id sid tid token lemma pos cord-254852-qr5gdmbc 1 1 key key NN cord-254852-qr5gdmbc 1 2 : : : cord-254852-qr5gdmbc 1 3 cord-254852-qr5gdmbc cord-254852-qr5gdmbc CD cord-254852-qr5gdmbc 1 4 authors author NNS cord-254852-qr5gdmbc 1 5 : : : cord-254852-qr5gdmbc 1 6 Grief grief NN cord-254852-qr5gdmbc 1 7 , , , cord-254852-qr5gdmbc 1 8 Samuel Samuel NNP cord-254852-qr5gdmbc 1 9 N. N. NNP cord-254852-qr5gdmbc 1 10 ; ; : cord-254852-qr5gdmbc 1 11 Loza Loza NNP cord-254852-qr5gdmbc 1 12 , , , cord-254852-qr5gdmbc 1 13 Julie Julie NNP cord-254852-qr5gdmbc 1 14 K. K. NNP cord-254852-qr5gdmbc 1 15 title title NN cord-254852-qr5gdmbc 1 16 : : : cord-254852-qr5gdmbc 1 17 Guidelines guideline NNS cord-254852-qr5gdmbc 1 18 for for IN cord-254852-qr5gdmbc 1 19 the the DT cord-254852-qr5gdmbc 1 20 Evaluation Evaluation NNP cord-254852-qr5gdmbc 1 21 and and CC cord-254852-qr5gdmbc 1 22 Treatment Treatment NNP cord-254852-qr5gdmbc 1 23 of of IN cord-254852-qr5gdmbc 1 24 Pneumonia Pneumonia NNP cord-254852-qr5gdmbc 1 25 date date NN cord-254852-qr5gdmbc 1 26 : : : cord-254852-qr5gdmbc 1 27 2018 2018 CD cord-254852-qr5gdmbc 1 28 - - HYPH cord-254852-qr5gdmbc 1 29 08 08 CD cord-254852-qr5gdmbc 1 30 - - SYM cord-254852-qr5gdmbc 1 31 14 14 CD cord-254852-qr5gdmbc 1 32 journal journal NN cord-254852-qr5gdmbc 1 33 : : : cord-254852-qr5gdmbc 2 1 Prim Prim NNP cord-254852-qr5gdmbc 2 2 Care Care NNP cord-254852-qr5gdmbc 2 3 DOI DOI NNP cord-254852-qr5gdmbc 2 4 : : : cord-254852-qr5gdmbc 2 5 10.1016 10.1016 CD cord-254852-qr5gdmbc 3 1 /j.pop.2018.04.001 /j.pop.2018.04.001 NNP cord-254852-qr5gdmbc 3 2 sha sha NNP cord-254852-qr5gdmbc 3 3 : : : cord-254852-qr5gdmbc 3 4 f892f5eed6131e0038666da671bdb51a04578918 f892f5eed6131e0038666da671bdb51a04578918 NNP cord-254852-qr5gdmbc 3 5 doc_id doc_id CD cord-254852-qr5gdmbc 3 6 : : : cord-254852-qr5gdmbc 3 7 254852 254852 CD cord-254852-qr5gdmbc 3 8 cord_uid cord_uid NNS cord-254852-qr5gdmbc 3 9 : : : cord-254852-qr5gdmbc 4 1 qr5gdmbc qr5gdmbc . cord-254852-qr5gdmbc 5 1 Pneumonia pneumonia NN cord-254852-qr5gdmbc 5 2 is be VBZ cord-254852-qr5gdmbc 5 3 a a DT cord-254852-qr5gdmbc 5 4 common common JJ cord-254852-qr5gdmbc 5 5 cause cause NN cord-254852-qr5gdmbc 5 6 of of IN cord-254852-qr5gdmbc 5 7 respiratory respiratory JJ cord-254852-qr5gdmbc 5 8 infection infection NN cord-254852-qr5gdmbc 5 9 , , , cord-254852-qr5gdmbc 5 10 accounting account VBG cord-254852-qr5gdmbc 5 11 for for IN cord-254852-qr5gdmbc 5 12 more more JJR cord-254852-qr5gdmbc 5 13 than than IN cord-254852-qr5gdmbc 5 14 800,000 800,000 CD cord-254852-qr5gdmbc 5 15 hospitalizations hospitalization NNS cord-254852-qr5gdmbc 5 16 in in IN cord-254852-qr5gdmbc 5 17 the the DT cord-254852-qr5gdmbc 5 18 United United NNP cord-254852-qr5gdmbc 5 19 States States NNP cord-254852-qr5gdmbc 5 20 annually annually RB cord-254852-qr5gdmbc 5 21 . . . cord-254852-qr5gdmbc 6 1 Presenting present VBG cord-254852-qr5gdmbc 6 2 symptoms symptom NNS cord-254852-qr5gdmbc 6 3 of of IN cord-254852-qr5gdmbc 6 4 pneumonia pneumonia NN cord-254852-qr5gdmbc 6 5 are be VBP cord-254852-qr5gdmbc 6 6 typically typically RB cord-254852-qr5gdmbc 6 7 cough cough NN cord-254852-qr5gdmbc 6 8 , , , cord-254852-qr5gdmbc 6 9 pleuritic pleuritic JJ cord-254852-qr5gdmbc 6 10 chest chest NN cord-254852-qr5gdmbc 6 11 pain pain NN cord-254852-qr5gdmbc 6 12 , , , cord-254852-qr5gdmbc 6 13 fever fever NN cord-254852-qr5gdmbc 6 14 , , , cord-254852-qr5gdmbc 6 15 fatigue fatigue NN cord-254852-qr5gdmbc 6 16 , , , cord-254852-qr5gdmbc 6 17 and and CC cord-254852-qr5gdmbc 6 18 loss loss NN cord-254852-qr5gdmbc 6 19 of of IN cord-254852-qr5gdmbc 6 20 appetite appetite NN cord-254852-qr5gdmbc 6 21 . . . cord-254852-qr5gdmbc 7 1 Children child NNS cord-254852-qr5gdmbc 7 2 and and CC cord-254852-qr5gdmbc 7 3 the the DT cord-254852-qr5gdmbc 7 4 elderly elderly JJ cord-254852-qr5gdmbc 7 5 have have VBP cord-254852-qr5gdmbc 7 6 different different JJ cord-254852-qr5gdmbc 7 7 presenting present VBG cord-254852-qr5gdmbc 7 8 features feature NNS cord-254852-qr5gdmbc 7 9 of of IN cord-254852-qr5gdmbc 7 10 pneumonia pneumonia NN cord-254852-qr5gdmbc 7 11 , , , cord-254852-qr5gdmbc 7 12 which which WDT cord-254852-qr5gdmbc 7 13 include include VBP cord-254852-qr5gdmbc 7 14 headache headache NN cord-254852-qr5gdmbc 7 15 , , , cord-254852-qr5gdmbc 7 16 nausea nausea NN cord-254852-qr5gdmbc 7 17 , , , cord-254852-qr5gdmbc 7 18 abdominal abdominal JJ cord-254852-qr5gdmbc 7 19 pain pain NN cord-254852-qr5gdmbc 7 20 , , , cord-254852-qr5gdmbc 7 21 and and CC cord-254852-qr5gdmbc 7 22 absence absence NN cord-254852-qr5gdmbc 7 23 of of IN cord-254852-qr5gdmbc 7 24 one one CD cord-254852-qr5gdmbc 7 25 or or CC cord-254852-qr5gdmbc 7 26 more more JJR cord-254852-qr5gdmbc 7 27 of of IN cord-254852-qr5gdmbc 7 28 the the DT cord-254852-qr5gdmbc 7 29 prototypical prototypical JJ cord-254852-qr5gdmbc 7 30 symptoms symptom NNS cord-254852-qr5gdmbc 7 31 . . . cord-254852-qr5gdmbc 8 1 Knowledge knowledge NN cord-254852-qr5gdmbc 8 2 of of IN cord-254852-qr5gdmbc 8 3 local local JJ cord-254852-qr5gdmbc 8 4 bacterial bacterial JJ cord-254852-qr5gdmbc 8 5 pathogens pathogen NNS cord-254852-qr5gdmbc 8 6 and and CC cord-254852-qr5gdmbc 8 7 their -PRON- PRP$ cord-254852-qr5gdmbc 8 8 antibiotic antibiotic JJ cord-254852-qr5gdmbc 8 9 susceptibility susceptibility NN cord-254852-qr5gdmbc 8 10 and and CC cord-254852-qr5gdmbc 8 11 resistance resistance NN cord-254852-qr5gdmbc 8 12 profiles profile NNS cord-254852-qr5gdmbc 8 13 is be VBZ cord-254852-qr5gdmbc 8 14 the the DT cord-254852-qr5gdmbc 8 15 key key NN cord-254852-qr5gdmbc 8 16 for for IN cord-254852-qr5gdmbc 8 17 effective effective JJ cord-254852-qr5gdmbc 8 18 pharmacologic pharmacologic JJ cord-254852-qr5gdmbc 8 19 selection selection NN cord-254852-qr5gdmbc 8 20 and and CC cord-254852-qr5gdmbc 8 21 treatment treatment NN cord-254852-qr5gdmbc 8 22 of of IN cord-254852-qr5gdmbc 8 23 pneumonia pneumonia NN cord-254852-qr5gdmbc 8 24 . . . cord-254852-qr5gdmbc 9 1 Pneumonia pneumonia NN cord-254852-qr5gdmbc 9 2 is be VBZ cord-254852-qr5gdmbc 9 3 a a DT cord-254852-qr5gdmbc 9 4 leading leading JJ cord-254852-qr5gdmbc 9 5 cause cause NN cord-254852-qr5gdmbc 9 6 of of IN cord-254852-qr5gdmbc 9 7 hospitalization hospitalization NN cord-254852-qr5gdmbc 9 8 among among IN cord-254852-qr5gdmbc 9 9 both both DT cord-254852-qr5gdmbc 9 10 adults adult NNS cord-254852-qr5gdmbc 9 11 and and CC cord-254852-qr5gdmbc 9 12 children child NNS cord-254852-qr5gdmbc 9 13 in in IN cord-254852-qr5gdmbc 9 14 the the DT cord-254852-qr5gdmbc 9 15 United United NNP cord-254852-qr5gdmbc 9 16 States States NNP cord-254852-qr5gdmbc 9 17 , , , cord-254852-qr5gdmbc 9 18 accounting account VBG cord-254852-qr5gdmbc 9 19 for for IN cord-254852-qr5gdmbc 9 20 more more JJR cord-254852-qr5gdmbc 9 21 than than IN cord-254852-qr5gdmbc 9 22 800,000 800,000 CD cord-254852-qr5gdmbc 9 23 hospitalizations hospitalization NNS cord-254852-qr5gdmbc 9 24 and and CC cord-254852-qr5gdmbc 9 25 more more JJR cord-254852-qr5gdmbc 9 26 than than IN cord-254852-qr5gdmbc 9 27 400,000 400,000 CD cord-254852-qr5gdmbc 9 28 emergency emergency NN cord-254852-qr5gdmbc 9 29 department department NN cord-254852-qr5gdmbc 9 30 visits visit VBZ cord-254852-qr5gdmbc 9 31 in in IN cord-254852-qr5gdmbc 9 32 2014 2014 CD cord-254852-qr5gdmbc 9 33 . . . cord-254852-qr5gdmbc 10 1 1 1 CD cord-254852-qr5gdmbc 10 2 , , , cord-254852-qr5gdmbc 10 3 2 2 CD cord-254852-qr5gdmbc 11 1 It -PRON- PRP cord-254852-qr5gdmbc 11 2 is be VBZ cord-254852-qr5gdmbc 11 3 among among IN cord-254852-qr5gdmbc 11 4 the the DT cord-254852-qr5gdmbc 11 5 most most RBS cord-254852-qr5gdmbc 11 6 expensive expensive JJ cord-254852-qr5gdmbc 11 7 conditions condition NNS cord-254852-qr5gdmbc 11 8 treated treat VBN cord-254852-qr5gdmbc 11 9 in in IN cord-254852-qr5gdmbc 11 10 US US NNP cord-254852-qr5gdmbc 11 11 hospitals hospital NNS cord-254852-qr5gdmbc 11 12 with with IN cord-254852-qr5gdmbc 11 13 national national JJ cord-254852-qr5gdmbc 11 14 aggregate aggregate JJ cord-254852-qr5gdmbc 11 15 costs cost NNS cord-254852-qr5gdmbc 11 16 of of IN cord-254852-qr5gdmbc 11 17 $ $ $ cord-254852-qr5gdmbc 11 18 9.5 9.5 CD cord-254852-qr5gdmbc 11 19 billion billion CD cord-254852-qr5gdmbc 11 20 in in IN cord-254852-qr5gdmbc 11 21 2013 2013 CD cord-254852-qr5gdmbc 11 22 . . . cord-254852-qr5gdmbc 12 1 3 3 LS cord-254852-qr5gdmbc 13 1 A a DT cord-254852-qr5gdmbc 13 2 causal causal JJ cord-254852-qr5gdmbc 13 