skj94r 159 1 There there EX cord-291400-o9skj94r 159 2 was be VBD cord-291400-o9skj94r 159 3 no no DT cord-291400-o9skj94r 159 4 obvious obvious JJ cord-291400-o9skj94r 159 5 reason reason NN cord-291400-o9skj94r 159 6 for for IN cord-291400-o9skj94r 159 7 the the DT cord-291400-o9skj94r 159 8 differences difference NNS cord-291400-o9skj94r 159 9 in in IN cord-291400-o9skj94r 159 10 the the DT cord-291400-o9skj94r 159 11 two two CD cord-291400-o9skj94r 159 12 treatment treatment NN cord-291400-o9skj94r 159 13 arms arm NNS cord-291400-o9skj94r 159 14 . . . cord-291400-o9skj94r 160 1 The the DT cord-291400-o9skj94r 160 2 investigators investigator NNS cord-291400-o9skj94r 160 3 suggested suggest VBD cord-291400-o9skj94r 160 4 that that IN cord-291400-o9skj94r 160 5 compliance compliance NN cord-291400-o9skj94r 160 6 might may MD cord-291400-o9skj94r 160 7 have have VB cord-291400-o9skj94r 160 8 been be VBN cord-291400-o9skj94r 160 9 an an DT cord-291400-o9skj94r 160 10 issue issue NN cord-291400-o9skj94r 160 11 , , , cord-291400-o9skj94r 160 12 because because IN cord-291400-o9skj94r 160 13 patients patient NNS cord-291400-o9skj94r 160 14 in in IN cord-291400-o9skj94r 160 15 the the DT cord-291400-o9skj94r 160 16 azithromycin azithromycin NNP cord-291400-o9skj94r 160 17 arm arm NN cord-291400-o9skj94r 160 18 received receive VBD cord-291400-o9skj94r 160 19 their -PRON- PRP$ cord-291400-o9skj94r 160 20 3-day 3-day JJ cord-291400-o9skj94r 160 21 course course NN cord-291400-o9skj94r 160 22 in in IN cord-291400-o9skj94r 160 23 the the DT cord-291400-o9skj94r 160 24 hospital hospital NN cord-291400-o9skj94r 160 25 , , , cord-291400-o9skj94r 160 26 whereas whereas IN cord-291400-o9skj94r 160 27 many many JJ cord-291400-o9skj94r 160 28 patients patient NNS cord-291400-o9skj94r 160 29 in in IN cord-291400-o9skj94r 160 30 the the DT cord-291400-o9skj94r 160 31 clarithromycin clarithromycin NNP cord-291400-o9skj94r 160 32 arm arm NN cord-291400-o9skj94r 160 33 had have VBD cord-291400-o9skj94r 160 34 to to TO cord-291400-o9skj94r 160 35 complete complete VB cord-291400-o9skj94r 160 36 their -PRON- PRP$ cord-291400-o9skj94r 160 37 course course NN cord-291400-o9skj94r 160 38 at at IN cord-291400-o9skj94r 160 39 home home NN cord-291400-o9skj94r 160 40 . . . cord-291400-o9skj94r 161 1 Other other JJ cord-291400-o9skj94r 161 2 possibilities possibility NNS cord-291400-o9skj94r 161 3 include include VBP cord-291400-o9skj94r 161 4 differences difference NNS cord-291400-o9skj94r 161 5 in in IN cord-291400-o9skj94r 161 6 the the DT cord-291400-o9skj94r 161 7 anti anti JJ cord-291400-o9skj94r 161 8 - - JJ cord-291400-o9skj94r 161 9 inflammatory inflammatory JJ cord-291400-o9skj94r 161 10 attributes attribute NNS cord-291400-o9skj94r 161 11 of of IN cord-291400-o9skj94r 161 12 the the DT cord-291400-o9skj94r 161 13 two two CD cord-291400-o9skj94r 161 14 drugs drug NNS cord-291400-o9skj94r 161 15 and and CC cord-291400-o9skj94r 161 16 the the DT cord-291400-o9skj94r 161 17 presence presence NN cord-291400-o9skj94r 161 18 of of IN cord-291400-o9skj94r 161 19 an an DT cord-291400-o9skj94r 161 20 unknown unknown JJ cord-291400-o9skj94r 161 21 pathogen pathogen NN cord-291400-o9skj94r 161 22 that that WDT cord-291400-o9skj94r 161 23 is be VBZ cord-291400-o9skj94r 161 24 susceptible susceptible JJ cord-291400-o9skj94r 161 25 to to IN cord-291400-o9skj94r 161 26 azithromycin azithromycin NN cord-291400-o9skj94r 161 27 and and CC cord-291400-o9skj94r 161 28 resistant resistant JJ cord-291400-o9skj94r 161 29 to to IN cord-291400-o9skj94r 161 30 clarithromycin clarithromycin NNS cord-291400-o9skj94r 161 31 . . . cord-291400-o9skj94r 162 1 Because because IN cord-291400-o9skj94r 162 2 this this DT cord-291400-o9skj94r 162 3 analysis analysis NN cord-291400-o9skj94r 162 4 was be VBD cord-291400-o9skj94r 162 5 retrospective retrospective JJ cord-291400-o9skj94r 162 6 analysis analysis NN cord-291400-o9skj94r 162 7 , , , cord-291400-o9skj94r 162 8 there there EX cord-291400-o9skj94r 162 9 may may MD cord-291400-o9skj94r 162 10 have have VB cord-291400-o9skj94r 162 11 been be VBN cord-291400-o9skj94r 162 12 undiscovered undiscovered JJ cord-291400-o9skj94r 162 13 biases bias NNS cord-291400-o9skj94r 162 14 . . . cord-291400-o9skj94r 163 1 What what WP cord-291400-o9skj94r 163 2 is be VBZ cord-291400-o9skj94r 163 3 needed need VBN cord-291400-o9skj94r 163 4 in in IN cord-291400-o9skj94r 163 5 the the DT cord-291400-o9skj94r 163 6 future future NN cord-291400-o9skj94r 163 7 ? ? . cord-291400-o9skj94r 164 1 The the DT cord-291400-o9skj94r 164 2 retrospective retrospective JJ cord-291400-o9skj94r 164 3 studies study NNS cord-291400-o9skj94r 164 4 discussed discuss VBD cord-291400-o9skj94r 164 5 earlier early RBR cord-291400-o9skj94r 164 6 [ [ -LRB- cord-291400-o9skj94r 164 7 5 5 CD cord-291400-o9skj94r 164 8 ] ] -RRB- cord-291400-o9skj94r 164 9 [ [ -LRB- cord-291400-o9skj94r 164 10 6 6 CD cord-291400-o9skj94r 164 11 ] ] -RRB- cord-291400-o9skj94r 164 12 [ [ -LRB- cord-291400-o9skj94r 164 13 7 7 CD cord-291400-o9skj94r 164 14 ] ] -RRB- cord-291400-o9skj94r 164 15 suggest suggest VBP cord-291400-o9skj94r 164 16 that that IN cord-291400-o9skj94r 164 17 combination combination NN cord-291400-o9skj94r 164 18 therapy therapy NN cord-291400-o9skj94r 164 19 is be VBZ cord-291400-o9skj94r 164 20 better well JJR cord-291400-o9skj94r 164 21 than than IN cord-291400-o9skj94r 164 22 cephalosporin cephalosporin NN cord-291400-o9skj94r 164 23 monotherapy monotherapy JJ cord-291400-o9skj94r 164 24 for for IN cord-291400-o9skj94r 164 25 elderly elderly JJ cord-291400-o9skj94r 164 26 patients patient NNS cord-291400-o9skj94r 164 27 with with IN cord-291400-o9skj94r 164 28 CAP cap NN cord-291400-o9skj94r 164 29 and and CC cord-291400-o9skj94r 164 30 older old JJR cord-291400-o9skj94r 164 31 , , , cord-291400-o9skj94r 164 32 sicker sick JJR cord-291400-o9skj94r 164 33 patients patient NNS cord-291400-o9skj94r 164 34 with with IN cord-291400-o9skj94r 164 35 bacteremia bacteremia NN cord-291400-o9skj94r 164 36 pneumococcal pneumococcal JJ cord-291400-o9skj94r 164 37 pneumonia pneumonia NN cord-291400-o9skj94r 164 38 . . . cord-291400-o9skj94r 165 1 Caution caution NN cord-291400-o9skj94r 165 2 about about IN cord-291400-o9skj94r 165 3 overinterpreting overinterprete VBG cord-291400-o9skj94r 165 4 retrospective retrospective JJ cord-291400-o9skj94r 165 5 studies study NNS cord-291400-o9skj94r 165 6 has have VBZ cord-291400-o9skj94r 165 7 been be VBN cord-291400-o9skj94r 165 8 published publish VBN cord-291400-o9skj94r 165 9 [ [ -LRB- cord-291400-o9skj94r 165 10 63 63 CD cord-291400-o9skj94r 165 11 ] ] -RRB- cord-291400-o9skj94r 166 1 [ [ -LRB- cord-291400-o9skj94r 166 2 64 64 CD cord-291400-o9skj94r 166 3 ] ] -RRB- cord-291400-o9skj94r 166 4 [ [ -LRB- cord-291400-o9skj94r 166 5 65 65 CD cord-291400-o9skj94r 166 6 ] ] -RRB- cord-291400-o9skj94r 166 7 . . . cord-291400-o9skj94r 167 1 Investigations investigation NNS cord-291400-o9skj94r 167 2 into into IN cord-291400-o9skj94r 167 3 the the DT cord-291400-o9skj94r 167 4 inflammatory inflammatory JJ cord-291400-o9skj94r 167 5 response response NN cord-291400-o9skj94r 167 6 in in IN cord-291400-o9skj94r 167 7 patients patient NNS cord-291400-o9skj94r 167 8 with with IN cord-291400-o9skj94r 167 9 severe severe JJ cord-291400-o9skj94r 167 10 pneumococcal pneumococcal JJ cord-291400-o9skj94r 167 11 pneumonia pneumonia NN cord-291400-o9skj94r 167 12 should should MD cord-291400-o9skj94r 167 13 incorporate incorporate VB cord-291400-o9skj94r 167 14 recent recent JJ cord-291400-o9skj94r 167 15 advances advance NNS cord-291400-o9skj94r 167 16 in in IN cord-291400-o9skj94r 167 17 murine murine JJ cord-291400-o9skj94r 167 18 studies study NNS cord-291400-o9skj94r 167 19 [ [ -LRB- cord-291400-o9skj94r 167 20 66 66 CD cord-291400-o9skj94r 167 21 ] ] -RRB- cord-291400-o9skj94r 167 22 [ [ -LRB- cord-291400-o9skj94r 167 23 67 67 CD cord-291400-o9skj94r 167 24 ] ] -RRB- cord-291400-o9skj94r 167 25 [ [ -LRB- cord-291400-o9skj94r 167 26 68 68 CD cord-291400-o9skj94r 167 27 ] ] -RRB- cord-291400-o9skj94r 167 28 [ [ -LRB- cord-291400-o9skj94r 167 29 69 69 CD cord-291400-o9skj94r 167 30 ] ] -RRB- cord-291400-o9skj94r 167 31 [ [ -LRB- cord-291400-o9skj94r 167 32 70 70 CD cord-291400-o9skj94r 167 33 ] ] -RRB- cord-291400-o9skj94r 167 34 [ [ -LRB- cord-291400-o9skj94r 167 35 71 71 CD cord-291400-o9skj94r 167 36 ] ] -RRB- cord-291400-o9skj94r 167 37 [ [ -LRB- cord-291400-o9skj94r 167 38 