3 pathogen pathogen NN cord-254852-qr5gdmbc 13 4 is be VBZ cord-254852-qr5gdmbc 13 5 often often RB cord-254852-qr5gdmbc 13 6 not not RB cord-254852-qr5gdmbc 13 7 identified identify VBN cord-254852-qr5gdmbc 13 8 . . . cord-254852-qr5gdmbc 14 1 A a DT cord-254852-qr5gdmbc 14 2 2015 2015 CD cord-254852-qr5gdmbc 14 3 prospective prospective JJ cord-254852-qr5gdmbc 14 4 , , , cord-254852-qr5gdmbc 14 5 multi multi JJ cord-254852-qr5gdmbc 14 6 - - JJ cord-254852-qr5gdmbc 14 7 center center JJ cord-254852-qr5gdmbc 14 8 study study NN cord-254852-qr5gdmbc 14 9 by by IN cord-254852-qr5gdmbc 14 10 the the DT cord-254852-qr5gdmbc 14 11 Centers Centers NNPS cord-254852-qr5gdmbc 14 12 for for IN cord-254852-qr5gdmbc 14 13 Disease Disease NNP cord-254852-qr5gdmbc 14 14 Control Control NNP cord-254852-qr5gdmbc 14 15 and and CC cord-254852-qr5gdmbc 14 16 Prevention Prevention NNP cord-254852-qr5gdmbc 14 17 identified identify VBD cord-254852-qr5gdmbc 14 18 a a DT cord-254852-qr5gdmbc 14 19 responsible responsible JJ cord-254852-qr5gdmbc 14 20 pathogen pathogen NN cord-254852-qr5gdmbc 14 21 in in IN cord-254852-qr5gdmbc 14 22 only only RB cord-254852-qr5gdmbc 14 23 38 38 CD cord-254852-qr5gdmbc 14 24 % % NN cord-254852-qr5gdmbc 14 25 of of IN cord-254852-qr5gdmbc 14 26 cases case NNS cord-254852-qr5gdmbc 14 27 of of IN cord-254852-qr5gdmbc 14 28 community community NN cord-254852-qr5gdmbc 14 29 - - HYPH cord-254852-qr5gdmbc 14 30 acquired acquire VBN cord-254852-qr5gdmbc 14 31 pneumonia pneumonia NN cord-254852-qr5gdmbc 14 32 ( ( -LRB- cord-254852-qr5gdmbc 14 33 CAP CAP NNP cord-254852-qr5gdmbc 14 34 ) ) -RRB- cord-254852-qr5gdmbc 14 35 in in IN cord-254852-qr5gdmbc 14 36 adults adult NNS cord-254852-qr5gdmbc 14 37 requiring require VBG cord-254852-qr5gdmbc 14 38 hospitalization hospitalization NN cord-254852-qr5gdmbc 14 39 . . . cord-254852-qr5gdmbc 15 1 4 4 CD cord-254852-qr5gdmbc 15 2 CAP CAP NNP cord-254852-qr5gdmbc 15 3 is be VBZ cord-254852-qr5gdmbc 15 4 an an DT cord-254852-qr5gdmbc 15 5 infection infection NN cord-254852-qr5gdmbc 15 6 of of IN cord-254852-qr5gdmbc 15 7 the the DT cord-254852-qr5gdmbc 15 8 lung lung NN cord-254852-qr5gdmbc 15 9 parenchyma parenchyma NNS cord-254852-qr5gdmbc 15 10 that that WDT cord-254852-qr5gdmbc 15 11 is be VBZ cord-254852-qr5gdmbc 15 12 acquired acquire VBN cord-254852-qr5gdmbc 15 13 outside outside IN cord-254852-qr5gdmbc 15 14 of of IN cord-254852-qr5gdmbc 15 15 hospitals hospital NNS cord-254852-qr5gdmbc 15 16 or or CC cord-254852-qr5gdmbc 15 17 extended extend VBN cord-254852-qr5gdmbc 15 18 - - HYPH cord-254852-qr5gdmbc 15 19 care care NN cord-254852-qr5gdmbc 15 20 facilities facility NNS cord-254852-qr5gdmbc 15 21 . . . cord-254852-qr5gdmbc 16 1 5 5 CD cord-254852-qr5gdmbc 16 2 Viral viral JJ cord-254852-qr5gdmbc 16 3 pathogens pathogen NNS cord-254852-qr5gdmbc 16 4 were be VBD cord-254852-qr5gdmbc 16 5 identified identify VBN cord-254852-qr5gdmbc 16 6 in in IN cord-254852-qr5gdmbc 16 7 27 27 CD cord-254852-qr5gdmbc 16 8 % % NN cord-254852-qr5gdmbc 16 9 of of IN cord-254852-qr5gdmbc 16 10 cases case NNS cord-254852-qr5gdmbc 16 11 and and CC cord-254852-qr5gdmbc 16 12 bacterial bacterial JJ cord-254852-qr5gdmbc 16 13 pathogens pathogen NNS cord-254852-qr5gdmbc 16 14 in in IN cord-254852-qr5gdmbc 16 15 14 14 CD cord-254852-qr5gdmbc 16 16 % % NN cord-254852-qr5gdmbc 16 17 of of IN cord-254852-qr5gdmbc 16 18 cases case NNS cord-254852-qr5gdmbc 16 19 . . . cord-254852-qr5gdmbc 17 1 5 5 LS cord-254852-qr5gdmbc 18 1 In in IN cord-254852-qr5gdmbc 18 2 adults adult NNS cord-254852-qr5gdmbc 18 3 of of IN cord-254852-qr5gdmbc 18 4 all all DT cord-254852-qr5gdmbc 18 5 ages age NNS cord-254852-qr5gdmbc 18 6 , , , cord-254852-qr5gdmbc 18 7 human human JJ cord-254852-qr5gdmbc 18 8 rhinovirus rhinovirus NN cord-254852-qr5gdmbc 18 9 and and CC cord-254852-qr5gdmbc 18 10 influenza influenza NN cord-254852-qr5gdmbc 18 11 were be VBD cord-254852-qr5gdmbc 18 12 the the DT cord-254852-qr5gdmbc 18 13 most most RBS cord-254852-qr5gdmbc 18 14 frequently frequently RB cord-254852-qr5gdmbc 18 15 identified identify VBN cord-254852-qr5gdmbc 18 16 viruses virus NNS cord-254852-qr5gdmbc 18 17 . . . cord-254852-qr5gdmbc 19 1 5 5 CD cord-254852-qr5gdmbc 19 2 Streptococcus streptococcus NN cord-254852-qr5gdmbc 19 3 pneumoniae pneumoniae NN cord-254852-qr5gdmbc 19 4 is be VBZ cord-254852-qr5gdmbc 19 5 the the DT cord-254852-qr5gdmbc 19 6 most most RBS cord-254852-qr5gdmbc 19 7 common common JJ cord-254852-qr5gdmbc 19 8 causal causal JJ cord-254852-qr5gdmbc 19 9 bacterium bacterium NN cord-254852-qr5gdmbc 19 10 . . . cord-254852-qr5gdmbc 20 1 Staphylococcus staphylococcus NN cord-254852-qr5gdmbc 20 2 aureus aureus NN cord-254852-qr5gdmbc 20 3 and and CC cord-254852-qr5gdmbc 20 4 Enterobacteriaceae Enterobacteriaceae NNP cord-254852-qr5gdmbc 20 5 were be VBD cord-254852-qr5gdmbc 20 6 significantly significantly RB cord-254852-qr5gdmbc 20 7 more more RBR cord-254852-qr5gdmbc 20 8 common common JJ cord-254852-qr5gdmbc 20 9 among among IN cord-254852-qr5gdmbc 20 10 patients patient NNS cord-254852-qr5gdmbc 20 11 requiring require VBG cord-254852-qr5gdmbc 20 12 intensive intensive JJ cord-254852-qr5gdmbc 20 13 care care NN cord-254852-qr5gdmbc 20 14 unit unit NN cord-254852-qr5gdmbc 20 15 ( ( -LRB- cord-254852-qr5gdmbc 20 16 ICU ICU NNP cord-254852-qr5gdmbc 20 17 ) ) -RRB- cord-254852-qr5gdmbc 20 18 level level NN cord-254852-qr5gdmbc 20 19 care care NN cord-254852-qr5gdmbc 20 20 . . . cord-254852-qr5gdmbc 21 1 4 4 LS cord-254852-qr5gdmbc 22 1 Other other JJ cord-254852-qr5gdmbc 22 2 bacteria bacteria NNS cord-254852-qr5gdmbc 22 3 identified identify VBN cord-254852-qr5gdmbc 22 4 in in IN cord-254852-qr5gdmbc 22 5 CAP CAP NNP cord-254852-qr5gdmbc 22 6 include include VBP cord-254852-qr5gdmbc 22 7 Mycoplasma mycoplasma NN cord-254852-qr5gdmbc 22 8 pneumoniae pneumoniae NNS cord-254852-qr5gdmbc 22 9 , , , cord-254852-qr5gdmbc 22 10 Chlamydophila Chlamydophila NNP cord-254852-qr5gdmbc 22 11 pneumoniae pneumoniae NN cord-254852-qr5gdmbc 22 12 , , , cord-254852-qr5gdmbc 22 13 and and CC cord-254852-qr5gdmbc 22 14 Haemophilus haemophilus JJ cord-254852-qr5gdmbc 22 15 influenzae influenzae NN cord-254852-qr5gdmbc 22 16 . . . cord-254852-qr5gdmbc 23 1 5 5 LS cord-254852-qr5gdmbc 24 1 Less less RBR cord-254852-qr5gdmbc 24 2 common common JJ cord-254852-qr5gdmbc 24 3 bacterial bacterial JJ cord-254852-qr5gdmbc 24 4 causes cause NNS cord-254852-qr5gdmbc 24 5 include include VBP cord-254852-qr5gdmbc 24 6 Mycobacterium Mycobacterium NNP cord-254852-qr5gdmbc 24 7 tuberculosis tuberculosis NN cord-254852-qr5gdmbc 24 8 , , , cord-254852-qr5gdmbc 24 9 Legionella Legionella NNP cord-254852-qr5gdmbc 24 10 sp sp NN cord-254852-qr5gdmbc 24 11 , , , cord-254852-qr5gdmbc 24 12 and and CC cord-254852-qr5gdmbc 24 13 Pseudomonas Pseudomonas NNP cord-254852-qr5gdmbc 24 14 aeruginosa aeruginosa NN cord-254852-qr5gdmbc 24 15 . . . cord-254852-qr5gdmbc 25 1 These these DT cord-254852-qr5gdmbc 25 2 and and CC cord-254852-qr5gdmbc 25 3 other other JJ cord-254852-qr5gdmbc 25 4 bacteria bacteria NNS cord-254852-qr5gdmbc 25 5 may may MD cord-254852-qr5gdmbc 25 6 be be VB cord-254852-qr5gdmbc 25 7 considered consider VBN cord-254852-qr5gdmbc 25 8 more more RBR cord-254852-qr5gdmbc 25 9 likely likely JJ cord-254852-qr5gdmbc 25 10 in in IN cord-254852-qr5gdmbc 25 11 patients patient NNS cord-254852-qr5gdmbc 25 12 with with IN cord-254852-qr5gdmbc 25 13 certain certain JJ cord-254852-qr5gdmbc 25 14 risk risk NN cord-254852-qr5gdmbc 25 15 factors factor NNS cord-254852-qr5gdmbc 25 16 ( ( -LRB- cord-254852-qr5gdmbc 25 17 Table table NN cord-254852-qr5gdmbc 25 18 1 1 CD cord-254852-qr5gdmbc 25 19 ) ) -RRB- cord-254852-qr5gdmbc 25 20 . . . cord-254852-qr5gdmbc 26 1 6 6 CD cord-254852-qr5gdmbc 26 2 DIAGNOSIS diagnosis NN cord-254852-qr5gdmbc 27 1 A a DT cord-254852-qr5gdmbc 27 2 diagnosis diagnosis NN cord-254852-qr5gdmbc 27 3 of of IN cord-254852-qr5gdmbc 27 4 pneumonia pneumonia NN cord-254852-qr5gdmbc 27 5 should should MD cord-254852-qr5gdmbc 27 6 be be VB cord-254852-qr5gdmbc 27 7 considered consider VBN cord-254852-qr5gdmbc 27 8 in in IN cord-254852-qr5gdmbc 27 9 patients patient NNS cord-254852-qr5gdmbc 27 10 presenting present VBG cord-254852-qr5gdmbc 27 11 with with IN cord-254852-qr5gdmbc 27 12 acute acute JJ cord-254852-qr5gdmbc 27 13 onset onset NN cord-254852-qr5gdmbc 27 14 fever fever NN cord-254852-qr5gdmbc 27 15 or or CC cord-254852-qr5gdmbc 27 16 chills chill NNS cord-254852-qr5gdmbc 27 17 and and CC cord-254852-qr5gdmbc 27 18 cough cough NN cord-254852-qr5gdmbc 27 19 . . . cord-254852-qr5gdmbc 28 1 The the DT cord-254852-qr5gdmbc 28 2 cough cough NN cord-254852-qr5gdmbc 28 3 may may MD cord-254852-qr5gdmbc 28 4 be be VB cord-254852-qr5gdmbc 28 5 described describe VBN cord-254852-qr5gdmbc 28 6 as as IN cord-254852-qr5gdmbc 28 7 productive productive JJ cord-254852-qr5gdmbc 28 8 . . . cord-254852-qr5gdmbc 29 1 Additional additional JJ cord-254852-qr5gdmbc 29 2 symptoms symptom NNS cord-254852-qr5gdmbc 29 3 frequently frequently RB cord-254852-qr5gdmbc 29 4 seen see VBN cord-254852-qr5gdmbc 29 5 include include VBP cord-254852-qr5gdmbc 29 6 fatigue fatigue NN cord-254852-qr5gdmbc 29 7 , , , cord-254852-qr5gdmbc 29 8 anorexia anorexia NN cord-254852-qr5gdmbc 29 9 , , , cord-254852-qr5gdmbc 29 10 and and CC cord-254852-qr5gdmbc 29 11 pleuritic pleuritic JJ cord-254852-qr5gdmbc 29 12 chest chest NN cord-254852-qr5gdmbc 29 13 pain pain NN cord-254852-qr5gdmbc 29 14 . . . cord-254852-qr5gdmbc 30 1 Important important JJ cord-254852-qr5gdmbc 30 2 components component NNS cord-254852-qr5gdmbc 30 3 of of IN cord-254852-qr5gdmbc 30 4 a a DT cord-254852-qr5gdmbc 30 5 history history NN cord-254852-qr5gdmbc 30 6 include include VBP cord-254852-qr5gdmbc 30 7 recent recent JJ cord-254852-qr5gdmbc 30 8 travel travel NN cord-254852-qr5gdmbc 30 9 , , , cord-254852-qr5gdmbc 30 10 history history NN cord-254852-qr5gdmbc 30 11 of of IN cord-254852-qr5gdmbc 30 12 underlying underlie VBG cord-254852-qr5gdmbc 30 13 lung lung NN cord-254852-qr5gdmbc 30 14 disease disease NN cord-254852-qr5gdmbc 30 15 , , , cord-254852-qr5gdmbc 30 16 and and CC cord-254852-qr5gdmbc 30 17 smoking smoke VBG cord-254852-qr5gdmbc 30 18 history history NN cord-254852-qr5gdmbc 30 19 . . . cord-254852-qr5gdmbc 31 1 4,6 4,6 CD cord-254852-qr5gdmbc 32 1 A a DT cord-254852-qr5gdmbc 32 2 study study NN cord-254852-qr5gdmbc 32 3 by by IN cord-254852-qr5gdmbc 32 4 Diehr Diehr NNP cord-254852-qr5gdmbc 32 5 and and CC cord-254852-qr5gdmbc 32 6 colleagues colleague NNS cord-254852-qr5gdmbc 32 7 7 7 CD cord-254852-qr5gdmbc 32 8 found find VBD cord-254852-qr5gdmbc 32 9 that that IN cord-254852-qr5gdmbc 32 10 history history NN cord-254852-qr5gdmbc 32 11 of of IN cord-254852-qr5gdmbc 32 12 alcoholism alcoholism NN cord-254852-qr5gdmbc 32 13 or or CC cord-254852-qr5gdmbc 32 14 bloody bloody JJ cord-254852-qr5gdmbc 32 15 sputum sputum NN cord-254852-qr5gdmbc 32 16 have have VBP cord-254852-qr5gdmbc 32 17 relative relative JJ cord-254852-qr5gdmbc 32 18 risk risk NN cord-254852-qr5gdmbc 32 19 of of IN cord-254852-qr5gdmbc 32 20 1 1 CD cord-254852-qr5gdmbc 32 21 , , , cord-254852-qr5gdmbc 32 22 so so RB cord-254852-qr5gdmbc 33 1 the the DT cord-254852-qr5gdmbc 33 2 presence presence NN cord-254852-qr5gdmbc 33 3 of of IN cord-254852-qr5gdmbc 33 4 these these DT cord-254852-qr5gdmbc 33 5 findings finding NNS cord-254852-qr5gdmbc 33 6 is be VBZ cord-254852-qr5gdmbc 33 7 not not RB cord-254852-qr5gdmbc 33 8 predictive predictive JJ cord-254852-qr5gdmbc 33 9 of of IN cord-254852-qr5gdmbc 33 10 pneumonia pneumonia NN cord-254852-qr5gdmbc 33 11 . . . cord-254852-qr5gdmbc 34 1 Physical physical JJ cord-254852-qr5gdmbc 34 2 examination examination NN cord-254852-qr5gdmbc 34 3 findings finding NNS cord-254852-qr5gdmbc 34 4 frequently frequently RB cord-254852-qr5gdmbc 34 5 appreciated appreciate VBN cord-254852-qr5gdmbc 34 6 in in IN cord-254852-qr5gdmbc 34 7 patients patient NNS cord-254852-qr5gdmbc 34 8 with with IN cord-254852-qr5gdmbc 34 9 pneumonia pneumonia NN cord-254852-qr5gdmbc 34 10 include include VBP cord-254852-qr5gdmbc 34 11 decreased decrease VBN cord-254852-qr5gdmbc 34 12 breath breath NN cord-254852-qr5gdmbc 34 13 sounds sound NNS cord-254852-qr5gdmbc 34 14 , , , cord-254852-qr5gdmbc 34 15 rales rale NNS cord-254852-qr5gdmbc 34 16 , , , cord-254852-qr5gdmbc 34 17 tactile tactile JJ cord-254852-qr5gdmbc 34 18 fremitus fremitus NN cord-254852-qr5gdmbc 34 19 , , , cord-254852-qr5gdmbc 34 20 and and CC cord-254852-qr5gdmbc 34 21 crackles crackle NNS cord-254852-qr5gdmbc 34 22 . . . cord-254852-qr5gdmbc 35 1 4 4 LS cord-254852-qr5gdmbc 35 2 , , , cord-254852-qr5gdmbc 35 3 8 8 CD cord-254852-qr5gdmbc 35 4 Tachypnea Tachypnea NNP cord-254852-qr5gdmbc 35 5 and and CC cord-254852-qr5gdmbc 35 6 hypotension hypotension NN cord-254852-qr5gdmbc 35 7 are be VBP cord-254852-qr5gdmbc 35 8 more more RBR cord-254852-qr5gdmbc 35 9 worrisome worrisome JJ cord-254852-qr5gdmbc 35 10 symptoms symptom NNS cord-254852-qr5gdmbc 35 11 that that WDT cord-254852-qr5gdmbc 35 12 may may MD cord-254852-qr5gdmbc 35 13 also also RB cord-254852-qr5gdmbc 35 14 be be VB cord-254852-qr5gdmbc 35 15 seen see VBN cord-254852-qr5gdmbc 35 16 and and CC cord-254852-qr5gdmbc 35 17 require require VB cord-254852-qr5gdmbc 35 18 urgent urgent JJ cord-254852-qr5gdmbc 35 19 evaluation evaluation NN cord-254852-qr5gdmbc 35 20 . . . cord-254852-qr5gdmbc 36 1 4 4 LS cord-254852-qr5gdmbc 37 1 It -PRON- PRP cord-254852-qr5gdmbc 37 2 is be VBZ cord-254852-qr5gdmbc 37 3 imperative imperative JJ cord-254852-qr5gdmbc 37 4 to to TO cord-254852-qr5gdmbc 37 5 maintain maintain VB cord-254852-qr5gdmbc 37 6 a a DT cord-254852-qr5gdmbc 37 7 high high JJ cord-254852-qr5gdmbc 37 8 level level NN cord-254852-qr5gdmbc 37 9 of of IN cord-254852-qr5gdmbc 37 10 suspicion suspicion NN cord-254852-qr5gdmbc 37 11 in in IN cord-254852-qr5gdmbc 37 12 immunocompromised immunocompromised JJ cord-254852-qr5gdmbc 37 13 or or CC cord-254852-qr5gdmbc 37 14 elderly elderly JJ cord-254852-qr5gdmbc 37 15 and and CC cord-254852-qr5gdmbc 37 16 nursing nursing NN cord-254852-qr5gdmbc 37 17 home home NN cord-254852-qr5gdmbc 37 18 patients patient NNS cord-254852-qr5gdmbc 37 19 , , , cord-254852-qr5gdmbc 37 20 because because IN cord-254852-qr5gdmbc 37 21 they -PRON- PRP cord-254852-qr5gdmbc 37 22 frequently frequently RB cord-254852-qr5gdmbc 37 23 display display VBP cord-254852-qr5gdmbc 37 24 fewer few JJR cord-254852-qr5gdmbc 37 25 overt overt JJ cord-254852-qr5gdmbc 37 26 symptoms symptom NNS cord-254852-qr5gdmbc 37 27 of of IN cord-254852-qr5gdmbc 37 28 pneumonia pneumonia NN cord-254852-qr5gdmbc 37 29 when when WRB cord-254852-qr5gdmbc 37 30 compared compare VBN cord-254852-qr5gdmbc 37 31 with with IN cord-254852-qr5gdmbc 37 32 the the DT cord-254852-qr5gdmbc 37 33 general general JJ cord-254852-qr5gdmbc 37 34 population population NN cord-254852-qr5gdmbc 37 35 . . . cord-254852-qr5gdmbc 38 1 8 8 CD cord-254852-qr5gdmbc 38 2 , , , cord-254852-qr5gdmbc 38 3 9 9 CD cord-254852-qr5gdmbc 38 4 No no DT cord-254852-qr5gdmbc 38 5 individual individual JJ cord-254852-qr5gdmbc 38 6 component component NN cord-254852-qr5gdmbc 38 7 of of IN cord-254852-qr5gdmbc 38 8 the the DT cord-254852-qr5gdmbc 38 9 history history NN cord-254852-qr5gdmbc 38 10 or or CC cord-254852-qr5gdmbc 38 11 physical physical JJ cord-254852-qr5gdmbc 38 12 examination examination NN cord-254852-qr5gdmbc 38 13 is be VBZ cord-254852-qr5gdmbc 38 14 useful useful JJ cord-254852-qr5gdmbc 38 15 in in IN cord-254852-qr5gdmbc 38 16 diagnosing diagnose VBG cord-254852-qr5gdmbc 38 17 pneumonia pneumonia NN cord-254852-qr5gdmbc 38 18 , , , cord-254852-qr5gdmbc 38 19 but but CC cord-254852-qr5gdmbc 38 20 the the DT cord-254852-qr5gdmbc 38 21 presence presence NN cord-254852-qr5gdmbc 38 22 of of IN cord-254852-qr5gdmbc 38 23 multiple multiple JJ cord-254852-qr5gdmbc 38 24 findings finding NNS cord-254852-qr5gdmbc 38 25 is be VBZ cord-254852-qr5gdmbc 38 26 required require VBN cord-254852-qr5gdmbc 38 27 ( ( -LRB- cord-254852-qr5gdmbc 38 28 Table table NN cord-254852-qr5gdmbc 38 29 2 2 CD cord-254852-qr5gdmbc 38 30 ) ) -RRB- cord-254852-qr5gdmbc 38 31 . . . cord-254852-qr5gdmbc 39 1 In in IN cord-254852-qr5gdmbc 39 2 adults adult NNS cord-254852-qr5gdmbc 39 3 presenting present VBG cord-254852-qr5gdmbc 39 4 with with IN cord-254852-qr5gdmbc 39 5 acute acute JJ cord-254852-qr5gdmbc 39 6 cough cough NN cord-254852-qr5gdmbc 39 7 , , , cord-254852-qr5gdmbc 39 8 the the DT cord-254852-qr5gdmbc 39 9 baseline baseline JJ cord-254852-qr5gdmbc 39 10 probability probability NN cord-254852-qr5gdmbc 39 11 of of IN cord-254852-qr5gdmbc 39 12 pneumonia pneumonia NN cord-254852-qr5gdmbc 39 13 is be VBZ cord-254852-qr5gdmbc 39 14 only only RB cord-254852-qr5gdmbc 39 15 5 5 CD cord-254852-qr5gdmbc 39 16 % % NN cord-254852-qr5gdmbc 39 17 . . . cord-254852-qr5gdmbc 40 1 Absence absence NN cord-254852-qr5gdmbc 40 2 