72 72 CD cord-291400-o9skj94r 167 39 ] ] -RRB- cord-291400-o9skj94r 167 40 [ [ -LRB- cord-291400-o9skj94r 167 41 73 73 CD cord-291400-o9skj94r 167 42 ] ] -RRB- cord-291400-o9skj94r 167 43 . . . cord-291400-o9skj94r 168 1 Prospective prospective JJ cord-291400-o9skj94r 168 2 studies study NNS cord-291400-o9skj94r 168 3 aimed aim VBN cord-291400-o9skj94r 168 4 at at IN cord-291400-o9skj94r 168 5 testing test VBG cord-291400-o9skj94r 168 6 the the DT cord-291400-o9skj94r 168 7 available available JJ cord-291400-o9skj94r 168 8 hypotheses hypothesis NNS cord-291400-o9skj94r 168 9 need need VBP cord-291400-o9skj94r 168 10 to to TO cord-291400-o9skj94r 168 11 be be VB cord-291400-o9skj94r 168 12 developed develop VBN cord-291400-o9skj94r 168 13 . . . cord-291400-o9skj94r 169 1 The the DT cord-291400-o9skj94r 169 2 S S NNP cord-291400-o9skj94r 169 3 pneumoniae pneumoniae NN cord-291400-o9skj94r 169 4 urinary urinary JJ cord-291400-o9skj94r 169 5 antigen antigen NN cord-291400-o9skj94r 169 6 will will MD cord-291400-o9skj94r 169 7 be be VB cord-291400-o9skj94r 169 8 helpful helpful JJ cord-291400-o9skj94r 169 9 in in IN cord-291400-o9skj94r 169 10 defining define VBG cord-291400-o9skj94r 169 11 the the DT cord-291400-o9skj94r 169 12 subset subset NN cord-291400-o9skj94r 169 13 of of IN cord-291400-o9skj94r 169 14 patients patient NNS cord-291400-o9skj94r 169 15 who who WP cord-291400-o9skj94r 169 16 should should MD cord-291400-o9skj94r 169 17 be be VB cord-291400-o9skj94r 169 18 studied study VBN cord-291400-o9skj94r 169 19 intensively intensively RB cord-291400-o9skj94r 169 20 . . . cord-291400-o9skj94r 170 1 Tests test NNS cord-291400-o9skj94r 170 2 are be VBP cord-291400-o9skj94r 170 3 needed need VBN cord-291400-o9skj94r 170 4 that that WDT cord-291400-o9skj94r 170 5 assess assess VBP cord-291400-o9skj94r 170 6 the the DT cord-291400-o9skj94r 170 7 inflammatory inflammatory JJ cord-291400-o9skj94r 170 8 response response NN cord-291400-o9skj94r 170 9 , , , cord-291400-o9skj94r 170 10 resolution resolution NN cord-291400-o9skj94r 170 11 of of IN cord-291400-o9skj94r 170 12 illness illness NN cord-291400-o9skj94r 170 13 ( ( -LRB- cord-291400-o9skj94r 170 14 ie ie FW cord-291400-o9skj94r 170 15 , , , cord-291400-o9skj94r 170 16 rapidity rapidity NN cord-291400-o9skj94r 170 17 in in IN cord-291400-o9skj94r 170 18 reduction reduction NN cord-291400-o9skj94r 170 19 of of IN cord-291400-o9skj94r 170 20 the the DT cord-291400-o9skj94r 170 21 magnitude magnitude NN cord-291400-o9skj94r 170 22 of of IN cord-291400-o9skj94r 170 23 bacteremia bacteremia NN cord-291400-o9skj94r 170 24 ) ) -RRB- cord-291400-o9skj94r 170 25 , , , cord-291400-o9skj94r 170 26 and and CC cord-291400-o9skj94r 170 27 importance importance NN cord-291400-o9skj94r 170 28 of of IN cord-291400-o9skj94r 170 29 alternative alternative JJ cord-291400-o9skj94r 170 30 pathogens pathogen NNS cord-291400-o9skj94r 170 31 ( ( -LRB- cord-291400-o9skj94r 170 32 M M NNP cord-291400-o9skj94r 170 33 pneumoniae pneumoniae NN cord-291400-o9skj94r 170 34 , , , cord-291400-o9skj94r 170 35 C c NN cord-291400-o9skj94r 170 36 pneumoniae pneumoniae NN cord-291400-o9skj94r 170 37 , , , cord-291400-o9skj94r 170 38 L L NNP cord-291400-o9skj94r 170 39 pneumophila pneumophila NN cord-291400-o9skj94r 170 40 , , , cord-291400-o9skj94r 170 41 other other JJ cord-291400-o9skj94r 170 42 Legionella Legionella NNP cord-291400-o9skj94r 170 43 spp spp NNS cord-291400-o9skj94r 170 44 and and CC cord-291400-o9skj94r 170 45 viruses virus NNS cord-291400-o9skj94r 170 46 ) ) -RRB- cord-291400-o9skj94r 170 47 . . . cord-291400-o9skj94r 171 1 Other other JJ cord-291400-o9skj94r 171 2 variables variable NNS cord-291400-o9skj94r 171 3 that that WDT cord-291400-o9skj94r 171 4 should should MD cord-291400-o9skj94r 171 5 be be VB cord-291400-o9skj94r 171 6 taken take VBN cord-291400-o9skj94r 171 7 into into IN cord-291400-o9skj94r 171 8 account account NN cord-291400-o9skj94r 171 9 include include VBP cord-291400-o9skj94r 171 10 the the DT cord-291400-o9skj94r 171 11 specific specific JJ cord-291400-o9skj94r 171 12 macrolide macrolide NN cord-291400-o9skj94r 171 13 used use VBN cord-291400-o9skj94r 171 14 and and CC cord-291400-o9skj94r 171 15 the the DT cord-291400-o9skj94r 171 16 effect effect NN cord-291400-o9skj94r 171 17 of of IN cord-291400-o9skj94r 171 18 other other JJ cord-291400-o9skj94r 171 19 classes class NNS cord-291400-o9skj94r 171 20 of of IN cord-291400-o9skj94r 171 21 antimicrobial antimicrobial JJ cord-291400-o9skj94r 171 22 agents agent NNS cord-291400-o9skj94r 171 23 , , , cord-291400-o9skj94r 171 24 such such JJ cord-291400-o9skj94r 171 25 as as IN cord-291400-o9skj94r 171 26 fluoroquinolones fluoroquinolone NNS cord-291400-o9skj94r 171 27 . . . cord-291400-o9skj94r 172 1 Ideally ideally RB cord-291400-o9skj94r 172 2 , , , cord-291400-o9skj94r 172 3 the the DT cord-291400-o9skj94r 172 4 study study NN cord-291400-o9skj94r 172 5 would would MD cord-291400-o9skj94r 172 6 include include VB cord-291400-o9skj94r 172 7 provisions provision NNS cord-291400-o9skj94r 172 8 for for IN cord-291400-o9skj94r 172 9 autopsies autopsy NNS cord-291400-o9skj94r 172 10 or or CC cord-291400-o9skj94r 172 11 postmortem postmortem JJ cord-291400-o9skj94r 172 12 pulmonary pulmonary JJ cord-291400-o9skj94r 172 13 biopsies biopsy NNS cord-291400-o9skj94r 172 14 in in IN cord-291400-o9skj94r 172 15 fatal fatal JJ cord-291400-o9skj94r 172 16 cases case NNS cord-291400-o9skj94r 172 17 . . . cord-291400-o9skj94r 173 1 As as IN cord-291400-o9skj94r 173 2 these these DT cord-291400-o9skj94r 173 3 studies study NNS cord-291400-o9skj94r 173 4 are be VBP cord-291400-o9skj94r 173 5 designed design VBN cord-291400-o9skj94r 173 6 and and CC cord-291400-o9skj94r 173 7 performed perform VBN cord-291400-o9skj94r 173 8 , , , cord-291400-o9skj94r 173 9 vigilance vigilance NN cord-291400-o9skj94r 173 10 is be VBZ cord-291400-o9skj94r 173 11 needed need VBN cord-291400-o9skj94r 173 12 in in IN cord-291400-o9skj94r 173 13 the the DT cord-291400-o9skj94r 173 14 immunization immunization NN cord-291400-o9skj94r 173 15 of of IN cord-291400-o9skj94r 173 16 appropriate appropriate JJ cord-291400-o9skj94r 173 17 patients patient NNS cord-291400-o9skj94r 173 18 with with IN cord-291400-o9skj94r 173 19 influenza influenza NN cord-291400-o9skj94r 173 20 and and CC cord-291400-o9skj94r 173 21 pneumococcal pneumococcal JJ cord-291400-o9skj94r 173 22 vaccines vaccine NNS cord-291400-o9skj94r 173 23 to to TO cord-291400-o9skj94r 173 24 prevent prevent VB cord-291400-o9skj94r 173 25 bacteremic bacteremic JJ cord-291400-o9skj94r 173 26 pneumococcal pneumococcal JJ cord-291400-o9skj94r 173 27 pneumonia pneumonia NN cord-291400-o9skj94r 173 28 . . . cord-291400-o9skj94r 174 1 Pneumococcal pneumococcal JJ cord-291400-o9skj94r 174 2 bacteremia bacteremia NN cord-291400-o9skj94r 174 3 with with IN cord-291400-o9skj94r 174 4 special special JJ cord-291400-o9skj94r 174 5 reference reference NN cord-291400-o9skj94r 174 6 to to IN cord-291400-o9skj94r 174 7 bacteremic bacteremic JJ cord-291400-o9skj94r 174 8 pneumococcal pneumococcal JJ cord-291400-o9skj94r 174 9 pneumonia pneumonia NN cord-291400-o9skj94r 174 10 Bacteraemic Bacteraemic NNP cord-291400-o9skj94r 174 11 pneumococcal pneumococcal JJ cord-291400-o9skj94r 174 12 pneumonia pneumonia NN cord-291400-o9skj94r 174 13 : : : cord-291400-o9skj94r 174 14 a a DT cord-291400-o9skj94r 174 15 continuously continuously RB cord-291400-o9skj94r 174 16 evolving evolve VBG cord-291400-o9skj94r 174 17 disease disease NN cord-291400-o9skj94r 174 18 Severe severe JJ cord-291400-o9skj94r 174 19 community community NN cord-291400-o9skj94r 174 20 - - HYPH cord-291400-o9skj94r 174 21 acquired acquire VBN cord-291400-o9skj94r 174 22 pneumococcal pneumococcal JJ cord-291400-o9skj94r 174 23 pneumonia pneumonia NN cord-291400-o9skj94r 174 24 - - : cord-291400-o9skj94r 174 25 what what WP cord-291400-o9skj94r 174 26 might may MD cord-291400-o9skj94r 174 27 be be VB cord-291400-o9skj94r 174 28 done do VBN cord-291400-o9skj94r 174 29 better well JJR cord-291400-o9skj94r 174 30 Management Management NNP cord-291400-o9skj94r 174 31 of of IN cord-291400-o9skj94r 174 32 community community NN cord-291400-o9skj94r 174 33 - - HYPH cord-291400-o9skj94r 174 34 acquired acquire VBN cord-291400-o9skj94r 174 35 pneumonia pneumonia NN cord-291400-o9skj94r 174 36 in in IN cord-291400-o9skj94r 174 37 the the DT cord-291400-o9skj94r 174 38 era era NN cord-291400-o9skj94r 