of of IN cord-254852-qr5gdmbc 40 3 any any DT cord-254852-qr5gdmbc 40 4 vital vital JJ cord-254852-qr5gdmbc 40 5 sign sign NN cord-254852-qr5gdmbc 40 6 abnormality abnormality NN cord-254852-qr5gdmbc 40 7 ( ( -LRB- cord-254852-qr5gdmbc 40 8 blood blood NN cord-254852-qr5gdmbc 40 9 pressure pressure NN cord-254852-qr5gdmbc 40 10 , , , cord-254852-qr5gdmbc 40 11 heart heart NN cord-254852-qr5gdmbc 40 12 rate rate NN cord-254852-qr5gdmbc 40 13 , , , cord-254852-qr5gdmbc 40 14 respiratory respiratory JJ cord-254852-qr5gdmbc 40 15 rate rate NN cord-254852-qr5gdmbc 40 16 ) ) -RRB- cord-254852-qr5gdmbc 40 17 reduces reduce VBZ cord-254852-qr5gdmbc 40 18 the the DT cord-254852-qr5gdmbc 40 19 predicted predict VBN cord-254852-qr5gdmbc 40 20 probability probability NN cord-254852-qr5gdmbc 40 21 of of IN cord-254852-qr5gdmbc 40 22 pneumonia pneumonia NN cord-254852-qr5gdmbc 40 23 to to IN cord-254852-qr5gdmbc 40 24 1 1 CD cord-254852-qr5gdmbc 40 25 % % NN cord-254852-qr5gdmbc 40 26 . . . cord-254852-qr5gdmbc 41 1 8 8 CD cord-254852-qr5gdmbc 42 1 A a DT cord-254852-qr5gdmbc 42 2 chest chest NN cord-254852-qr5gdmbc 42 3 radiograph radiograph NN cord-254852-qr5gdmbc 42 4 should should MD cord-254852-qr5gdmbc 42 5 be be VB cord-254852-qr5gdmbc 42 6 ordered order VBN cord-254852-qr5gdmbc 42 7 for for IN cord-254852-qr5gdmbc 42 8 any any DT cord-254852-qr5gdmbc 42 9 patient patient NN cord-254852-qr5gdmbc 42 10 with with IN cord-254852-qr5gdmbc 42 11 abnormal abnormal JJ cord-254852-qr5gdmbc 42 12 vital vital JJ cord-254852-qr5gdmbc 42 13 signs sign NNS cord-254852-qr5gdmbc 42 14 defined define VBN cord-254852-qr5gdmbc 42 15 as as IN cord-254852-qr5gdmbc 42 16 temperature temperature NN cord-254852-qr5gdmbc 42 17 higher high JJR cord-254852-qr5gdmbc 42 18 than than IN cord-254852-qr5gdmbc 42 19 100 100 CD cord-254852-qr5gdmbc 42 20 F f NN cord-254852-qr5gdmbc 42 21 , , , cord-254852-qr5gdmbc 42 22 heart heart NN cord-254852-qr5gdmbc 42 23 rate rate NN cord-254852-qr5gdmbc 42 24 higher high JJR cord-254852-qr5gdmbc 42 25 than than IN cord-254852-qr5gdmbc 42 26 100 100 CD cord-254852-qr5gdmbc 42 27 bpm bpm NNS cord-254852-qr5gdmbc 42 28 , , , cord-254852-qr5gdmbc 42 29 or or CC cord-254852-qr5gdmbc 42 30 respiratory respiratory JJ cord-254852-qr5gdmbc 42 31 rate rate NN cord-254852-qr5gdmbc 42 32 higher high JJR cord-254852-qr5gdmbc 42 33 than than IN cord-254852-qr5gdmbc 42 34 20 20 CD cord-254852-qr5gdmbc 42 35 bpm bpm NNS cord-254852-qr5gdmbc 42 36 . . . cord-254852-qr5gdmbc 43 1 Imaging imaging NN cord-254852-qr5gdmbc 43 2 should should MD cord-254852-qr5gdmbc 43 3 also also RB cord-254852-qr5gdmbc 43 4 be be VB cord-254852-qr5gdmbc 43 5 obtained obtain VBN cord-254852-qr5gdmbc 43 6 for for IN cord-254852-qr5gdmbc 43 7 physical physical JJ cord-254852-qr5gdmbc 43 8 examination examination NN cord-254852-qr5gdmbc 43 9 abnormalities abnormality NNS cord-254852-qr5gdmbc 43 10 of of IN cord-254852-qr5gdmbc 43 11 crackles crackle NNS cord-254852-qr5gdmbc 43 12 or or CC cord-254852-qr5gdmbc 43 13 decreased decrease VBD cord-254852-qr5gdmbc 43 14 breath breath NN cord-254852-qr5gdmbc 43 15 sounds sound VBZ cord-254852-qr5gdmbc 43 16 in in IN cord-254852-qr5gdmbc 43 17 a a DT cord-254852-qr5gdmbc 43 18 patient patient NN cord-254852-qr5gdmbc 43 19 without without IN cord-254852-qr5gdmbc 43 20 asthma asthma NN cord-254852-qr5gdmbc 43 21 . . . cord-254852-qr5gdmbc 44 1 10 10 CD cord-254852-qr5gdmbc 44 2 Infectious Infectious NNP cord-254852-qr5gdmbc 44 3 Disease Disease NNP cord-254852-qr5gdmbc 44 4 Society Society NNP cord-254852-qr5gdmbc 44 5 of of IN cord-254852-qr5gdmbc 44 6 America America NNP cord-254852-qr5gdmbc 44 7 2016 2016 CD cord-254852-qr5gdmbc 44 8 Guidelines Guidelines NNPS cord-254852-qr5gdmbc 44 9 recommend recommend VBP cord-254852-qr5gdmbc 44 10 imaging image VBG cord-254852-qr5gdmbc 44 11 with with IN cord-254852-qr5gdmbc 44 12 a a DT cord-254852-qr5gdmbc 44 13 demonstrable demonstrable JJ cord-254852-qr5gdmbc 44 14 infiltrate infiltrate NN cord-254852-qr5gdmbc 44 15 to to TO cord-254852-qr5gdmbc 44 16 confirm confirm VB cord-254852-qr5gdmbc 44 17 the the DT cord-254852-qr5gdmbc 44 18 diagnosis diagnosis NN cord-254852-qr5gdmbc 44 19 of of IN cord-254852-qr5gdmbc 44 20 pneumonia pneumonia NN cord-254852-qr5gdmbc 44 21 and and CC cord-254852-qr5gdmbc 44 22 to to TO cord-254852-qr5gdmbc 44 23 exclude exclude VB cord-254852-qr5gdmbc 44 24 other other JJ cord-254852-qr5gdmbc 44 25 causes cause NNS cord-254852-qr5gdmbc 44 26 of of IN cord-254852-qr5gdmbc 44 27 cough cough NN cord-254852-qr5gdmbc 44 28 and and CC cord-254852-qr5gdmbc 44 29 fever fever NN cord-254852-qr5gdmbc 44 30 such such JJ cord-254852-qr5gdmbc 44 31 as as IN cord-254852-qr5gdmbc 44 32 acute acute JJ cord-254852-qr5gdmbc 44 33 bronchitis bronchitis NN cord-254852-qr5gdmbc 44 34 . . . cord-254852-qr5gdmbc 45 1 11 11 CD cord-254852-qr5gdmbc 46 1 Although although IN cord-254852-qr5gdmbc 46 2 X x NN cord-254852-qr5gdmbc 46 3 - - NN cord-254852-qr5gdmbc 46 4 ray ray NN cord-254852-qr5gdmbc 46 5 imaging imaging NN cord-254852-qr5gdmbc 46 6 is be VBZ cord-254852-qr5gdmbc 46 7 a a DT cord-254852-qr5gdmbc 46 8 mainstay mainstay NN cord-254852-qr5gdmbc 46 9 of of IN cord-254852-qr5gdmbc 46 10 diagnosis diagnosis NN cord-254852-qr5gdmbc 46 11 of of IN cord-254852-qr5gdmbc 46 12 pneumonia pneumonia NN cord-254852-qr5gdmbc 46 13 , , , cord-254852-qr5gdmbc 46 14 the the DT cord-254852-qr5gdmbc 46 15 British British NNP cord-254852-qr5gdmbc 46 16 Thoracic Thoracic NNP cord-254852-qr5gdmbc 46 17 Society Society NNP cord-254852-qr5gdmbc 46 18 recommends recommend VBZ cord-254852-qr5gdmbc 46 19 the the DT cord-254852-qr5gdmbc 46 20 entire entire JJ cord-254852-qr5gdmbc 46 21 clinical clinical JJ cord-254852-qr5gdmbc 46 22 picture picture NN cord-254852-qr5gdmbc 46 23 should should MD cord-254852-qr5gdmbc 46 24 be be VB cord-254852-qr5gdmbc 46 25 considered consider VBN cord-254852-qr5gdmbc 46 26 when when WRB cord-254852-qr5gdmbc 46 27 making make VBG cord-254852-qr5gdmbc 46 28 a a DT cord-254852-qr5gdmbc 46 29 decision decision NN cord-254852-qr5gdmbc 46 30 to to TO cord-254852-qr5gdmbc 46 31 treat treat VB cord-254852-qr5gdmbc 46 32 . . . cord-254852-qr5gdmbc 47 1 12 12 CD cord-254852-qr5gdmbc 48 1 A a DT cord-254852-qr5gdmbc 48 2 systematic systematic JJ cord-254852-qr5gdmbc 48 3 review review NN cord-254852-qr5gdmbc 48 4 found find VBD cord-254852-qr5gdmbc 48 5 that that IN cord-254852-qr5gdmbc 48 6 among among IN cord-254852-qr5gdmbc 48 7 patients patient NNS cord-254852-qr5gdmbc 48 8 who who WP cord-254852-qr5gdmbc 48 9 are be VBP cord-254852-qr5gdmbc 48 10 sick sick JJ cord-254852-qr5gdmbc 48 11 enough enough RB cord-254852-qr5gdmbc 48 12 to to TO cord-254852-qr5gdmbc 48 13 be be VB cord-254852-qr5gdmbc 48 14 admitted admit VBN cord-254852-qr5gdmbc 48 15 with with IN cord-254852-qr5gdmbc 48 16 a a DT cord-254852-qr5gdmbc 48 17 clinical clinical JJ cord-254852-qr5gdmbc 48 18 diagnosis diagnosis NN cord-254852-qr5gdmbc 48 19 of of IN cord-254852-qr5gdmbc 48 20 CAP cap NN cord-254852-qr5gdmbc 48 21 but but CC cord-254852-qr5gdmbc 48 22 have have VBP cord-254852-qr5gdmbc 48 23 a a DT cord-254852-qr5gdmbc 48 24 normal normal JJ cord-254852-qr5gdmbc 48 25 initial initial JJ cord-254852-qr5gdmbc 48 26 chest chest NN cord-254852-qr5gdmbc 48 27 radiograph radiograph NN cord-254852-qr5gdmbc 48 28 , , , cord-254852-qr5gdmbc 48 29 approximately approximately RB cord-254852-qr5gdmbc 48 30 1 1 CD cord-254852-qr5gdmbc 48 31 in in IN cord-254852-qr5gdmbc 48 32 10 10 CD cord-254852-qr5gdmbc 48 33 will will MD cord-254852-qr5gdmbc 48 34 develop develop VB cord-254852-qr5gdmbc 48 35 radiographic radiographic JJ cord-254852-qr5gdmbc 48 36 evidence evidence NN cord-254852-qr5gdmbc 48 37 of of IN cord-254852-qr5gdmbc 48 38 pneumonia pneumonia NN cord-254852-qr5gdmbc 48 39 within within IN cord-254852-qr5gdmbc 48 40 72 72 CD cord-254852-qr5gdmbc 48 41 hours hour NNS cord-254852-qr5gdmbc 48 42 . . . cord-254852-qr5gdmbc 49 1 8 8 CD cord-254852-qr5gdmbc 50 1 In in IN cord-254852-qr5gdmbc 50 2 such such JJ cord-254852-qr5gdmbc 50 3 cases case NNS cord-254852-qr5gdmbc 50 4 , , , cord-254852-qr5gdmbc 50 5 it -PRON- PRP cord-254852-qr5gdmbc 50 6 is be VBZ cord-254852-qr5gdmbc 50 7 appropriate appropriate JJ cord-254852-qr5gdmbc 50 8 to to TO cord-254852-qr5gdmbc 50 9 treat treat VB cord-254852-qr5gdmbc 50 10 the the DT cord-254852-qr5gdmbc 50 11 patient patient NN cord-254852-qr5gdmbc 50 12 empirically empirically RB