174 39 pneumococcal pneumococcal JJ cord-291400-o9skj94r 174 40 resistance resistance NN cord-291400-o9skj94r 174 41 : : : cord-291400-o9skj94r 175 1 a a DT cord-291400-o9skj94r 175 2 report report NN cord-291400-o9skj94r 175 3 from from IN cord-291400-o9skj94r 175 4 the the DT cord-291400-o9skj94r 175 5 drug drug NN cord-291400-o9skj94r 175 6 - - HYPH cord-291400-o9skj94r 175 7 resistant resistant JJ cord-291400-o9skj94r 175 8 Streptococcus streptococcus NN cord-291400-o9skj94r 175 9 pneumoniae pneumoniae NN cord-291400-o9skj94r 175 10 therapeutic therapeutic JJ cord-291400-o9skj94r 175 11 working working NN cord-291400-o9skj94r 175 12 group group NN cord-291400-o9skj94r 175 13 Bacteremic Bacteremic NNP cord-291400-o9skj94r 175 14 pneumococcal pneumococcal JJ cord-291400-o9skj94r 175 15 pneumonia pneumonia NN cord-291400-o9skj94r 175 16 in in IN cord-291400-o9skj94r 175 17 one one CD cord-291400-o9skj94r 175 18 American American NNP cord-291400-o9skj94r 175 19 City City NNP cord-291400-o9skj94r 175 20 : : : cord-291400-o9skj94r 175 21 a a DT cord-291400-o9skj94r 175 22 20-year 20-year JJ cord-291400-o9skj94r 175 23 longitudinal longitudinal JJ cord-291400-o9skj94r 175 24 study study NN cord-291400-o9skj94r 175 25 , , , cord-291400-o9skj94r 175 26 1978 1978 CD cord-291400-o9skj94r 175 27 - - SYM cord-291400-o9skj94r 175 28 1997 1997 CD cord-291400-o9skj94r 176 1 Monotherapy Monotherapy NNP cord-291400-o9skj94r 176 2 may may MD cord-291400-o9skj94r 176 3 be be VB cord-291400-o9skj94r 176 4 suboptimal suboptimal JJ cord-291400-o9skj94r 176 5 for for IN cord-291400-o9skj94r 176 6 severe severe JJ cord-291400-o9skj94r 176 7 bacteremic bacteremic JJ cord-291400-o9skj94r 176 8 pneumococcal pneumococcal JJ cord-291400-o9skj94r 176 9 pneumonia pneumonia NN cord-291400-o9skj94r 176 10 Addition addition NN cord-291400-o9skj94r 176 11 of of IN cord-291400-o9skj94r 176 12 a a DT cord-291400-o9skj94r 176 13 macrolide macrolide NN cord-291400-o9skj94r 176 14 to to IN cord-291400-o9skj94r 176 15 a a DT cord-291400-o9skj94r 176 16 beta beta NN cord-291400-o9skj94r 176 17 - - HYPH cord-291400-o9skj94r 176 18 lactam lactam NN cord-291400-o9skj94r 176 19 - - HYPH cord-291400-o9skj94r 176 20 based base VBN cord-291400-o9skj94r 176 21 empirical empirical JJ cord-291400-o9skj94r 176 22 antibiotic antibiotic JJ cord-291400-o9skj94r 176 23 regimen regimen NN cord-291400-o9skj94r 176 24 is be VBZ cord-291400-o9skj94r 176 25 associated associate VBN cord-291400-o9skj94r 176 26 with with IN cord-291400-o9skj94r 176 27 lower low JJR cord-291400-o9skj94r 176 28 in in IN cord-291400-o9skj94r 176 29 - - HYPH cord-291400-o9skj94r 176 30 hospital hospital NN cord-291400-o9skj94r 176 31 mortality mortality NN cord-291400-o9skj94r 176 32 for for IN cord-291400-o9skj94r 176 33 patients patient NNS cord-291400-o9skj94r 176 34 with with IN cord-291400-o9skj94r 176 35 bacteremic bacteremic JJ cord-291400-o9skj94r 176 36 pneumococcal pneumococcal JJ cord-291400-o9skj94r 176 37 pneumonia pneumonia NN cord-291400-o9skj94r 176 38 Canadian canadian JJ cord-291400-o9skj94r 176 39 guidelines guideline NNS cord-291400-o9skj94r 176 40 for for IN cord-291400-o9skj94r 176 41 the the DT cord-291400-o9skj94r 176 42 initial initial JJ cord-291400-o9skj94r 176 43 management management NN cord-291400-o9skj94r 176 44 of of IN cord-291400-o9skj94r 176 45 community community NN cord-291400-o9skj94r 176 46 - - HYPH cord-291400-o9skj94r 176 47 acquired acquire VBN cord-291400-o9skj94r 176 48 pneumonia pneumonia NN cord-291400-o9skj94r 176 49 - - : cord-291400-o9skj94r 176 50 an an DT cord-291400-o9skj94r 176 51 evidence evidence NN cord-291400-o9skj94r 176 52 - - HYPH cord-291400-o9skj94r 176 53 based base VBN cord-291400-o9skj94r 176 54 update update NN cord-291400-o9skj94r 176 55 by by IN cord-291400-o9skj94r 176 56 the the DT cord-291400-o9skj94r 176 57 Canadian Canadian NNP cord-291400-o9skj94r 176 58 Infectious Infectious NNP cord-291400-o9skj94r 176 59 Disease Disease NNP cord-291400-o9skj94r 176 60 Society Society NNP cord-291400-o9skj94r 176 61 and and CC cord-291400-o9skj94r 176 62 the the DT cord-291400-o9skj94r 176 63 Canadian canadian JJ cord-291400-o9skj94r 176 64 Thoracic Thoracic NNP cord-291400-o9skj94r 176 65 Society Society NNP cord-291400-o9skj94r 176 66 : : : cord-291400-o9skj94r 176 67 the the DT cord-291400-o9skj94r 176 68 Canadian canadian JJ cord-291400-o9skj94r 176 69 CAP cap NN cord-291400-o9skj94r 176 70 working work VBG cord-291400-o9skj94r 176 71 group group NN cord-291400-o9skj94r 176 72 Guidelines Guidelines NNPS cord-291400-o9skj94r 176 73 for for IN cord-291400-o9skj94r 176 74 the the DT cord-291400-o9skj94r 176 75 management management NN cord-291400-o9skj94r 176 76 of of IN cord-291400-o9skj94r 176 77 adults adult NNS cord-291400-o9skj94r 176 78 with with IN cord-291400-o9skj94r 176 79 community community NN cord-291400-o9skj94r 176 80 acquired acquire VBD cord-291400-o9skj94r 176 81 pneumonia pneumonia NN cord-291400-o9skj94r 176 82 : : : cord-291400-o9skj94r 177 1 diagnosis diagnosis NN cord-291400-o9skj94r 177 2 , , , cord-291400-o9skj94r 177 3 assessment assessment NN cord-291400-o9skj94r 177 4 of of IN cord-291400-o9skj94r 177 5 severity severity NN cord-291400-o9skj94r 177 6 , , , cord-291400-o9skj94r 177 7 antimicrobial antimicrobial JJ cord-291400-o9skj94r 177 8 therapy therapy NN cord-291400-o9skj94r 177 9 , , , cord-291400-o9skj94r 177 10 and and CC cord-291400-o9skj94r 177 11 prevention prevention NN cord-291400-o9skj94r 177 12 Swedish Swedish NNP cord-291400-o9skj94r 177 13 Infectious Infectious NNP cord-291400-o9skj94r 177 14 Diseases Diseases NNPS cord-291400-o9skj94r 178 1 Society Society NNP cord-291400-o9skj94r 178 2 Pneumonia Pneumonia NNP cord-291400-o9skj94r 178 3 Study Study NNP cord-291400-o9skj94r 178 4 Group Group NNP cord-291400-o9skj94r 178 5 : : : cord-291400-o9skj94r 178 6 management management NN cord-291400-o9skj94r 178 7 of of IN cord-291400-o9skj94r 178 8 patients patient NNS cord-291400-o9skj94r 178 9 with with IN cord-291400-o9skj94r 178 10 community community NN cord-291400-o9skj94r 178 11 - - HYPH cord-291400-o9skj94r 178 12 acquired acquire VBN cord-291400-o9skj94r 178 13 pneumonia pneumonia NN cord-291400-o9skj94r 178 14 treated treat VBN cord-291400-o9skj94r 178 15 in in IN cord-291400-o9skj94r 178 16 hospital hospital NN cord-291400-o9skj94r 178 17 in in IN cord-291400-o9skj94r 178 18 Sweden Sweden NNP cord-291400-o9skj94r 178 19 Update Update NNP cord-291400-o9skj94r 178 20 of of IN cord-291400-o9skj94r 178 21 practice practice NN cord-291400-o9skj94r 178 22 guidelines guideline NNS cord-291400-o9skj94r 178 23 for for IN cord-291400-o9skj94r 178 24 the the DT cord-291400-o9skj94r 178 25 management management NN cord-291400-o9skj94r 178 26 of of IN cord-291400-o9skj94r 178 27 community community NN cord-291400-o9skj94r 178 28 - - HYPH cord-291400-o9skj94r 178 29 acquired acquire VBN cord-291400-o9skj94r 178 30 pneumonia pneumonia NN cord-291400-o9skj94r 178 31 in in IN cord-291400-o9skj94r 178 32 immunocompetent immunocompetent JJ cord-291400-o9skj94r 178 33 adults adult NNS cord-291400-o9skj94r 179 1 Community community NN cord-291400-o9skj94r 179 2 - - HYPH cord-291400-o9skj94r 179 3 acquired acquire VBN cord-291400-o9skj94r 179 4 pneumonia pneumonia NN cord-291400-o9skj94r 179 5 requiring require VBG cord-291400-o9skj94r 179 6 hospitalization hospitalization NN cord-291400-o9skj94r 179 7 : : : cord-291400-o9skj94r 179 8 5-year 5-year CD cord-291400-o9skj94r 179 9 prospective prospective JJ cord-291400-o9skj94r 179 10 study study NN cord-291400-o9skj94r 179 11 New New NNP cord-291400-o9skj94r 179 12 and and CC cord-291400-o9skj94r 179 13 emerging emerge VBG cord-291400-o9skj94r 179 14 etiologies etiology NNS cord-291400-o9skj94r 179 15 for for IN cord-291400-o9skj94r 179 16 community community NN cord-291400-o9skj94r 179 17 - - HYPH cord-291400-o9skj94r 179 18 acquired acquire VBN cord-291400-o9skj94r 179 19 pneumonia pneumonia NN cord-291400-o9skj94r 179 20 with with IN cord-291400-o9skj94r 179 21 implications implication NNS cord-291400-o9skj94r 179 22 for for IN cord-291400-o9skj94r 179 23 therapy therapy NN cord-291400-o9skj94r 179 24 : : : cord-291400-o9skj94r 179 25 a a DT cord-291400-o9skj94r 179 26 prospective prospective JJ cord-291400-o9skj94r 179 27 multi multi JJ cord-291400-o9skj94r 179 28 - - JJ cord-291400-o9skj94r 179 29 center center JJ cord-291400-o9skj94r 179 30 study study NN cord-291400-o9skj94r 179 31 of of IN cord-291400-o9skj94r 179 32 359 359 CD cord-291400-o9skj94r 179 33 cases case NNS cord-291400-o9skj94r 179 34 Multiple multiple JJ cord-291400-o9skj94r 179 35 pathogens pathogen NNS cord-291400-o9skj94r 179 36 in in IN cord-291400-o9skj94r 179 37 adult adult NN cord-291400-o9skj94r 179 38 patients patient NNS cord-291400-o9skj94r 179 39 admitted admit VBN cord-291400-o9skj94r 179 40 with with IN cord-291400-o9skj94r 179 41 community community NN cord-291400-o9skj94r 179 42 - - HYPH cord-291400-o9skj94r 179 43 acquired acquire VBN cord-291400-o9skj94r 179 44 pneumonia pneumonia NN cord-291400-o9skj94r 179 45 : : : cord-291400-o9skj94r 179 46 a a DT cord-291400-o9skj94r 179 47 one one CD cord-291400-o9skj94r 179 48 year year NN cord-291400-o9skj94r 179 49 prospective prospective JJ cord-291400-o9skj94r 179 50 study study NN cord-291400-o9skj94r 179 51 of of IN cord-291400-o9skj94r 179 52 346 346 CD cord-291400-o9skj94r 179 53 consecutive consecutive JJ cord-291400-o9skj94r 179 54 patients patient NNS cord-291400-o9skj94r 179 55 Incidence incidence NN cord-291400-o9skj94r 179 56 of of IN cord-291400-o9skj94r 179 57 community community NN cord-291400-o9skj94r 179 58 - - HYPH cord-291400-o9skj94r 179 59 acquired acquire VBN cord-291400-o9skj94r 179 60 pneumonia pneumonia NN cord-291400-o9skj94r 179 61 requiring require VBG cord-291400-o9skj94r 179 62 hospitalization hospitalization NN cord-291400-o9skj94r 179 63 Microbial microbial JJ cord-291400-o9skj94r 179 64 etiology etiology NN cord-291400-o9skj94r 179 65 of of IN cord-291400-o9skj94r 179 66 community community NN cord-291400-o9skj94r 179 67 - - HYPH cord-291400-o9skj94r 179 68 acquired acquire VBN cord-291400-o9skj94r 179 69 pneumonia pneumonia NN cord-291400-o9skj94r 179 70 in in IN cord-291400-o9skj94r 179 71 the the DT cord-291400-o9skj94r 179 72 adult adult NN cord-291400-o9skj94r 179 73 population population NN cord-291400-o9skj94r 179 74 of of IN cord-291400-o9skj94r 179 75 4 4 CD cord-291400-o9skj94r 179 76 municipalities municipality NNS cord-291400-o9skj94r 179 77 in in IN cord-291400-o9skj94r 179 78 eastern eastern JJ cord-291400-o9skj94r 179 79 Finland Finland NNP cord-291400-o9skj94r 179 80 Community Community NNP cord-291400-o9skj94r 179 81 - - HYPH cord-291400-o9skj94r 179 82 acquired acquire VBN cord-291400-o9skj94r 179 83 pneumonia pneumonia NN cord-291400-o9skj94r 179 84 in in IN cord-291400-o9skj94r 179 85 Europe Europe NNP cord-291400-o9skj94r 179 86 : : : cord-291400-o9skj94r 179 87 causative causative JJ cord-291400-o9skj94r 179 88 pathogens pathogen NNS cord-291400-o9skj94r 179 89 and and CC cord-291400-o9skj94r 179 90 resistance resistance NN cord-291400-o9skj94r 179 91 patterns pattern NNS cord-291400-o9skj94r 180 1 A a DT cord-291400-o9skj94r 180 2 new new JJ cord-291400-o9skj94r 180 3 Chlamydia Chlamydia NNP cord-291400-o9skj94r 180 4 psittaci psittaci NN cord-291400-o9skj94r 180 5 strain strain NN cord-291400-o9skj94r 180 6 , , , cord-291400-o9skj94r 180 7 TWAR TWAR NNP cord-291400-o9skj94r 180 8 , , , cord-291400-o9skj94r 180 9 isolated isolate VBN cord-291400-o9skj94r 180 10 in in IN cord-291400-o9skj94r 180 11 acute acute JJ cord-291400-o9skj94r 180 12 respiratory respiratory JJ cord-291400-o9skj94r 180 13 tract tract NN cord-291400-o9skj94r 180 14 infections infection NNS cord-291400-o9skj94r 180 15 Respiratory respiratory JJ cord-291400-o9skj94r 180 16 syncytial syncytial JJ cord-291400-o9skj94r 180 17 virus virus NN cord-291400-o9skj94r 180 18 ( ( -LRB- cord-291400-o9skj94r 180 19 RSV RSV NNP cord-291400-o9skj94r 180 20 ) ) -RRB- cord-291400-o9skj94r 180 21 may may MD cord-291400-o9skj94r 180 22 be be VB cord-291400-o9skj94r 180 23 an an DT cord-291400-o9skj94r 180 24 important important JJ cord-291400-o9skj94r 180 25 cause cause NN cord-291400-o9skj94r 180 26 of of IN cord-291400-o9skj94r 180 27 community community NN cord-291400-o9skj94r 180 28 - - HYPH cord-291400-o9skj94r 180 29 acquired acquire VBN cord-291400-o9skj94r 180 30 lower low JJR cord-291400-o9skj94r 180 31 respiratory respiratory JJ cord-291400-o9skj94r 180 32 infection infection NN cord-291400-o9skj94r 180 33 among among IN cord-291400-o9skj94r 180 34 hospitalized hospitalize VBN cord-291400-o9skj94r 180 35 adults adult NNS cord-291400-o9skj94r 181 1 The the DT cord-291400-o9skj94r 181 2 role role NN cord-291400-o9skj94r 181 3 of of IN cord-291400-o9skj94r 181 4 atypical atypical JJ cord-291400-o9skj94r 181 5 pathogens pathogen NNS cord-291400-o9skj94r 181 6 : : : cord-291400-o9skj94r 181 7 Mycoplasma mycoplasma NN cord-291400-o9skj94r 181 8 pneumoniae pneumoniae NN cord-291400-o9skj94r 181 9 , , , cord-291400-o9skj94r 181 10 Chlamydia Chlamydia NNP cord-291400-o9skj94r 181 11 pneumoniae pneumoniae NN cord-291400-o9skj94r 181 12 and and CC cord-291400-o9skj94r 181 13 Legionella Legionella NNP cord-291400-o9skj94r 181 14 pneumonia pneumonia NN cord-291400-o9skj94r 181 15 in in IN cord-291400-o9skj94r 181 16 respiratory respiratory JJ cord-291400-o9skj94r 181 17 infection infection NN cord-291400-o9skj94r 181 18 Clinical clinical JJ cord-291400-o9skj94r 181 19 characteristics characteristic NNS cord-291400-o9skj94r 181 20 of of IN cord-291400-o9skj94r 181 21 C. C. NNP cord-291400-o9skj94r 181 22 pneumoniae pneumoniae NN cord-291400-o9skj94r 181 23 infection infection NN cord-291400-o9skj94r 181 24 as as IN cord-291400-o9skj94r 181 25 the the DT cord-291400-o9skj94r 181 26 sole sole JJ cord-291400-o9skj94r 181 27 cause cause NN cord-291400-o9skj94r 181 28 of of IN cord-291400-o9skj94r 181 29 community community NN cord-291400-o9skj94r 181 30 - - HYPH cord-291400-o9skj94r 181 31 acquired acquire VBN cord-291400-o9skj94r 181 32 pneumonia pneumonia NN cord-291400-o9skj94r 181 33 Parainfluenza Parainfluenza NNP cord-291400-o9skj94r 181 34 virus virus NN cord-291400-o9skj94r 181 35 infection infection NN cord-291400-o9skj94r 181 36 among among IN cord-291400-o9skj94r 181 37 adults adult NNS cord-291400-o9skj94r 181 38 hospitalized hospitalize VBN cord-291400-o9skj94r 181 39 for for IN cord-291400-o9skj94r 181 40 lower low JJR cord-291400-o9skj94r 181 41 respiratory respiratory JJ cord-291400-o9skj94r 181 42 tract tract NN cord-291400-o9skj94r 181 43 infection infection NN cord-291400-o9skj94r 181 44 Importance importance NN cord-291400-o9skj94r 181 45 of of IN cord-291400-o9skj94r 181 46 atypical atypical JJ cord-291400-o9skj94r 181 47 pathogens pathogen NNS cord-291400-o9skj94r 181 48 of of IN cord-291400-o9skj94r 181 49 community community NN cord-291400-o9skj94r 181 50 - - HYPH cord-291400-o9skj94r 181 51 acquired acquire VBN cord-291400-o9skj94r 181 52 pneumonia pneumonia NN cord-291400-o9skj94r 181 53 Role role NN cord-291400-o9skj94r 181 54 of of IN cord-291400-o9skj94r 181 55 neuraminidase neuraminidase NN cord-291400-o9skj94r 181 56 in in IN cord-291400-o9skj94r 181 57 lethal lethal JJ cord-291400-o9skj94r 181 58 synergism synergism NN cord-291400-o9skj94r 181 59 between between IN cord-291400-o9skj94r 181 60 influenza influenza NN cord-291400-o9skj94r 181 61 virus virus NN cord-291400-o9skj94r 181 62 and and CC cord-291400-o9skj94r 181 63 Streptococcus Streptococcus NNP cord-291400-o9skj94r 181 64 pneumoniae pneumoniae NN cord-291400-o9skj94r 181 65 Moraxella Moraxella NNP cord-291400-o9skj94r 181 66 catarrhalis catarrhalis NNP cord-291400-o9skj94r 181 67 bacteraemia bacteraemia NN cord-291400-o9skj94r 181 68 associated associate VBN cord-291400-o9skj94r 181 69 with with IN cord-291400-o9skj94r 181 70 Mycoplasma mycoplasma NN cord-291400-o9skj94r 181 71 pneumoniae pneumoniae NN cord-291400-o9skj94r 181 72 infection infection NN cord-291400-o9skj94r 181 73 and and CC cord-291400-o9skj94r 181 74 pneumonia pneumonia NN cord-291400-o9skj94r 181 75 Legionnaires legionnaire NNS cord-291400-o9skj94r 181 76 disease disease NN cord-291400-o9skj94r 181 77 with with IN cord-291400-o9skj94r 181 78 bacteremic bacteremic NNP cord-291400-o9skj94r 181 79 coinfection coinfection NNP cord-291400-o9skj94r 181 80 CBPIS CBPIS NNP cord-291400-o9skj94r 181 81 study study NN cord-291400-o9skj94r 181 82 group group NN cord-291400-o9skj94r 181 83 : : : cord-291400-o9skj94r 181 84 Bacteremia Bacteremia NNP cord-291400-o9skj94r 181 85 with with IN cord-291400-o9skj94r 181 86 Streptococcus streptococcus NN cord-291400-o9skj94r 181 87 pneumoniae pneumoniae NN cord-291400-o9skj94r 181 88 : : : cord-291400-o9skj94r 181 89 implications implication NNS cord-291400-o9skj94r 181 90 for for IN cord-291400-o9skj94r 181 91 therapy