cord-254852-qr5gdmbc 50 13 for for IN cord-254852-qr5gdmbc 50 14 pneumonia pneumonia NN cord-254852-qr5gdmbc 50 15 and and CC cord-254852-qr5gdmbc 50 16 repeat repeat NN cord-254852-qr5gdmbc 50 17 imaging image VBG cord-254852-qr5gdmbc 50 18 in in IN cord-254852-qr5gdmbc 50 19 24 24 CD cord-254852-qr5gdmbc 50 20 to to TO cord-254852-qr5gdmbc 50 21 48 48 CD cord-254852-qr5gdmbc 50 22 hours hour NNS cord-254852-qr5gdmbc 50 23 . . . cord-254852-qr5gdmbc 51 1 11 11 CD cord-254852-qr5gdmbc 51 2 Community Community NNP cord-254852-qr5gdmbc 51 3 resources resource NNS cord-254852-qr5gdmbc 51 4 and and CC cord-254852-qr5gdmbc 51 5 access access NN cord-254852-qr5gdmbc 51 6 to to IN cord-254852-qr5gdmbc 51 7 imaging imaging NN cord-254852-qr5gdmbc 51 8 may may MD cord-254852-qr5gdmbc 51 9 also also RB cord-254852-qr5gdmbc 51 10 affect affect VB cord-254852-qr5gdmbc 51 11 decision decision NN cord-254852-qr5gdmbc 51 12 to to TO cord-254852-qr5gdmbc 51 13 treat treat VB cord-254852-qr5gdmbc 51 14 without without IN cord-254852-qr5gdmbc 51 15 imaging imaging NN cord-254852-qr5gdmbc 51 16 . . . cord-254852-qr5gdmbc 52 1 Routine routine JJ cord-254852-qr5gdmbc 52 2 blood blood NN cord-254852-qr5gdmbc 52 3 and and CC cord-254852-qr5gdmbc 52 4 sputum sputum NN cord-254852-qr5gdmbc 52 5 culture culture NN cord-254852-qr5gdmbc 52 6 testing testing NN cord-254852-qr5gdmbc 52 7 is be VBZ cord-254852-qr5gdmbc 52 8 costly costly JJ cord-254852-qr5gdmbc 52 9 and and CC cord-254852-qr5gdmbc 52 10 often often RB cord-254852-qr5gdmbc 52 11 low low JJ cord-254852-qr5gdmbc 52 12 - - HYPH cord-254852-qr5gdmbc 52 13 yield yield NN cord-254852-qr5gdmbc 52 14 . . . cord-254852-qr5gdmbc 52 15 13 13 CD cord-254852-qr5gdmbc 53 1 However however RB cord-254852-qr5gdmbc 53 2 , , , cord-254852-qr5gdmbc 53 3 more more RBR cord-254852-qr5gdmbc 53 4 extensive extensive JJ cord-254852-qr5gdmbc 53 5 diagnostic diagnostic JJ cord-254852-qr5gdmbc 53 6 testing testing NN cord-254852-qr5gdmbc 53 7 should should MD cord-254852-qr5gdmbc 53 8 be be VB cord-254852-qr5gdmbc 53 9 considered consider VBN cord-254852-qr5gdmbc 53 10 in in IN cord-254852-qr5gdmbc 53 11 patients patient NNS cord-254852-qr5gdmbc 53 12 who who WP cord-254852-qr5gdmbc 53 13 are be VBP cord-254852-qr5gdmbc 53 14 at at IN cord-254852-qr5gdmbc 53 15 risk risk NN cord-254852-qr5gdmbc 53 16 for for IN cord-254852-qr5gdmbc 53 17 infection infection NN cord-254852-qr5gdmbc 53 18 with with IN cord-254852-qr5gdmbc 53 19 unusual unusual JJ cord-254852-qr5gdmbc 53 20 pathogens pathogen NNS cord-254852-qr5gdmbc 53 21 , , , cord-254852-qr5gdmbc 53 22 who who WP cord-254852-qr5gdmbc 53 23 are be VBP cord-254852-qr5gdmbc 53 24 not not RB cord-254852-qr5gdmbc 53 25 responding respond VBG cord-254852-qr5gdmbc 53 26 to to IN cord-254852-qr5gdmbc 53 27 treatment treatment NN cord-254852-qr5gdmbc 53 28 , , , cord-254852-qr5gdmbc 53 29 or or CC cord-254852-qr5gdmbc 53 30 when when WRB cord-254852-qr5gdmbc 53 31 additional additional JJ cord-254852-qr5gdmbc 53 32 testing testing NN cord-254852-qr5gdmbc 53 33 is be VBZ cord-254852-qr5gdmbc 53 34 likely likely JJ cord-254852-qr5gdmbc 53 35 to to TO cord-254852-qr5gdmbc 53 36 change change VB cord-254852-qr5gdmbc 53 37 antibiotic antibiotic JJ cord-254852-qr5gdmbc 53 38 management management NN cord-254852-qr5gdmbc 53 39 ( ( -LRB- cord-254852-qr5gdmbc 53 40 Table Table NNP cord-254852-qr5gdmbc 53 41 3 3 CD cord-254852-qr5gdmbc 53 42 ) ) -RRB- cord-254852-qr5gdmbc 53 43 . . . cord-254852-qr5gdmbc 54 1 11 11 CD cord-254852-qr5gdmbc 54 2 , , , cord-254852-qr5gdmbc 54 3 12 12 CD cord-254852-qr5gdmbc 54 4 It -PRON- PRP cord-254852-qr5gdmbc 54 5 is be VBZ cord-254852-qr5gdmbc 54 6 reasonable reasonable JJ cord-254852-qr5gdmbc 54 7 to to TO cord-254852-qr5gdmbc 54 8 consider consider VB cord-254852-qr5gdmbc 54 9 respiratory respiratory JJ cord-254852-qr5gdmbc 54 10 viral viral JJ cord-254852-qr5gdmbc 54 11 polymerase polymerase NN cord-254852-qr5gdmbc 54 12 chain chain NN cord-254852-qr5gdmbc 54 13 reaction reaction NN cord-254852-qr5gdmbc 54 14 ( ( -LRB- cord-254852-qr5gdmbc 54 15 PCR PCR NNP cord-254852-qr5gdmbc 54 16 ) ) -RRB- cord-254852-qr5gdmbc 54 17 to to TO cord-254852-qr5gdmbc 54 18 determine determine VB cord-254852-qr5gdmbc 54 19 viral viral JJ cord-254852-qr5gdmbc 54 20 causes cause NNS cord-254852-qr5gdmbc 54 21 of of IN cord-254852-qr5gdmbc 54 22 symptoms symptom NNS cord-254852-qr5gdmbc 54 23 , , , cord-254852-qr5gdmbc 54 24 so so IN cord-254852-qr5gdmbc 54 25 that that DT cord-254852-qr5gdmbc 54 26 inappropriate inappropriate JJ cord-254852-qr5gdmbc 54 27 antibiotic antibiotic JJ cord-254852-qr5gdmbc 54 28 use use NN cord-254852-qr5gdmbc 54 29 can can MD cord-254852-qr5gdmbc 54 30 be be VB cord-254852-qr5gdmbc 54 31 limited limit VBN cord-254852-qr5gdmbc 54 32 . . . cord-254852-qr5gdmbc 55 1 Additional additional JJ cord-254852-qr5gdmbc 55 2 testing testing NN cord-254852-qr5gdmbc 55 3 for for IN cord-254852-qr5gdmbc 55 4 M. M. NNP cord-254852-qr5gdmbc 55 5 tuberculosis tuberculosis NN cord-254852-qr5gdmbc 55 6 should should MD cord-254852-qr5gdmbc 55 7 be be VB cord-254852-qr5gdmbc 55 8 considered consider VBN cord-254852-qr5gdmbc 55 9 in in IN cord-254852-qr5gdmbc 55 10 a a DT cord-254852-qr5gdmbc 55 11 patient patient NN cord-254852-qr5gdmbc 55 12 presenting present VBG cord-254852-qr5gdmbc 55 13 with with IN cord-254852-qr5gdmbc 55 14 persistent persistent JJ cord-254852-qr5gdmbc 55 15 cough cough NN cord-254852-qr5gdmbc 55 16 , , , cord-254852-qr5gdmbc 55 17 particularly particularly RB cord-254852-qr5gdmbc 55 18 in in IN cord-254852-qr5gdmbc 55 19 the the DT cord-254852-qr5gdmbc 55 20 setting setting NN cord-254852-qr5gdmbc 55 21 of of IN cord-254852-qr5gdmbc 55 22 weight weight NN cord-254852-qr5gdmbc 55 23 loss loss NN cord-254852-qr5gdmbc 55 24 , , , cord-254852-qr5gdmbc 55 25 malaise malaise NN cord-254852-qr5gdmbc 55 26 , , , cord-254852-qr5gdmbc 55 27 night night NN cord-254852-qr5gdmbc 55 28 sweats sweat NNS cord-254852-qr5gdmbc 55 29 , , , cord-254852-qr5gdmbc 55 30 or or CC cord-254852-qr5gdmbc 55 31 hemoptysis hemoptysis NN cord-254852-qr5gdmbc 55 32 . . . cord-254852-qr5gdmbc 56 1 Additional additional JJ cord-254852-qr5gdmbc 56 2 risk risk NN cord-254852-qr5gdmbc 56 3 factors factor NNS cord-254852-qr5gdmbc 56 4 for for IN cord-254852-qr5gdmbc 56 5 tuberculosis tuberculosis NN cord-254852-qr5gdmbc 56 6 ( ( -LRB- cord-254852-qr5gdmbc 56 7 TB TB NNP cord-254852-qr5gdmbc 56 8 ) ) -RRB- cord-254852-qr5gdmbc 56 9 include include VBP cord-254852-qr5gdmbc 56 10 immigration immigration NN cord-254852-qr5gdmbc 56 11 from from IN cord-254852-qr5gdmbc 56 12 an an DT cord-254852-qr5gdmbc 56 13 endemic endemic JJ cord-254852-qr5gdmbc 56 14 country country NN cord-254852-qr5gdmbc 56 15 , , , cord-254852-qr5gdmbc 56 16 residing reside VBG cord-254852-qr5gdmbc 56 17 in in IN cord-254852-qr5gdmbc 56 18 a a DT cord-254852-qr5gdmbc 56 19 homeless homeless JJ cord-254852-qr5gdmbc 56 20 shelter shelter NN cord-254852-qr5gdmbc 56 21 , , , cord-254852-qr5gdmbc 56 22 intravenous intravenous JJ cord-254852-qr5gdmbc 56 23 drug drug NN cord-254852-qr5gdmbc 56 24 use use NN cord-254852-qr5gdmbc 56 25 , , , cord-254852-qr5gdmbc 56 26 or or CC cord-254852-qr5gdmbc 56 27 human human JJ cord-254852-qr5gdmbc 56 28 immunodeficiency immunodeficiency NN cord-254852-qr5gdmbc 56 29 virus virus NN cord-254852-qr5gdmbc 56 30 ( ( -LRB- cord-254852-qr5gdmbc 56 31 HIV HIV NNP cord-254852-qr5gdmbc 56 32 ) ) -RRB- cord-254852-qr5gdmbc 56 33 infection infection NN cord-254852-qr5gdmbc 56 34 . . . cord-254852-qr5gdmbc 57 1 Persons person NNS cord-254852-qr5gdmbc 57 2 who who WP cord-254852-qr5gdmbc 57 3 work work VBP cord-254852-qr5gdmbc 57 4 with with IN cord-254852-qr5gdmbc 57 5 people people NNS cord-254852-qr5gdmbc 57 6 at at IN cord-254852-qr5gdmbc 57 7 high high JJ cord-254852-qr5gdmbc 57 8 risk risk NN cord-254852-qr5gdmbc 57 9 for for IN cord-254852-qr5gdmbc 57 10 TB TB NNP cord-254852-qr5gdmbc 57 11 infection infection NN cord-254852-qr5gdmbc 57 12 are be VBP cord-254852-qr5gdmbc 57 13 also also RB cord-254852-qr5gdmbc 57 14 considered consider VBN cord-254852-qr5gdmbc 57 15 high high JJ cord-254852-qr5gdmbc 57 16 risk risk NN cord-254852-qr5gdmbc 57 17 . . . cord-254852-qr5gdmbc 58 1 12 12 CD cord-254852-qr5gdmbc 58 2 , , , cord-254852-qr5gdmbc 58 3 14 14 CD cord-254852-qr5gdmbc 58 4 TREATMENT treatment NN cord-254852-qr5gdmbc 59 1 Most Most JJS cord-254852-qr5gdmbc 59 2 cases case NNS cord-254852-qr5gdmbc 59 3 of of IN cord-254852-qr5gdmbc 59 4 pneumonia pneumonia NN cord-254852-qr5gdmbc 59 5 can can MD cord-254852-qr5gdmbc 59 6 be be VB cord-254852-qr5gdmbc 59 7 managed manage VBN cord-254852-qr5gdmbc 59 8 in in IN cord-254852-qr5gdmbc 59 9 the the DT cord-254852-qr5gdmbc 59 10 outpatient outpatient NN cord-254852-qr5gdmbc 59 11 setting setting NN cord-254852-qr5gdmbc 59 12 . . . cord-254852-qr5gdmbc 60 1 Several several JJ cord-254852-qr5gdmbc 60 2 severity severity NN cord-254852-qr5gdmbc 60 3 assessment assessment NN cord-254852-qr5gdmbc 60 4 tools tool NNS cord-254852-qr5gdmbc 60 5 have have VBP cord-254852-qr5gdmbc 60 6 been be VBN cord-254852-qr5gdmbc 60 7 developed develop VBN cord-254852-qr5gdmbc 60 8 to to TO cord-254852-qr5gdmbc 60 9 help help VB cord-254852-qr5gdmbc 60 10 determine determine VB cord-254852-qr5gdmbc 60 11 appropriate appropriate JJ cord-254852-qr5gdmbc 60 12 treatment treatment NN cord-254852-qr5gdmbc 60 13 settings setting NNS cord-254852-qr5gdmbc 60 14 . . . cord-254852-qr5gdmbc 61 1 The the DT cord-254852-qr5gdmbc 61 2 Pneumonia Pneumonia NNP cord-254852-qr5gdmbc 61 3 Severity Severity NNP cord-254852-qr5gdmbc 61 4 Index Index NNP cord-254852-qr5gdmbc 61 5 ( ( -LRB- cord-254852-qr5gdmbc 61 6 PSI PSI NNP cord-254852-qr5gdmbc 61 7 ) ) -RRB- cord-254852-qr5gdmbc 61 8 considers consider VBZ cord-254852-qr5gdmbc 61 9 20 20 CD cord-254852-qr5gdmbc 61 10 variables variable NNS cord-254852-qr5gdmbc 61 11 to to TO cord-254852-qr5gdmbc 61 12 stratify stratify VB cord-254852-qr5gdmbc 61 13 patients patient NNS cord-254852-qr5gdmbc 61 14 into into IN cord-254852-qr5gdmbc 61 15 1 1 CD cord-254852-qr5gdmbc 61 16 of of IN cord-254852-qr5gdmbc 61 17 5 5 CD cord-254852-qr5gdmbc 61 18 risk risk NN cord-254852-qr5gdmbc 61 19 categories category NNS cord-254852-qr5gdmbc 61 20 ( ( -LRB- cord-254852-qr5gdmbc 61 21 I i NN cord-254852-qr5gdmbc 61 22 - - HYPH cord-254852-qr5gdmbc 61 23 V v NN cord-254852-qr5gdmbc 61 24 ) ) -RRB- cord-254852-qr5gdmbc 61 25 based base VBN cord-254852-qr5gdmbc 61 26 on on IN cord-254852-qr5gdmbc 61 27 risk risk NN cord-254852-qr5gdmbc 61 28 of of IN cord-254852-qr5gdmbc 61 29 death death NN cord-254852-qr5gdmbc 61 30 within within IN cord-254852-qr5gdmbc 61 31 30 30 CD cord-254852-qr5gdmbc 61 32 days day NNS cord-254852-qr5gdmbc 61 33 . . . cord-254852-qr5gdmbc 62 1 15 15 CD cord-254852-qr5gdmbc 63 1 Given give VBN cord-254852-qr5gdmbc 63 2 the the DT cord-254852-qr5gdmbc 63 3 number number NN cord-254852-qr5gdmbc 63 4 of of IN cord-254852-qr5gdmbc 63 5 parameters parameter NNS cord-254852-qr5gdmbc 63 6 required require VBN cord-254852-qr5gdmbc 63 7 , , , cord-254852-qr5gdmbc 63 8 it -PRON- PRP cord-254852-qr5gdmbc 63 9 is be VBZ cord-254852-qr5gdmbc 63 10 not not RB cord-254852-qr5gdmbc 63 11 frequently frequently RB cord-254852-qr5gdmbc 63 12 used use VBN cord-254852-qr5gdmbc 63 13 in in IN cord-254852-qr5gdmbc 63 14 general general JJ cord-254852-qr5gdmbc 63 15 practice practice NN cord-254852-qr5gdmbc 63 16 . . . cord-254852-qr5gdmbc 64 1 The the DT cord-254852-qr5gdmbc 64 2 CURB65 CURB65 NNP cord-254852-qr5gdmbc 64 3 assessment assessment NN cord-254852-qr5gdmbc 64 4 tool tool NN cord-254852-qr5gdmbc 64 5 was be VBD cord-254852-qr5gdmbc 64 6 introduced introduce VBN cord-254852-qr5gdmbc 64 7 in in IN cord-254852-qr5gdmbc 64 8 2003 2003 CD cord-254852-qr5gdmbc 64 9 by by IN cord-254852-qr5gdmbc 64 10 the the DT cord-254852-qr5gdmbc 64 11 British British NNP cord-254852-qr5gdmbc 64 12 Thoracic Thoracic NNP cord-254852-qr5gdmbc 64 13 Society Society NNP cord-254852-qr5gdmbc 64 14 . . . cord-254852-qr5gdmbc 65 1 16 16 CD cord-254852-qr5gdmbc 65 2 Similar similar JJ cord-254852-qr5gdmbc 65 3 to to IN cord-254852-qr5gdmbc 65 4 the the DT cord-254852-qr5gdmbc 65 5 PSI PSI NNP cord-254852-qr5gdmbc 65 6 , , , cord-254852-qr5gdmbc 65 7 it -PRON- PRP cord-254852-qr5gdmbc 65 8 calculates calculate VBZ cord-254852-qr5gdmbc 65 9 risk risk NN cord-254852-qr5gdmbc 65 10 of of IN cord-254852-qr5gdmbc 65 11 30-day 30-day CD cord-254852-qr5gdmbc 65 12 mortality mortality NN cord-254852-qr5gdmbc 65 13 , , , cord-254852-qr5gdmbc 65 14 but but CC cord-254852-qr5gdmbc 65 15 instead instead RB cord-254852-qr5gdmbc 65 16 only only RB cord-254852-qr5gdmbc 65 17 uses use VBZ cord-254852-qr5gdmbc 65 18 5 5 CD cord-254852-qr5gdmbc 65 19 variables variable NNS cord-254852-qr5gdmbc 65 20 ( ( -LRB- cord-254852-qr5gdmbc 65 21 confusion confusion NN cord-254852-qr5gdmbc 65 22 , , , cord-254852-qr5gdmbc 65 23 urea urea NN cord-254852-qr5gdmbc 65 24 , , , cord-254852-qr5gdmbc 65 25 respiratory respiratory JJ cord-254852-qr5gdmbc 65 26 rate rate NN cord-254852-qr5gdmbc 65 27 , , , cord-254852-qr5gdmbc 65 28 blood blood NN cord-254852-qr5gdmbc 65 29 pressure pressure NN cord-254852-qr5gdmbc 65 30 , , , cord-254852-qr5gdmbc 65 31 and and CC cord-254852-qr5gdmbc 65 32 age age NN cord-254852-qr5gdmbc 65 33 > > XX cord-254852-qr5gdmbc 65 34 65 65 CD cord-254852-qr5gdmbc 65 35 ) ) -RRB- cord-254852-qr5gdmbc 65 36 , , , cord-254852-qr5gdmbc 65 37 with with IN cord-254852-qr5gdmbc 65 38 one one CD cord-254852-qr5gdmbc 65 39 point point NN cord-254852-qr5gdmbc 65 40 awarded award VBN cord-254852-qr5gdmbc 65 41 for for IN cord-254852-qr5gdmbc 65 42 each each DT cord-254852-qr5gdmbc 65 43 if if IN cord-254852-qr5gdmbc 65 44 present present JJ cord-254852-qr5gdmbc 65 45 , , , cord-254852-qr5gdmbc 65 46 allowing allow VBG cord-254852-qr5gdmbc 65 47 for for IN cord-254852-qr5gdmbc 65 48 greater great JJR cord-254852-qr5gdmbc 65 49 ease ease NN cord-254852-qr5gdmbc 65 50 of of IN cord-254852-qr5gdmbc 65 51 use use NN cord-254852-qr5gdmbc 65 52 . . . cord-254852-qr5gdmbc 66 1 15 15 CD cord-254852-qr5gdmbc 66 2 , , , cord-254852-qr5gdmbc 66 3 16 16 CD cord-254852-qr5gdmbc 66 4 The the DT cord-254852-qr5gdmbc 66 5 CRB65 CRB65 NNPS cord-254852-qr5gdmbc 66 6 can can MD cord-254852-qr5gdmbc 66 7 be be VB cord-254852-qr5gdmbc 66 8 calculated calculate VBN cord-254852-qr5gdmbc 66 9 without without IN cord-254852-qr5gdmbc 66 10 blood blood NN cord-254852-qr5gdmbc 66 11 urea urea NN cord-254852-qr5gdmbc 66 12 and and CC cord-254852-qr5gdmbc 66 13 thus thus RB cord-254852-qr5gdmbc 66 14 is be VBZ cord-254852-qr5gdmbc 66 15 useful useful JJ cord-254852-qr5gdmbc 66 16 in in IN cord-254852-qr5gdmbc 66 17 the the DT cord-254852-qr5gdmbc 66 18 outpatient outpatient NN cord-254852-qr5gdmbc 66 19 setting setting NN cord-254852-qr5gdmbc 66 20 . . . cord-254852-qr5gdmbc 67 1 A a DT cord-254852-qr5gdmbc 67 2 recent recent JJ cord-254852-qr5gdmbc 67 3 systematic systematic JJ cord-254852-qr5gdmbc 67 4 review review NN cord-254852-qr5gdmbc 67 5 and and CC cord-254852-qr5gdmbc 67 6 meta meta NNP cord-254852-qr5gdmbc 67 7 - - HYPH cord-254852-qr5gdmbc 67 8 analysis analysis NN cord-254852-qr5gdmbc 67 9 found find VBD cord-254852-qr5gdmbc 67 10 no no DT cord-254852-qr5gdmbc 67 11 significant significant JJ cord-254852-qr5gdmbc 67 12 difference difference NN cord-254852-qr5gdmbc 67 13 in in IN cord-254852-qr5gdmbc 67 14 test test NN cord-254852-qr5gdmbc 67 15 performance performance NN cord-254852-qr5gdmbc 67 16 when when WRB cord-254852-qr5gdmbc 67 17 comparing compare VBG cord-254852-qr5gdmbc 67 18 the the DT cord-254852-qr5gdmbc 67 19 3 3 CD cord-254852-qr5gdmbc 67 20 severity severity NN cord-254852-qr5gdmbc 67 21 tools tool NNS cord-254852-qr5gdmbc 67 22 . . . cord-254852-qr5gdmbc 68 1 15 15 CD cord-254852-qr5gdmbc 69 1 It -PRON- PRP cord-254852-qr5gdmbc 69 2 was be VBD cord-254852-qr5gdmbc 69 3 noted note VBN cord-254852-qr5gdmbc 69 4 that that IN cord-254852-qr5gdmbc 69 5 the the DT cord-254852-qr5gdmbc 69 6 PSI PSI NNP cord-254852-qr5gdmbc 69 7 negative negative JJ cord-254852-qr5gdmbc 69 8 likelihood likelihood NN cord-254852-qr5gdmbc 69 9 ratio ratio NN cord-254852-qr5gdmbc 69 10 suggests suggest VBZ cord-254852-qr5gdmbc 69 11 it -PRON- PRP cord-254852-qr5gdmbc 69 12 may may MD cord-254852-qr5gdmbc 69 13 be be VB cord-254852-qr5gdmbc 69 14 superior superior JJ cord-254852-qr5gdmbc 69 15 in in IN cord-254852-qr5gdmbc 69 16 identifying identify VBG cord-254852-qr5gdmbc 69 17 low low JJ cord-254852-qr5gdmbc 69 18 - - HYPH cord-254852-qr5gdmbc 69 19 risk risk NN cord-254852-qr5gdmbc 69 20 patients patient NNS cord-254852-qr5gdmbc 69 21 , , , cord-254852-qr5gdmbc 69 22 and and CC cord-254852-qr5gdmbc 69 23 the the DT cord-254852-qr5gdmbc 69 24 CURB65 CURB65 NNP cord-254852-qr5gdmbc 69 25 and and CC cord-254852-qr5gdmbc 69 26 CRB65 CRB65 NNPS cord-254852-qr5gdmbc 