therapy NN cord-291400-o9skj94r 181 92 and and CC cord-291400-o9skj94r 181 93 prevention prevention NN cord-291400-o9skj94r 181 94 Adult adult NN cord-291400-o9skj94r 181 95 bacteremic bacteremic JJ cord-291400-o9skj94r 181 96 pneumococcal pneumococcal JJ cord-291400-o9skj94r 181 97 pneumonia pneumonia NN cord-291400-o9skj94r 181 98 in in IN cord-291400-o9skj94r 181 99 a a DT cord-291400-o9skj94r 181 100 community community NN cord-291400-o9skj94r 181 101 teaching teaching NN cord-291400-o9skj94r 181 102 hospital hospital NN cord-291400-o9skj94r 181 103 , , , cord-291400-o9skj94r 181 104 1992 1992 CD cord-291400-o9skj94r 181 105 - - SYM cord-291400-o9skj94r 181 106 1996 1996 CD cord-291400-o9skj94r 181 107 : : : cord-291400-o9skj94r 181 108 a a DT cord-291400-o9skj94r 181 109 detailed detailed JJ cord-291400-o9skj94r 181 110 analysis analysis NN cord-291400-o9skj94r 181 111 of of IN cord-291400-o9skj94r 181 112 108 108 CD cord-291400-o9skj94r 181 113 cases case NNS cord-291400-o9skj94r 181 114 Cost cost NN cord-291400-o9skj94r 181 115 - - HYPH cord-291400-o9skj94r 181 116 effectiveness effectiveness NN cord-291400-o9skj94r 181 117 of of IN cord-291400-o9skj94r 181 118 vaccination vaccination NN cord-291400-o9skj94r 181 119 against against IN cord-291400-o9skj94r 181 120 pneumococcal pneumococcal JJ cord-291400-o9skj94r 181 121 bacteremia bacteremia NN cord-291400-o9skj94r 181 122 among among IN cord-291400-o9skj94r 181 123 elderly elderly JJ cord-291400-o9skj94r 181 124 people people NNS cord-291400-o9skj94r 181 125 Prognosis prognosis NN cord-291400-o9skj94r 181 126 and and CC cord-291400-o9skj94r 181 127 outcomes outcome NNS cord-291400-o9skj94r 181 128 of of IN cord-291400-o9skj94r 181 129 patients patient NNS cord-291400-o9skj94r 181 130 with with IN cord-291400-o9skj94r 181 131 communityacquired communityacquired JJ cord-291400-o9skj94r 181 132 pneumonia pneumonia NN cord-291400-o9skj94r 181 133 Quality Quality NNP cord-291400-o9skj94r 181 134 of of IN cord-291400-o9skj94r 181 135 care care NN cord-291400-o9skj94r 181 136 , , , cord-291400-o9skj94r 181 137 process process NN cord-291400-o9skj94r 181 138 and and CC cord-291400-o9skj94r 181 139 outcomes outcome NNS cord-291400-o9skj94r 181 140 in in IN cord-291400-o9skj94r 181 141 elderly elderly JJ cord-291400-o9skj94r 181 142 patients patient NNS cord-291400-o9skj94r 181 143 with with IN cord-291400-o9skj94r 181 144 pneumonia pneumonia NNP cord-291400-o9skj94r 181 145 Association Association NNP cord-291400-o9skj94r 181 146 between between IN cord-291400-o9skj94r 181 147 antimicrobial antimicrobial JJ cord-291400-o9skj94r 181 148 therapy therapy NN cord-291400-o9skj94r 181 149 and and CC cord-291400-o9skj94r 181 150 medical medical JJ cord-291400-o9skj94r 181 151 outcomes outcome NNS cord-291400-o9skj94r 181 152 for for IN cord-291400-o9skj94r 181 153 hospitalized hospitalize VBN cord-291400-o9skj94r 181 154 elderly elderly JJ cord-291400-o9skj94r 181 155 patients patient NNS cord-291400-o9skj94r 181 156 with with IN cord-291400-o9skj94r 181 157 pneumonia pneumonia NN cord-291400-o9skj94r 182 1 The the DT cord-291400-o9skj94r 182 2 impact impact NN cord-291400-o9skj94r 182 3 of of IN cord-291400-o9skj94r 182 4 blood blood NN cord-291400-o9skj94r 182 5 cultures culture NNS cord-291400-o9skj94r 182 6 on on IN cord-291400-o9skj94r 182 7 antibiotic antibiotic JJ cord-291400-o9skj94r 182 8 therapy therapy NN cord-291400-o9skj94r 182 9 in in IN cord-291400-o9skj94r 182 10 pneumococcal pneumococcal JJ cord-291400-o9skj94r 182 11 pneumonia pneumonia NN cord-291400-o9skj94r 182 12 Blood blood NN cord-291400-o9skj94r 182 13 cultures culture NNS cord-291400-o9skj94r 182 14 for for IN cord-291400-o9skj94r 182 15 community community NN cord-291400-o9skj94r 182 16 - - HYPH cord-291400-o9skj94r 182 17 acquired acquire VBN cord-291400-o9skj94r 182 18 pneumonia pneumonia NN cord-291400-o9skj94r 182 19 : : : cord-291400-o9skj94r 182 20 no no DT cord-291400-o9skj94r 182 21 place place NN cord-291400-o9skj94r 182 22 to to TO cord-291400-o9skj94r 182 23 skimp skimp VB cord-291400-o9skj94r 182 24 ! ! . cord-291400-o9skj94r 183 1 Bacteremic bacteremic JJ cord-291400-o9skj94r 183 2 and and CC cord-291400-o9skj94r 183 3 nonbacteremic nonbacteremic JJ cord-291400-o9skj94r 183 4 pneumococcal pneumococcal JJ cord-291400-o9skj94r 183 5 pneumonia pneumonia NN cord-291400-o9skj94r 183 6 : : : cord-291400-o9skj94r 183 7 a a DT cord-291400-o9skj94r 183 8 prospective prospective JJ cord-291400-o9skj94r 183 9 study study NN cord-291400-o9skj94r 183 10 Evaluation Evaluation NNP cord-291400-o9skj94r 183 11 of of IN cord-291400-o9skj94r 183 12 a a DT cord-291400-o9skj94r 183 13 rapid rapid JJ cord-291400-o9skj94r 183 14 immunochromatographic immunochromatographic JJ cord-291400-o9skj94r 183 15 test test NN cord-291400-o9skj94r 183 16 for for IN cord-291400-o9skj94r 183 17 detection detection NN cord-291400-o9skj94r 183 18 of of IN cord-291400-o9skj94r 183 19 Streptococcus Streptococcus NNP cord-291400-o9skj94r 183 20 pneumoniae pneumoniae NN cord-291400-o9skj94r 183 21 antigen antigen NN cord-291400-o9skj94r 183 22 in in IN cord-291400-o9skj94r 183 23 urine urine NN cord-291400-o9skj94r 183 24 samples sample NNS cord-291400-o9skj94r 183 25 from from IN cord-291400-o9skj94r 183 26 adults adult NNS cord-291400-o9skj94r 183 27 with with IN cord-291400-o9skj94r 183 28 community community NN cord-291400-o9skj94r 183 29 - - HYPH cord-291400-o9skj94r 183 30 acquired acquire VBN cord-291400-o9skj94r 183 31 pneumonia pneumonia NN cord-291400-o9skj94r 183 32 Rapid Rapid NNP cord-291400-o9skj94r 183 33 diagnosis diagnosis NN cord-291400-o9skj94r 183 34 of of IN cord-291400-o9skj94r 183 35 bacteremic bacteremic JJ cord-291400-o9skj94r 183 36 pneumococcal pneumococcal JJ cord-291400-o9skj94r 183 37 infections infection NNS cord-291400-o9skj94r 183 38 in in IN cord-291400-o9skj94r 183 39 adults adult NNS cord-291400-o9skj94r 183 40 by by IN cord-291400-o9skj94r 183 41 using use VBG cord-291400-o9skj94r 183 42 the the DT cord-291400-o9skj94r 183 43 Binax Binax NNP cord-291400-o9skj94r 183 44 NOW now RB cord-291400-o9skj94r 183 45 Streptococcus Streptococcus NNP cord-291400-o9skj94r 183 46 pneumoniae pneumoniae NN cord-291400-o9skj94r 183 47 urinary urinary JJ cord-291400-o9skj94r 183 48 antigen antigen NN cord-291400-o9skj94r 183 49 test test NN cord-291400-o9skj94r 183 50 : : : cord-291400-o9skj94r 183 51 a a DT cord-291400-o9skj94r 183 52 prospective prospective NN cord-291400-o9skj94r 183 53 , , , cord-291400-o9skj94r 183 54 controlled control VBN cord-291400-o9skj94r 183 55 clinical clinical JJ cord-291400-o9skj94r 183 56 evaluation evaluation NN cord-291400-o9skj94r 183 57 Usefulness Usefulness NNP cord-291400-o9skj94r 183 58 of of IN cord-291400-o9skj94r 183 59 urinary urinary JJ cord-291400-o9skj94r 183 60 antigen antigen NN cord-291400-o9skj94r 183 61 detection detection NN cord-291400-o9skj94r 183 62 by by IN cord-291400-o9skj94r 183 63 an an DT cord-291400-o9skj94r 183 64 immunochromatographic immunochromatographic JJ cord-291400-o9skj94r 183 65 test test NN cord-291400-o9skj94r 183 66 for for IN cord-291400-o9skj94r 183 67 diagnosis diagnosis NN cord-291400-o9skj94r 183 68 of of IN cord-291400-o9skj94r 183 69 pneumococcal pneumococcal JJ cord-291400-o9skj94r 183 70 pneumonia pneumonia NN cord-291400-o9skj94r 183 71 in in IN cord-291400-o9skj94r 183 72 children child NNS cord-291400-o9skj94r 183 73 Evaluation Evaluation NNP cord-291400-o9skj94r 183 74 of of IN cord-291400-o9skj94r 183 75 the the DT cord-291400-o9skj94r 183 76 immunochromatographic immunochromatographic JJ cord-291400-o9skj94r 183 77 Binax Binax NNP cord-291400-o9skj94r 183 78 NOW now RB cord-291400-o9skj94r 183 79 assay assay NN cord-291400-o9skj94r 183 80 for for IN cord-291400-o9skj94r 183 81 detection detection NN cord-291400-o9skj94r 183 82 of of IN cord-291400-o9skj94r 183 83 Streptococcus Streptococcus NNP cord-291400-o9skj94r 183 84 pneumoniae pneumoniae NN cord-291400-o9skj94r 183 85 urinary urinary JJ cord-291400-o9skj94r 183 86 antigen antigen NN cord-291400-o9skj94r 183 87 in in IN cord-291400-o9skj94r 183 88 a a DT cord-291400-o9skj94r 183 89 prospective prospective JJ cord-291400-o9skj94r 183 90 study study NN cord-291400-o9skj94r 183 91 of of IN cord-291400-o9skj94r 183 92 community community NN cord-291400-o9skj94r 183 93 - - HYPH cord-291400-o9skj94r 183 94 acquired acquire VBN cord-291400-o9skj94r 183 95 pneumonia pneumonia NN cord-291400-o9skj94r 183 96 in in IN cord-291400-o9skj94r 183 97 Spain Spain NNP cord-291400-o9skj94r 183 98 Deaths Deaths NNP cord-291400-o9skj94r 183 99 in in IN cord-291400-o9skj94r 183 100 bacteremic bacteremic JJ cord-291400-o9skj94r 183 101 pneumococcal pneumococcal JJ cord-291400-o9skj94r 183 102 pneumonia pneumonia NN cord-291400-o9skj94r 183 103 : : : cord-291400-o9skj94r 183 104 a a DT cord-291400-o9skj94r 183 105 comparison comparison NN cord-291400-o9skj94r 183 106 of of IN cord-291400-o9skj94r 183 107 two two CD cord-291400-o9skj94r 183 108 populations population NNS cord-291400-o9skj94r 183 109 Bacteremic Bacteremic NNP cord-291400-o9skj94r 183 110 pneumococcal pneumococcal JJ cord-291400-o9skj94r 183 111 pneumonia pneumonia NN cord-291400-o9skj94r 183 112 mortality mortality NN cord-291400-o9skj94r 183 113 rate rate NN cord-291400-o9skj94r 183 114 : : : cord-291400-o9skj94r 183 115 is be VBZ cord-291400-o9skj94r 183 116 it -PRON- PRP cord-291400-o9skj94r 183 117 really really RB cord-291400-o9skj94r 183 118 different different JJ cord-291400-o9skj94r 183 119 in in IN cord-291400-o9skj94r 183 120 Sweden Sweden NNP cord-291400-o9skj94r 183 121 ? ? . cord-291400-o9skj94r 184 1 Lack lack NN cord-291400-o9skj94r 184 2 of of IN cord-291400-o9skj94r 184 3 synergy synergy NN cord-291400-o9skj94r 184 4 of of IN cord-291400-o9skj94r 184 5 erythromycin erythromycin NN cord-291400-o9skj94r 184 6 combined combine VBN cord-291400-o9skj94r 184 7 with with IN cord-291400-o9skj94r 184 8 penicillin penicillin NN cord-291400-o9skj94r 184 9 or or CC cord-291400-o9skj94r 184 10 cefotaxime cefotaxime NN cord-291400-o9skj94r 184 11 against against IN cord-291400-o9skj94r 184 12 Streptococcus Streptococcus NNP cord-291400-o9skj94r 184 13 pneumoniae pneumoniae NN cord-291400-o9skj94r 184 14 in in IN cord-291400-o9skj94r 184 15 vitro vitro FW cord-291400-o9skj94r 184 16 Treatment treatment NN cord-291400-o9skj94r 184 17 of of IN cord-291400-o9skj94r 184 18 pneumococcal pneumococcal JJ cord-291400-o9skj94r 184 19 meningitis meningitis NN cord-291400-o9skj94r 184 20 with with IN cord-291400-o9skj94r 184 21 penicillin penicillin NN cord-291400-o9skj94r 184 22 compared compare VBN cord-291400-o9skj94r 184 23 with with IN cord-291400-o9skj94r 184 24 penicillin penicillin NN cord-291400-o9skj94r 184 25 and and CC cord-291400-o9skj94r 184 26 aureomycin aureomycin NNS cord-291400-o9skj94r 184 27 ; ; , cord-291400-o9skj94r 184 28 studies study NNS cord-291400-o9skj94r 184 29 including include VBG cord-291400-o9skj94r 184 30 observations observation NNS cord-291400-o9skj94r 184 31 on on IN cord-291400-o9skj94r 184 32 an an DT cord-291400-o9skj94r 184 33 apparent apparent JJ cord-291400-o9skj94r 184 34 antagonism antagonism NN cord-291400-o9skj94r 184 35 between between IN cord-291400-o9skj94r 184 36 penicillin penicillin NN cord-291400-o9skj94r 184 37 and and CC cord-291400-o9skj94r 184 38 aureomycin aureomycin VBZ cord-291400-o9skj94r 184 39 Prospective prospective JJ cord-291400-o9skj94r 184 40 observational observational JJ cord-291400-o9skj94r 184 41 study study NN cord-291400-o9skj94r 184 42 of of IN cord-291400-o9skj94r 184 43 bacteremic bacteremic NNP cord-291400-o9skj94r 184 44 pneumococcal pneumococcal JJ cord-291400-o9skj94r 184 45 pneumonia pneumonia NN cord-291400-o9skj94r 184 46 : : : cord-291400-o9skj94r 184 47 effect effect NN cord-291400-o9skj94r 184 48 of of IN cord-291400-o9skj94r 184 49 discordant discordant JJ cord-291400-o9skj94r 184 50 therapy therapy NN cord-291400-o9skj94r 184 51 on on IN cord-291400-o9skj94r 184 52 mortality mortality NN cord-291400-o9skj94r 184 53 Potential potential JJ cord-291400-o9skj94r 184 54 importance importance NN cord-291400-o9skj94r 184 55 of of IN cord-291400-o9skj94r 184 56 Legionella Legionella NNP cord-291400-o9skj94r 184 57 species specie NNS cord-291400-o9skj94r 184 58 in in IN cord-291400-o9skj94r 184 59 community community NN cord-291400-o9skj94r 184 60 acquired acquire VBD cord-291400-o9skj94r 184 61 pneumonia pneumonia NN cord-291400-o9skj94r 184 62 CAP cap NN cord-291400-o9skj94r 184 63 Infection infection NN cord-291400-o9skj94r 184 64 due due JJ cord-291400-o9skj94r 184 65 to to IN cord-291400-o9skj94r 184 66 Legionella Legionella NNP cord-291400-o9skj94r 184 67 species specie NNS cord-291400-o9skj94r 184 68 other other JJ cord-291400-o9skj94r 184 69 than than IN cord-291400-o9skj94r 184 70 L. L. NNP cord-291400-o9skj94r 184 71 pneuophila pneuophila NNP cord-291400-o9skj94r 184 72 Legionella Legionella NNP cord-291400-o9skj94r 184 73 drozanskii drozanskii NNP cord-291400-o9skj94r 184 74 sp sp NNP cord-291400-o9skj94r 184 75 nov nov NNP cord-291400-o9skj94r 184 76 , , , cord-291400-o9skj94r 184 77 Legionella Legionella NNP cord-291400-o9skj94r 184 78 rowbothamii rowbothamii NNP cord-291400-o9skj94r 184 79 sp sp NNP cord-291400-o9skj94r 184 80 nov nov NNP cord-291400-o9skj94r 184 81 and and CC cord-291400-o9skj94r 184 82 Legionella Legionella NNP cord-291400-o9skj94r 184 83 fallonii fallonii NNP cord-291400-o9skj94r 184 84 sp sp NNP cord-291400-o9skj94r 185 1 nov nov NNP cord-291400-o9skj94r 185 2 : : : cord-291400-o9skj94r 186 1 three three CD cord-291400-o9skj94r 186 2 new new JJ cord-291400-o9skj94r 186 3 unusual unusual JJ cord-291400-o9skj94r 186 4 Legionella Legionella NNP cord-291400-o9skj94r 186 5 species specie NNS cord-291400-o9skj94r 186 6 Legionella Legionella NNP cord-291400-o9skj94r 186 7 - - HYPH cord-291400-o9skj94r 186 8 like like JJ cord-291400-o9skj94r 186 9 and and CC cord-291400-o9skj94r 186 10 other other JJ cord-291400-o9skj94r 186 11 amoebal amoebal JJ cord-291400-o9skj94r 186 12 pathogens pathogen NNS cord-291400-o9skj94r 186 13 as as IN cord-291400-o9skj94r 186 14 agents agent NNS cord-291400-o9skj94r 186 15 of of IN cord-291400-o9skj94r 186 16 community community NN cord-291400-o9skj94r 186 17 - - HYPH cord-291400-o9skj94r 186 18 acquired acquire VBN cord-291400-o9skj94r 186 19 pneumonia pneumonia NN cord-291400-o9skj94r 186 20 and and CC cord-291400-o9skj94r 186 21 the the DT cord-291400-o9skj94r 186 22 Methylprednisolone Methylprednisolone NNP cord-291400-o9skj94r 186 23 Severe Severe NNP cord-291400-o9skj94r 186 24 Sepsis Sepsis NNP cord-291400-o9skj94r 186 25 Study Study NNP cord-291400-o9skj94r 186 26 Group Group NNP cord-291400-o9skj94r 186 27 : : : cord-291400-o9skj94r 186 28 a a DT cord-291400-o9skj94r 186 29 controlled control VBN cord-291400-o9skj94r 186 30 clinical clinical JJ cord-291400-o9skj94r 186 31 trial trial NN cord-291400-o9skj94r 186 32 of of IN cord-291400-o9skj94r 186 33 high high JJ cord-291400-o9skj94r 186 34 - - HYPH cord-291400-o9skj94r 186 35 dose dose NN cord-291400-o9skj94r 186 36 methylprednisolone methylprednisolone NN cord-291400-o9skj94r 186 37 in in IN cord-291400-o9skj94r 186 38 the the DT cord-291400-o9skj94r 186 39 treatment treatment NN cord-291400-o9skj94r 186 40 of of IN cord-291400-o9skj94r 186 41 severe severe JJ cord-291400-o9skj94r 186 42 sepsis sepsis NN cord-291400-o9skj94r 186 43 and and CC cord-291400-o9skj94r 186 44 septic septic JJ cord-291400-o9skj94r 186 45 shock shock NN cord-291400-o9skj94r 186 46 A a DT cord-291400-o9skj94r 186 47 controlled control VBN cord-291400-o9skj94r 186 48 clinical clinical JJ cord-291400-o9skj94r 186 49 trial trial NN cord-291400-o9skj94r 186 50 of of IN cord-291400-o9skj94r 186 51 E5 E5 NNP cord-291400-o9skj94r 186 52 murine murine JJ cord-291400-o9skj94r 186 53 monoclonal monoclonal JJ cord-291400-o9skj94r 186 54 IgM IgM NNP cord-291400-o9skj94r 186 55 antibody antibody NN cord-291400-o9skj94r 186 56 to to TO cord-291400-o9skj94r 186 57 endotoxin endotoxin VB cord-291400-o9skj94r 186 58 in in IN cord-291400-o9skj94r 186 59 the the DT cord-291400-o9skj94r 186 60 treatment treatment NN cord-291400-o9skj94r 186 61 of of IN cord-291400-o9skj94r 186 62 gram gram NN cord-291400-o9skj94r 186 63 - - HYPH cord-291400-o9skj94r 186 64 negative negative JJ cord-291400-o9skj94r 186 65 sepsis sepsis NN cord-291400-o9skj94r 186 66 Efficacy efficacy NN cord-291400-o9skj94r 186 67 and and CC cord-291400-o9skj94r 186 68 safety safety NN cord-291400-o9skj94r 186 69 of of IN cord-291400-o9skj94r 186 70 monoclonal monoclonal JJ cord-291400-o9skj94r 186 71 antibody antibody NN cord-291400-o9skj94r 186 72 to to IN cord-291400-o9skj94r 186 73 human human JJ cord-291400-o9skj94r 186 74 tumor tumor NN cord-291400-o9skj94r 186 75 necrosis necrosis NN cord-291400-o9skj94r 186 76 factor factor NN cord-291400-o9skj94r 186 77 in in IN cord-291400-o9skj94r 