69 27 may may MD cord-254852-qr5gdmbc 69 28 be be VB cord-254852-qr5gdmbc 69 29 superior superior JJ cord-254852-qr5gdmbc 69 30 in in IN cord-254852-qr5gdmbc 69 31 identifying identify VBG cord-254852-qr5gdmbc 69 32 high high JJ cord-254852-qr5gdmbc 69 33 - - HYPH cord-254852-qr5gdmbc 69 34 risk risk NN cord-254852-qr5gdmbc 69 35 patients patient NNS cord-254852-qr5gdmbc 69 36 . . . cord-254852-qr5gdmbc 70 1 15 15 CD cord-254852-qr5gdmbc 71 1 A a DT cord-254852-qr5gdmbc 71 2 CURB65 CURB65 NNP cord-254852-qr5gdmbc 71 3 or or CC cord-254852-qr5gdmbc 71 4 CRB65 CRB65 NNPS cord-254852-qr5gdmbc 71 5 score score NN cord-254852-qr5gdmbc 71 6 of of IN cord-254852-qr5gdmbc 71 7 0 0 CD cord-254852-qr5gdmbc 71 8 or or CC cord-254852-qr5gdmbc 71 9 1 1 CD cord-254852-qr5gdmbc 71 10 demonstrates demonstrate VBZ cord-254852-qr5gdmbc 71 11 low low JJ cord-254852-qr5gdmbc 71 12 risk risk NN cord-254852-qr5gdmbc 71 13 of of IN cord-254852-qr5gdmbc 71 14 mortality mortality NN cord-254852-qr5gdmbc 71 15 and and CC cord-254852-qr5gdmbc 71 16 suggests suggest VBZ cord-254852-qr5gdmbc 71 17 a a DT cord-254852-qr5gdmbc 71 18 patient patient NN cord-254852-qr5gdmbc 71 19 can can MD cord-254852-qr5gdmbc 71 20 be be VB cord-254852-qr5gdmbc 71 21 managed manage VBN cord-254852-qr5gdmbc 71 22 in in IN cord-254852-qr5gdmbc 71 23 the the DT cord-254852-qr5gdmbc 71 24 outpatient outpatient NN cord-254852-qr5gdmbc 71 25 setting setting NN cord-254852-qr5gdmbc 71 26 . . . cord-254852-qr5gdmbc 72 1 A a DT cord-254852-qr5gdmbc 72 2 score score NN cord-254852-qr5gdmbc 72 3 of of IN cord-254852-qr5gdmbc 72 4 3 3 CD cord-254852-qr5gdmbc 72 5 or or CC cord-254852-qr5gdmbc 72 6 higher high JJR cord-254852-qr5gdmbc 72 7 should should MD cord-254852-qr5gdmbc 72 8 warrant warrant VB cord-254852-qr5gdmbc 72 9 hospital hospital NN cord-254852-qr5gdmbc 72 10 admission admission NN cord-254852-qr5gdmbc 72 11 . . . cord-254852-qr5gdmbc 73 1 It -PRON- PRP cord-254852-qr5gdmbc 73 2 is be VBZ cord-254852-qr5gdmbc 73 3 always always RB cord-254852-qr5gdmbc 73 4 appropriate appropriate JJ cord-254852-qr5gdmbc 73 5 to to TO cord-254852-qr5gdmbc 73 6 consider consider VB cord-254852-qr5gdmbc 73 7 a a DT cord-254852-qr5gdmbc 73 8 patient patient NN cord-254852-qr5gdmbc 73 9 's 's POS cord-254852-qr5gdmbc 73 10 social social JJ cord-254852-qr5gdmbc 73 11 circumstances circumstance NNS cord-254852-qr5gdmbc 73 12 and and CC cord-254852-qr5gdmbc 73 13 treatment treatment NN cord-254852-qr5gdmbc 73 14 wishes wish VBZ cord-254852-qr5gdmbc 73 15 when when WRB cord-254852-qr5gdmbc 73 16 making make VBG cord-254852-qr5gdmbc 73 17 treatment treatment NN cord-254852-qr5gdmbc 73 18 decisions decision NNS cord-254852-qr5gdmbc 74 1 12,16 12,16 CD cord-254852-qr5gdmbc 75 1 ( ( -LRB- cord-254852-qr5gdmbc 75 2 Fig Fig NNP cord-254852-qr5gdmbc 75 3 . . NNP cord-254852-qr5gdmbc 75 4 1 1 CD cord-254852-qr5gdmbc 75 5 ; ; : cord-254852-qr5gdmbc 75 6 CURB65 CURB65 NNP cord-254852-qr5gdmbc 75 7 score score NN cord-254852-qr5gdmbc 75 8 12 12 CD cord-254852-qr5gdmbc 75 9 ) ) -RRB- cord-254852-qr5gdmbc 75 10 . . . cord-254852-qr5gdmbc 76 1 When when WRB cord-254852-qr5gdmbc 76 2 available available JJ cord-254852-qr5gdmbc 76 3 , , , cord-254852-qr5gdmbc 76 4 treatment treatment NN cord-254852-qr5gdmbc 76 5 of of IN cord-254852-qr5gdmbc 76 6 CAP cap NN cord-254852-qr5gdmbc 76 7 should should MD cord-254852-qr5gdmbc 76 8 be be VB cord-254852-qr5gdmbc 76 9 guided guide VBN cord-254852-qr5gdmbc 76 10 by by IN cord-254852-qr5gdmbc 76 11 local local JJ cord-254852-qr5gdmbc 76 12 resistance resistance NN cord-254852-qr5gdmbc 76 13 patterns pattern NNS cord-254852-qr5gdmbc 76 14 . . . cord-254852-qr5gdmbc 77 1 In in IN cord-254852-qr5gdmbc 77 2 previously previously RB cord-254852-qr5gdmbc 77 3 healthy healthy JJ cord-254852-qr5gdmbc 77 4 patients patient NNS cord-254852-qr5gdmbc 77 5 who who WP cord-254852-qr5gdmbc 77 6 are be VBP cord-254852-qr5gdmbc 77 7 appropriate appropriate JJ cord-254852-qr5gdmbc 77 8 for for IN cord-254852-qr5gdmbc 77 9 outpatient outpatient NN cord-254852-qr5gdmbc 77 10 treatment treatment NN cord-254852-qr5gdmbc 77 11 , , , cord-254852-qr5gdmbc 77 12 recommended recommend VBD cord-254852-qr5gdmbc 77 13 first first JJ cord-254852-qr5gdmbc 77 14 - - HYPH cord-254852-qr5gdmbc 77 15 line line NN cord-254852-qr5gdmbc 77 16 treatment treatment NN cord-254852-qr5gdmbc 77 17 is be VBZ cord-254852-qr5gdmbc 77 18 with with IN cord-254852-qr5gdmbc 77 19 a a DT cord-254852-qr5gdmbc 77 20 macrolide macrolide NN cord-254852-qr5gdmbc 77 21 antibiotic antibiotic NN cord-254852-qr5gdmbc 77 22 such such JJ cord-254852-qr5gdmbc 77 23 as as IN cord-254852-qr5gdmbc 77 24 azithromycin azithromycin NNP cord-254852-qr5gdmbc 77 25 targeting target VBG cord-254852-qr5gdmbc 77 26 the the DT cord-254852-qr5gdmbc 77 27 most most RBS cord-254852-qr5gdmbc 77 28 common common JJ cord-254852-qr5gdmbc 77 29 causal causal JJ cord-254852-qr5gdmbc 77 30 pathogen pathogen NN cord-254852-qr5gdmbc 77 31 S. S. NNP cord-254852-qr5gdmbc 77 32 pneumoniae pneumoniae NN cord-254852-qr5gdmbc 77 33 . . . cord-254852-qr5gdmbc 78 1 Doxycycline Doxycycline NNP cord-254852-qr5gdmbc 78 2 is be VBZ cord-254852-qr5gdmbc 78 3 an an DT cord-254852-qr5gdmbc 78 4 alternative alternative JJ cord-254852-qr5gdmbc 78 5 option option NN cord-254852-qr5gdmbc 78 6 . . . cord-254852-qr5gdmbc 79 1 Patients patient NNS cord-254852-qr5gdmbc 79 2 with with IN cord-254852-qr5gdmbc 79 3 comorbidities comorbiditie NNS cord-254852-qr5gdmbc 79 4 such such JJ cord-254852-qr5gdmbc 79 5 as as IN cord-254852-qr5gdmbc 79 6 diabetes diabetes NN cord-254852-qr5gdmbc 79 7 ; ; , cord-254852-qr5gdmbc 79 8 chronic chronic JJ cord-254852-qr5gdmbc 79 9 heart heart NN cord-254852-qr5gdmbc 79 10 , , , cord-254852-qr5gdmbc 79 11 lung lung NN cord-254852-qr5gdmbc 79 12 , , , cord-254852-qr5gdmbc 79 13 renal renal JJ cord-254852-qr5gdmbc 79 14 , , , cord-254852-qr5gdmbc 79 15 or or CC cord-254852-qr5gdmbc 79 16 liver liver NN cord-254852-qr5gdmbc 79 17 disease disease NN cord-254852-qr5gdmbc 79 18 ; ; : cord-254852-qr5gdmbc 79 19 alcoholism alcoholism NN cord-254852-qr5gdmbc 79 20 ; ; , cord-254852-qr5gdmbc 79 21 asplenia asplenia NN cord-254852-qr5gdmbc 79 22 ; ; , cord-254852-qr5gdmbc 79 23 impaired impaired JJ cord-254852-qr5gdmbc 79 24 immune immune JJ cord-254852-qr5gdmbc 79 25 system system NN cord-254852-qr5gdmbc 79 26 ; ; : cord-254852-qr5gdmbc 79 27 or or CC cord-254852-qr5gdmbc 79 28 recent recent JJ cord-254852-qr5gdmbc 79 29 antibiotic antibiotic JJ cord-254852-qr5gdmbc 79 30 use use NN cord-254852-qr5gdmbc 79 31 within within IN cord-254852-qr5gdmbc 79 32 the the DT cord-254852-qr5gdmbc 79 33 last last JJ cord-254852-qr5gdmbc 79 34 3 3 CD cord-254852-qr5gdmbc 79 35 months month NNS cord-254852-qr5gdmbc 79 36 have have VBP cord-254852-qr5gdmbc 79 37 an an DT cord-254852-qr5gdmbc 79 38 increased increase VBN cord-254852-qr5gdmbc 79 39 risk risk NN cord-254852-qr5gdmbc 79 40 for for IN cord-254852-qr5gdmbc 79 41 drug drug NN cord-254852-qr5gdmbc 79 42 - - HYPH cord-254852-qr5gdmbc 79 43 resistant resistant JJ cord-254852-qr5gdmbc 79 44 S S NNP cord-254852-qr5gdmbc 79 45 pneumoniae pneumoniae NN cord-254852-qr5gdmbc 79 46 . . . cord-254852-qr5gdmbc 80 1 As as IN cord-254852-qr5gdmbc 80 2 such such JJ cord-254852-qr5gdmbc 80 3 , , , cord-254852-qr5gdmbc 80 4 a a DT cord-254852-qr5gdmbc 80 5 respiratory respiratory JJ cord-254852-qr5gdmbc 80 6 fluoroquinolone fluoroquinolone NN cord-254852-qr5gdmbc 80 7 or or CC cord-254852-qr5gdmbc 80 8 b b NN cord-254852-qr5gdmbc 80 9 - - : cord-254852-qr5gdmbc 80 10 lactam lactam NNS cord-254852-qr5gdmbc 80 11 plus plus CC cord-254852-qr5gdmbc 80 12 a a DT cord-254852-qr5gdmbc 80 13 macrolide macrolide NN cord-254852-qr5gdmbc 80 14 is be VBZ cord-254852-qr5gdmbc 80 15 recommended recommend VBN cord-254852-qr5gdmbc 80 16 ( ( -LRB- cord-254852-qr5gdmbc 80 17 Table table NN cord-254852-qr5gdmbc 80 18 4 4 CD cord-254852-qr5gdmbc 80 19 ) ) -RRB- cord-254852-qr5gdmbc 80 20 . . . cord-254852-qr5gdmbc 81 1 11 11 CD cord-254852-qr5gdmbc 82 1 A a DT cord-254852-qr5gdmbc 82 2 2014 2014 CD cord-254852-qr5gdmbc 82 3 Cochrane Cochrane NNP cord-254852-qr5gdmbc 82 4 review review NN cord-254852-qr5gdmbc 82 5 found find VBD cord-254852-qr5gdmbc 82 6 no no DT cord-254852-qr5gdmbc 82 7 significant significant JJ cord-254852-qr5gdmbc 82 8 differences difference NNS cord-254852-qr5gdmbc 82 9 in in IN cord-254852-qr5gdmbc 82 10 efficacy efficacy NN cord-254852-qr5gdmbc 