186 78 patients patient NNS cord-291400-o9skj94r 186 79 with with IN cord-291400-o9skj94r 186 80 sepsis sepsis NN cord-291400-o9skj94r 186 81 syndrome syndrome NN cord-291400-o9skj94r 186 82 : : : cord-291400-o9skj94r 186 83 a a DT cord-291400-o9skj94r 186 84 randomized randomized JJ cord-291400-o9skj94r 186 85 , , , cord-291400-o9skj94r 186 86 controlled control VBN cord-291400-o9skj94r 186 87 , , , cord-291400-o9skj94r 186 88 double double JJ cord-291400-o9skj94r 186 89 - - HYPH cord-291400-o9skj94r 186 90 blind blind JJ cord-291400-o9skj94r 186 91 , , , cord-291400-o9skj94r 186 92 multicenter multicenter JJ cord-291400-o9skj94r 186 93 clinical clinical JJ cord-291400-o9skj94r 186 94 trial trial NN cord-291400-o9skj94r 186 95 A a DT cord-291400-o9skj94r 186 96 second second JJ cord-291400-o9skj94r 186 97 large large JJ cord-291400-o9skj94r 186 98 controlled control VBN cord-291400-o9skj94r 186 99 clinical clinical JJ cord-291400-o9skj94r 186 100 study study NN cord-291400-o9skj94r 186 101 of of IN cord-291400-o9skj94r 186 102 E5 E5 NNP cord-291400-o9skj94r 186 103 , , , cord-291400-o9skj94r 186 104 a a DT cord-291400-o9skj94r 186 105 monoclonal monoclonal JJ cord-291400-o9skj94r 186 106 antibody antibody NN cord-291400-o9skj94r 186 107 to to IN cord-291400-o9skj94r 186 108 endotoxin endotoxin NN cord-291400-o9skj94r 186 109 : : : cord-291400-o9skj94r 186 110 results result NNS cord-291400-o9skj94r 186 111 of of IN cord-291400-o9skj94r 186 112 a a DT cord-291400-o9skj94r 186 113 prospective prospective JJ cord-291400-o9skj94r 186 114 , , , cord-291400-o9skj94r 186 115 multicenter multicenter JJ cord-291400-o9skj94r 186 116 , , , cord-291400-o9skj94r 186 117 randomized randomized JJ cord-291400-o9skj94r 186 118 , , , cord-291400-o9skj94r 186 119 controlled control VBN cord-291400-o9skj94r 186 120 trial trial NN cord-291400-o9skj94r 186 121 The the DT cord-291400-o9skj94r 186 122 beneficial beneficial JJ cord-291400-o9skj94r 186 123 effects effect NNS cord-291400-o9skj94r 186 124 of of IN cord-291400-o9skj94r 186 125 early early JJ cord-291400-o9skj94r 186 126 dexamethasone dexamethasone NNP cord-291400-o9skj94r 186 127 administration administration NN cord-291400-o9skj94r 186 128 in in IN cord-291400-o9skj94r 186 129 infants infant NNS cord-291400-o9skj94r 186 130 and and CC cord-291400-o9skj94r 186 131 children child NNS cord-291400-o9skj94r 186 132 with with IN cord-291400-o9skj94r 186 133 bacterial bacterial JJ cord-291400-o9skj94r 186 134 meningitis meningitis NN cord-291400-o9skj94r 186 135 European european JJ cord-291400-o9skj94r 186 136 dexamethasone dexamethasone NN cord-291400-o9skj94r 186 137 in in IN cord-291400-o9skj94r 186 138 adulthood adulthood NN cord-291400-o9skj94r 187 1 bacterial bacterial JJ cord-291400-o9skj94r 187 2 meningitis meningitis NN cord-291400-o9skj94r 187 3 study study NN cord-291400-o9skj94r 187 4 investigators investigator NNS cord-291400-o9skj94r 187 5 : : : cord-291400-o9skj94r 188 1 dexamethasone dexamethasone NN cord-291400-o9skj94r 188 2 in in IN cord-291400-o9skj94r 188 3 adults adult NNS cord-291400-o9skj94r 188 4 with with IN cord-291400-o9skj94r 188 5 bacterial bacterial JJ cord-291400-o9skj94r 188 6 meningitis meningitis NN cord-291400-o9skj94r 188 7 Anti anti JJ cord-291400-o9skj94r 188 8 - - JJ cord-291400-o9skj94r 188 9 tumor tumor JJ cord-291400-o9skj94r 188 10 necrosis necrosis NN cord-291400-o9skj94r 188 11 factor factor NN cord-291400-o9skj94r 188 12 antibody antibody NN cord-291400-o9skj94r 188 13 impairs impair VBZ cord-291400-o9skj94r 188 14 the the DT cord-291400-o9skj94r 188 15 therapeutic therapeutic JJ cord-291400-o9skj94r 188 16 effect effect NN cord-291400-o9skj94r 188 17 of of IN cord-291400-o9skj94r 188 18 ceftriaxone ceftriaxone NN cord-291400-o9skj94r 188 19 in in IN cord-291400-o9skj94r 188 20 murine murine JJ cord-291400-o9skj94r 188 21 pneumococcal pneumococcal JJ cord-291400-o9skj94r 188 22 pneumonia pneumonia NN cord-291400-o9skj94r 189 1 Is be VBZ cord-291400-o9skj94r 189 2 anti anti JJ cord-291400-o9skj94r 189 3 - - JJ cord-291400-o9skj94r 189 4 tumor tumor JJ cord-291400-o9skj94r 189 5 necrosis necrosis NN cord-291400-o9skj94r 189 6 factor factor NN cord-291400-o9skj94r 189 7 therapy therapy NN cord-291400-o9skj94r 189 8 associated associate VBN cord-291400-o9skj94r 189 9 with with IN cord-291400-o9skj94r 189 10 increased increase VBN cord-291400-o9skj94r 189 11 mortality mortality NN cord-291400-o9skj94r 189 12 in in IN cord-291400-o9skj94r 189 13 patients patient NNS cord-291400-o9skj94r 189 14 with with IN cord-291400-o9skj94r 189 15 severe severe JJ cord-291400-o9skj94r 189 16 sepsis sepsis NN cord-291400-o9skj94r 189 17 caused cause VBN cord-291400-o9skj94r 189 18 by by IN cord-291400-o9skj94r 189 19 pneumonia pneumonia NN cord-291400-o9skj94r 189 20 ? ? . cord-291400-o9skj94r 190 1 Activation activation NN cord-291400-o9skj94r 190 2 of of IN cord-291400-o9skj94r 190 3 neutrophils neutrophil NNS cord-291400-o9skj94r 190 4 and and CC cord-291400-o9skj94r 190 5 inhibition inhibition NN cord-291400-o9skj94r 190 6 of of IN cord-291400-o9skj94r 190 7 the the DT cord-291400-o9skj94r 190 8 proinflammatory proinflammatory JJ cord-291400-o9skj94r 190 9 cytokine cytokine NN cord-291400-o9skj94r 190 10 response response NN cord-291400-o9skj94r 190 11 by by IN cord-291400-o9skj94r 190 12 endogenous endogenous JJ cord-291400-o9skj94r 190 13 granulocyte granulocyte NN cord-291400-o9skj94r 190 14 colony colony NN cord-291400-o9skj94r 190 15 stimulating stimulate VBG cord-291400-o9skj94r 190 16 factor factor NN cord-291400-o9skj94r 190 17 in in IN cord-291400-o9skj94r 190 18 murine murine JJ cord-291400-o9skj94r 190 19 pneumococcal pneumococcal JJ cord-291400-o9skj94r 190 20 pneumonia pneumonia NN cord-291400-o9skj94r 190 21 Drug drug NN cord-291400-o9skj94r 190 22 - - HYPH cord-291400-o9skj94r 190 23 resistant resistant JJ cord-291400-o9skj94r 190 24 Streptococcus Streptococcus NNP cord-291400-o9skj94r 190 25 pneumoniae pneumoniae NN cord-291400-o9skj94r 190 26 TRUST TRUST NNP cord-291400-o9skj94r 190 27 Surveillance Surveillance NNP cord-291400-o9skj94r 190 28 Program Program NNP cord-291400-o9skj94r 190 29 . . . cord-291400-o9skj94r 191 1 Factors factor NNS cord-291400-o9skj94r 191 2 associated associate VBN cord-291400-o9skj94r 191 3 with with IN cord-291400-o9skj94r 191 4 relative relative JJ cord-291400-o9skj94r 191 5 rates rate NNS cord-291400-o9skj94r 191 6 of of IN cord-291400-o9skj94r 191 7 antimicrobial antimicrobial JJ cord-291400-o9skj94r 191 8 resistance resistance NN cord-291400-o9skj94r 191 9 among among IN cord-291400-o9skj94r 191 10 Streptococcus streptococcus NN cord-291400-o9skj94r 191 11 pneumoniae pneumoniae NN cord-291400-o9skj94r 191 12 in in IN cord-291400-o9skj94r 191 13 the the DT cord-291400-o9skj94r 191 14 United United NNP cord-291400-o9skj94r 191 15 States States NNP cord-291400-o9skj94r 191 16 : : : cord-291400-o9skj94r 191 17 results result NNS cord-291400-o9skj94r 191 18 from from IN cord-291400-o9skj94r 191 19 the the DT cord-291400-o9skj94r 191 20 TRUST TRUST NNP cord-291400-o9skj94r 191 21 Surveillance Surveillance NNP cord-291400-o9skj94r 191 22 Program Program NNP cord-291400-o9skj94r 191 23 Influence influence NN cord-291400-o9skj94r 191 24 of of IN cord-291400-o9skj94r 191 25 patient patient JJ cord-291400-o9skj94r 191 26 age age NN cord-291400-o9skj94r 191 27 on on IN cord-291400-o9skj94r 191 28 the the DT cord-291400-o9skj94r 191 29 susceptibility susceptibility NN cord-291400-o9skj94r 191 30 patterns pattern NNS cord-291400-o9skj94r 191 31 of of IN cord-291400-o9skj94r 191 32 Streptococcus streptococcus NN cord-291400-o9skj94r 191 33 pneumoniae pneumoniae NN cord-291400-o9skj94r 191 34 isolates isolate VBZ cord-291400-o9skj94r 191 35 in in IN cord-291400-o9skj94r 191 36 North North NNP cord-291400-o9skj94r 191 37 America America NNP cord-291400-o9skj94r 191 38 International International NNP cord-291400-o9skj94r 191 39 Pneumococcal Pneumococcal NNP cord-291400-o9skj94r 191 40 Study Study NNP cord-291400-o9skj94r 191 41 Group Group NNP cord-291400-o9skj94r 191 42 : : : cord-291400-o9skj94r 191 43 an an DT cord-291400-o9skj94r 191 44 international international JJ cord-291400-o9skj94r 191 45 prospective prospective JJ cord-291400-o9skj94r 191 46 study study NN cord-291400-o9skj94r 191 47 of of IN cord-291400-o9skj94r 191 48 pneumococcal pneumococcal JJ cord-291400-o9skj94r 191 49 bacteremia bacteremia NN cord-291400-o9skj94r 191 50 . . . cord-291400-o9skj94r 192 1 Correlation correlation NN cord-291400-o9skj94r 192 2 with with IN cord-291400-o9skj94r 192 3 in in FW cord-291400-o9skj94r 192 4 vitro vitro FW cord-291400-o9skj94r 192 5 resistance resistance NN cord-291400-o9skj94r 192 6 , , , cord-291400-o9skj94r 192 7 antibiotics antibiotic NNS cord-291400-o9skj94r 192 8 administered administer VBN cord-291400-o9skj94r 192 9 , , , cord-291400-o9skj94r 192 10 and and CC cord-291400-o9skj94r 192 11 clinical clinical JJ cord-291400-o9skj94r 192 12 outcome outcome NN cord-291400-o9skj94r 192 13 Is be VBZ cord-291400-o9skj94r 192 14 azithromycin azithromycin NN cord-291400-o9skj94r 192 15 the the DT cord-291400-o9skj94r 192 16 first first JJ cord-291400-o9skj94r 192 17 - - HYPH cord-291400-o9skj94r 192 18 choice choice NN cord-291400-o9skj94r 192 19 macrolide macrolide NN cord-291400-o9skj94r 192 20 for for IN cord-291400-o9skj94r 192 21 treatment treatment NN cord-291400-o9skj94r 192 22 of of IN cord-291400-o9skj94r 192 23 community community NN cord-291400-o9skj94r 192 24 - - HYPH cord-291400-o9skj94r 192 25 acquired acquire VBN cord-291400-o9skj94r 192 26 pneumonia pneumonia NN cord-291400-o9skj94r 192 27 ? ? . cord-291400-o9skj94r 193 1 The the DT cord-291400-o9skj94r 193 2 best good JJS cord-291400-o9skj94r 193 3 treatment treatment NN cord-291400-o9skj94r 193 4 of of IN cord-291400-o9skj94r 193 5 pneumonia pneumonia NN cord-291400-o9skj94r 193 6 : : : cord-291400-o9skj94r 193 7 new new JJ cord-291400-o9skj94r 193 8 clues clue NNS cord-291400-o9skj94r 193 9 , , , cord-291400-o9skj94r 193 10 but but CC cord-291400-o9skj94r 193 11 no no DT cord-291400-o9skj94r 193 12 definitive definitive JJ cord-291400-o9skj94r 193 13 answers answer NNS cord-291400-o9skj94r 193 14 What what WP cord-291400-o9skj94r 193 15 is be VBZ cord-291400-o9skj94r 193 16 optimal optimal JJ cord-291400-o9skj94r 193 17 therapy therapy NN cord-291400-o9skj94r 193 18 for for IN cord-291400-o9skj94r 193 19 bacteremic bacteremic JJ cord-291400-o9skj94r 193 20 pneumococcal pneumococcal JJ cord-291400-o9skj94r 193 21 pneumonia pneumonia NN cord-291400-o9skj94r 193 22 ? ? . cord-291400-o9skj94r 194 1 Monotherapy Monotherapy NNP cord-291400-o9skj94r 194 2 versus versus IN cord-291400-o9skj94r 194 3 dual dual JJ cord-291400-o9skj94r 194 4 therapy therapy NN cord-291400-o9skj94r 194 5 for for IN cord-291400-o9skj94r 194 6 community community NN cord-291400-o9skj94r 194 7 - - HYPH cord-291400-o9skj94r 194 8 acquired acquire VBN cord-291400-o9skj94r 194 9 pneumonia pneumonia NN cord-291400-o9skj94r 194 10 in in IN cord-291400-o9skj94r 194 11 hospitalized hospitalize VBN cord-291400-o9skj94r 194 12 patients patient NNS cord-291400-o9skj94r 194 13 Synergy Synergy NNP cord-291400-o9skj94r 194 14 between between IN cord-291400-o9skj94r 194 15 amoxicillin amoxicillin NNP cord-291400-o9skj94r 194 16 and and CC cord-291400-o9skj94r 194 17 gentamicin gentamicin NNP cord-291400-o9skj94r 194 18 in in IN cord-291400-o9skj94r 194 19 combination combination NN cord-291400-o9skj94r 194 20 against against IN cord-291400-o9skj94r 194 21 a a DT cord-291400-o9skj94r 194 22 highly highly RB cord-291400-o9skj94r 194 23 penicillin penicillin NN cord-291400-o9skj94r 194 24 - - HYPH cord-291400-o9skj94r 194 25 resistant resistant JJ cord-291400-o9skj94r 194 26 and and CC cord-291400-o9skj94r 194 27 -tolerant -tolerant JJ cord-291400-o9skj94r 194 28 strain strain NN cord-291400-o9skj94r 194 29 of of IN cord-291400-o9skj94r 194 30 Streptococcus streptococcus NN cord-291400-o9skj94r 194 31 pneumoniae pneumoniae NN cord-291400-o9skj94r 194 32 in in IN cord-291400-o9skj94r 194 33 a a DT cord-291400-o9skj94r 194 34 mouse mouse NN cord-291400-o9skj94r 194 35 neumonia neumonia NNP cord-291400-o9skj94r 194 36 model model NNP cord-291400-o9skj94r 194 37 Effective effective JJ cord-291400-o9skj94r 194 38 combination combination NN cord-291400-o9skj94r 194 39 therapy therapy NN cord-291400-o9skj94r 194 40 for for IN cord-291400-o9skj94r 194 41 invasive invasive JJ cord-291400-o9skj94r 194 42 pneumococcal pneumococcal JJ cord-291400-o9skj94r 194 43 pneumonia pneumonia NN cord-291400-o9skj94r 194 44 with with IN cord-291400-o9skj94r 194 45 ampicillin ampicillin NN cord-291400-o9skj94r 194 46 and and CC cord-291400-o9skj94r 194 47 intravenous intravenous JJ cord-291400-o9skj94r 194 48 immunoglobulins immunoglobulin NNS cord-291400-o9skj94r 194 49 in in IN cord-291400-o9skj94r 194 50 a a DT cord-291400-o9skj94r 194 51 mouse mouse NN cord-291400-o9skj94r 194 52 model model NN cord-291400-o9skj94r 195 1 TNF tnf NN cord-291400-o9skj94r 195 2 - - HYPH cord-291400-o9skj94r 195 3 alpha alpha NN cord-291400-o9skj94r 195 4 compensates compensate VBZ cord-291400-o9skj94r 195 5 for for IN cord-291400-o9skj94r 195 6 the the DT cord-291400-o9skj94r 195 7 impaired impaired JJ cord-291400-o9skj94r 195 8 host host NN cord-291400-o9skj94r 195 9 defense defense NN cord-291400-o9skj94r 195 10 of of IN cord-291400-o9skj94r 195 11 IL-1 IL-1 NNP cord-291400-o9skj94r 195 12 type type NN cord-291400-o9skj94r 196 1 I -PRON- PRP cord-291400-o9skj94r 196 2 receptor receptor NN cord-291400-o9skj94r 196 3 - - HYPH cord-291400-o9skj94r 196 4 deficient deficient JJ cord-291400-o9skj94r 196 5 mice mouse NNS cord-291400-o9skj94r 196 6 during during IN cord-291400-o9skj94r 196 7 pneumococcal pneumococcal JJ cord-291400-o9skj94r 196 8 pneumonia pneumonia NN cord-291400-o9skj94r 196 9 Interleukin-6 Interleukin-6 . cord-291400-o9skj94r 197 1 gene gene NN cord-291400-o9skj94r 197 2 - - HYPH cord-291400-o9skj94r 197 3 deficient deficient JJ cord-291400-o9skj94r 197 4 mice mouse NNS cord-291400-o9skj94r 197 5 show show VBP cord-291400-o9skj94r 197 6 impaired impaired JJ cord-291400-o9skj94r 197 7 defense defense NN cord-291400-o9skj94r 197 8 against against IN cord-291400-o9skj94r 197 9 pneumococcal pneumococcal JJ cord-291400-o9skj94r 197 10 pneumonia pneumonia NN cord-291400-o9skj94r 197 11 IL-18 IL-18 NNP cord-291400-o9skj94r 197 12 improves improve VBZ cord-291400-o9skj94r 197 13 the the DT cord-291400-o9skj94r 197 14 early early JJ cord-291400-o9skj94r 197 15 antimicrobial antimicrobial JJ cord-291400-o9skj94r 197 16 host host NN cord-291400-o9skj94r 197 17 response response NN cord-291400-o9skj94r 197 18 to to IN cord-291400-o9skj94r 197 19 pneumococcal pneumococcal JJ cord-291400-o9skj94r 197 20 pneumonia pneumonia NN cord-291400-o9skj94r 197 21 Alveolar alveolar NN cord-291400-o9skj94r 197 22 macrophages macrophage NNS cord-291400-o9skj94r 197 23 have have VBP cord-291400-o9skj94r 197 24 a a DT cord-291400-o9skj94r 197 25 protective protective JJ cord-291400-o9skj94r 197 26 antiinflammatory antiinflammatory JJ cord-291400-o9skj94r 197 27 role role NN cord-291400-o9skj94r 197 28 during during IN cord-291400-o9skj94r 197 29 murine murine JJ cord-291400-o9skj94r 197 30 pneumococcal pneumococcal JJ cord-291400-o9skj94r 197 31 pneumonia pneumonia NN cord-291400-o9skj94r 197 32 Improved improve VBD cord-291400-o9skj94r 197 33 host host NN cord-291400-o9skj94r 197 34 defense defense NN cord-291400-o9skj94r 197 35 against against IN cord-291400-o9skj94r 197 36 pneumococcal pneumococcal JJ cord-291400-o9skj94r 197 37 pneumonia pneumonia NN cord-291400-o9skj94r 197 38 in in IN cord-291400-o9skj94r 197 39 platelet platelet NN cord-291400-o9skj94r 197 40 - - HYPH cord-291400-o9skj94r 197 41 activating activate VBG cord-291400-o9skj94r 197 42 factor factor NN cord-291400-o9skj94r 197 43 receptor receptor NN cord-291400-o9skj94r 197 44 - - HYPH cord-291400-o9skj94r 197 45 deficient deficient JJ cord-291400-o9skj94r 197 46 mice mouse NNS cord-291400-o9skj94r 197 47 ZmpB ZmpB NNP cord-291400-o9skj94r 197 48 , , , cord-291400-o9skj94r 197 49 a a DT cord-291400-o9skj94r 197 50 novel novel JJ cord-291400-o9skj94r 197 51 virulence virulence NN cord-291400-o9skj94r 197 52 factor factor NN cord-291400-o9skj94r 197 53 of of IN cord-291400-o9skj94r 197 54 Streptococcus streptococcus NN cord-291400-o9skj94r 197 55 pneumoniae pneumoniae NN cord-291400-o9skj94r 197 56 that that WDT cord-291400-o9skj94r 197 57 induces induce VBZ cord-291400-o9skj94r 197 58 tumor tumor NN cord-291400-o9skj94r 197 59 necrosis necrosis NN cord-291400-o9skj94r 197 60 factor factor NN cord-291400-o9skj94r 197 61 alpha alpha NN cord-291400-o9skj94r 197 62 production production NN cord-291400-o9skj94r 197 63 in in IN cord-291400-o9skj94r 197 64 the the DT cord-291400-o9skj94r 197 65 respiratory respiratory JJ cord-291400-o9skj94r 197 66 tract tract NN