82 11 between between IN cord-254852-qr5gdmbc 82 12 antibiotic antibiotic JJ cord-254852-qr5gdmbc 82 13 regimens regimen NNS cord-254852-qr5gdmbc 82 14 , , , cord-254852-qr5gdmbc 82 15 although although IN cord-254852-qr5gdmbc 82 16 there there EX cord-254852-qr5gdmbc 82 17 were be VBD cord-254852-qr5gdmbc 82 18 differences difference NNS cord-254852-qr5gdmbc 82 19 in in IN cord-254852-qr5gdmbc 82 20 adverse adverse JJ cord-254852-qr5gdmbc 82 21 effects effect NNS cord-254852-qr5gdmbc 82 22 when when WRB cord-254852-qr5gdmbc 82 23 comparing compare VBG cord-254852-qr5gdmbc 82 24 antibiotics antibiotic NNS cord-254852-qr5gdmbc 82 25 within within IN cord-254852-qr5gdmbc 82 26 a a DT cord-254852-qr5gdmbc 82 27 single single JJ cord-254852-qr5gdmbc 82 28 class class NN cord-254852-qr5gdmbc 82 29 . . . cord-254852-qr5gdmbc 83 1 17 17 CD cord-254852-qr5gdmbc 83 2 Patients patient NNS cord-254852-qr5gdmbc 83 3 appropriate appropriate JJ cord-254852-qr5gdmbc 83 4 for for IN cord-254852-qr5gdmbc 83 5 inpatient inpatient JJ cord-254852-qr5gdmbc 83 6 non non JJ cord-254852-qr5gdmbc 83 7 - - JJ cord-254852-qr5gdmbc 83 8 ICU icu JJ cord-254852-qr5gdmbc 83 9 treatment treatment NN cord-254852-qr5gdmbc 83 10 should should MD cord-254852-qr5gdmbc 83 11 also also RB cord-254852-qr5gdmbc 83 12 be be VB cord-254852-qr5gdmbc 83 13 treated treat VBN cord-254852-qr5gdmbc 83 14 with with IN cord-254852-qr5gdmbc 83 15 a a DT cord-254852-qr5gdmbc 83 16 respiratory respiratory JJ cord-254852-qr5gdmbc 83 17 fluoroquinolone fluoroquinolone NN cord-254852-qr5gdmbc 83 18 or or CC cord-254852-qr5gdmbc 83 19 macrolide macrolide NN cord-254852-qr5gdmbc 83 20 with with IN cord-254852-qr5gdmbc 83 21 b b NN cord-254852-qr5gdmbc 83 22 - - HYPH cord-254852-qr5gdmbc 83 23 lactam lactam NNS cord-254852-qr5gdmbc 83 24 . . . cord-254852-qr5gdmbc 84 1 Patients patient NNS cord-254852-qr5gdmbc 84 2 should should MD cord-254852-qr5gdmbc 84 3 be be VB cord-254852-qr5gdmbc 84 4 treated treat VBN cord-254852-qr5gdmbc 84 5 for for IN cord-254852-qr5gdmbc 84 6 a a DT cord-254852-qr5gdmbc 84 7 minimum minimum NN cord-254852-qr5gdmbc 84 8 of of IN cord-254852-qr5gdmbc 84 9 5 5 CD cord-254852-qr5gdmbc 84 10 days day NNS cord-254852-qr5gdmbc 84 11 and and CC cord-254852-qr5gdmbc 84 12 should should MD cord-254852-qr5gdmbc 84 13 be be VB cord-254852-qr5gdmbc 84 14 clinically clinically RB cord-254852-qr5gdmbc 84 15 stable stable JJ cord-254852-qr5gdmbc 84 16 with with IN cord-254852-qr5gdmbc 84 17 resolving resolve VBG cord-254852-qr5gdmbc 84 18 symptoms symptom NNS cord-254852-qr5gdmbc 84 19 before before IN cord-254852-qr5gdmbc 84 20 treatment treatment NN cord-254852-qr5gdmbc 84 21 is be VBZ cord-254852-qr5gdmbc 84 22 discontinued discontinue VBN cord-254852-qr5gdmbc 84 23 . . . cord-254852-qr5gdmbc 85 1 11 11 CD cord-254852-qr5gdmbc 85 2 , , , cord-254852-qr5gdmbc 85 3 18 18 CD cord-254852-qr5gdmbc 85 4 Patients patient NNS cord-254852-qr5gdmbc 85 5 with with IN cord-254852-qr5gdmbc 85 6 high high JJ cord-254852-qr5gdmbc 85 7 severity severity NN cord-254852-qr5gdmbc 85 8 of of IN cord-254852-qr5gdmbc 85 9 infection infection NN cord-254852-qr5gdmbc 85 10 or or CC cord-254852-qr5gdmbc 85 11 with with IN cord-254852-qr5gdmbc 85 12 extrapulmonary extrapulmonary JJ cord-254852-qr5gdmbc 85 13 manifestations manifestation NNS cord-254852-qr5gdmbc 85 14 may may MD cord-254852-qr5gdmbc 85 15 benefit benefit VB cord-254852-qr5gdmbc 85 16 from from IN cord-254852-qr5gdmbc 85 17 longer long JJR cord-254852-qr5gdmbc 85 18 duration duration NN cord-254852-qr5gdmbc 85 19 of of IN cord-254852-qr5gdmbc 85 20 therapy therapy NN cord-254852-qr5gdmbc 85 21 , , , cord-254852-qr5gdmbc 85 22 such such JJ cord-254852-qr5gdmbc 85 23 as as IN cord-254852-qr5gdmbc 85 24 7 7 CD cord-254852-qr5gdmbc 85 25 to to TO cord-254852-qr5gdmbc 85 26 10 10 CD cord-254852-qr5gdmbc 85 27 days day NNS cord-254852-qr5gdmbc 85 28 or or CC cord-254852-qr5gdmbc 85 29 until until IN cord-254852-qr5gdmbc 85 30 improving improve VBG cord-254852-qr5gdmbc 85 31 . . . cord-254852-qr5gdmbc 86 1 11 11 CD cord-254852-qr5gdmbc 86 2 , , , cord-254852-qr5gdmbc 86 3 12 12 CD cord-254852-qr5gdmbc 87 1 In in IN cord-254852-qr5gdmbc 87 2 recent recent JJ cord-254852-qr5gdmbc 87 3 years year NNS cord-254852-qr5gdmbc 87 4 , , , cord-254852-qr5gdmbc 87 5 there there EX cord-254852-qr5gdmbc 87 6 has have VBZ cord-254852-qr5gdmbc 87 7 been be VBN cord-254852-qr5gdmbc 87 8 emerging emerge VBG cord-254852-qr5gdmbc 87 9 data datum NNS cord-254852-qr5gdmbc 87 10 supporting support VBG cord-254852-qr5gdmbc 87 11 the the DT cord-254852-qr5gdmbc 87 12 use use NN cord-254852-qr5gdmbc 87 13 of of IN cord-254852-qr5gdmbc 87 14 adjunctive adjunctive JJ cord-254852-qr5gdmbc 87 15 corticosteroids corticosteroid NNS cord-254852-qr5gdmbc 87 16 in in IN cord-254852-qr5gdmbc 87 17 the the DT cord-254852-qr5gdmbc 87 18 inpatient inpatient JJ cord-254852-qr5gdmbc 87 19 treatment treatment NN cord-254852-qr5gdmbc 87 20 of of IN cord-254852-qr5gdmbc 87 21 CAP CAP NNP cord-254852-qr5gdmbc 87 22 . . . cord-254852-qr5gdmbc 88 1 As as IN cord-254852-qr5gdmbc 88 2 this this DT cord-254852-qr5gdmbc 88 3 is be VBZ cord-254852-qr5gdmbc 88 4 an an DT cord-254852-qr5gdmbc 88 5 area area NN cord-254852-qr5gdmbc 88 6 of of IN cord-254852-qr5gdmbc 88 7 research research NN cord-254852-qr5gdmbc 88 8 , , , cord-254852-qr5gdmbc 88 9 multiple multiple JJ cord-254852-qr5gdmbc 88 10 recent recent JJ cord-254852-qr5gdmbc 88 11 systematic systematic JJ cord-254852-qr5gdmbc 88 12 reviews review NNS cord-254852-qr5gdmbc 88 13 and and CC cord-254852-qr5gdmbc 88 14 meta meta NNP cord-254852-qr5gdmbc 88 15 - - HYPH cord-254852-qr5gdmbc 88 16 analyses analysis NNS cord-254852-qr5gdmbc 88 17 have have VBP cord-254852-qr5gdmbc 88 18 been be VBN cord-254852-qr5gdmbc 88 19 published publish VBN cord-254852-qr5gdmbc 88 20 , , , cord-254852-qr5gdmbc 88 21 some some DT cord-254852-qr5gdmbc 88 22 with with IN cord-254852-qr5gdmbc 88 23 conflicting conflicting JJ cord-254852-qr5gdmbc 88 24 findings finding NNS cord-254852-qr5gdmbc 88 25 . . . cord-254852-qr5gdmbc 89 1 A a DT cord-254852-qr5gdmbc 89 2 2011 2011 CD cord-254852-qr5gdmbc 89 3 Cochrane Cochrane NNP cord-254852-qr5gdmbc 89 4 review review NN cord-254852-qr5gdmbc 89 5 that that WDT cord-254852-qr5gdmbc 89 6 included include VBD cord-254852-qr5gdmbc 89 7 relevant relevant JJ cord-254852-qr5gdmbc 89 8 CAP cap NN cord-254852-qr5gdmbc 89 9 studies study NNS cord-254852-qr5gdmbc 89 10 through through IN cord-254852-qr5gdmbc 89 11 the the DT cord-254852-qr5gdmbc 89 12 year year NN cord-254852-qr5gdmbc 89 13 2010 2010 CD cord-254852-qr5gdmbc 89 14 showed show VBD cord-254852-qr5gdmbc 89 15 that that IN cord-254852-qr5gdmbc 89 16 corticosteroid corticosteroid NN cord-254852-qr5gdmbc 89 17 use use NN cord-254852-qr5gdmbc 89 18 accelerates accelerate VBZ cord-254852-qr5gdmbc 89 19 time time NN cord-254852-qr5gdmbc 89 20 to to IN cord-254852-qr5gdmbc 89 21 symptom symptom NN cord-254852-qr5gdmbc 89 22 resolution resolution NN cord-254852-qr5gdmbc 89 23 and and CC cord-254852-qr5gdmbc 89 24 clinical clinical JJ cord-254852-qr5gdmbc 89 25 stability stability NN cord-254852-qr5gdmbc 89 26 , , , cord-254852-qr5gdmbc 89 27 with with IN cord-254852-qr5gdmbc 89 28 infrequent infrequent JJ cord-254852-qr5gdmbc 89 29 adverse adverse JJ cord-254852-qr5gdmbc 89 30 effects effect NNS cord-254852-qr5gdmbc 89 31 . . . cord-254852-qr5gdmbc 90 1 19 19 CD cord-254852-qr5gdmbc 91 1 Similarly similarly RB cord-254852-qr5gdmbc 91 2 , , , cord-254852-qr5gdmbc 91 3 a a DT cord-254852-qr5gdmbc 91 4 2015 2015 CD cord-254852-qr5gdmbc 91 5 systematic systematic JJ cord-254852-qr5gdmbc 91 6 review review NN cord-254852-qr5gdmbc 91 7 by by IN cord-254852-qr5gdmbc 91 8 Siemieniuk Siemieniuk NNP cord-254852-qr5gdmbc 91 9 and and CC cord-254852-qr5gdmbc 91 10 colleagues colleague NNS cord-254852-qr5gdmbc 91 11 20 20 CD cord-254852-qr5gdmbc 91 12 included include VBD cord-254852-qr5gdmbc 91 13 studies study NNS cord-254852-qr5gdmbc 91 14 from from IN cord-254852-qr5gdmbc 91 15 2011 2011 CD cord-254852-qr5gdmbc 91 16 through through IN cord-254852-qr5gdmbc 91 17 mid-2015 mid-2015 NN cord-254852-qr5gdmbc 91 18 . . . cord-254852-qr5gdmbc 92 1 Their -PRON- PRP$ cord-254852-qr5gdmbc 92 2 analysis analysis NN cord-254852-qr5gdmbc 92 3 of of IN cord-254852-qr5gdmbc 92 4 13 13 CD cord-254852-qr5gdmbc 92 5 randomized randomized JJ cord-254852-qr5gdmbc 92 6 controlled control VBN cord-254852-qr5gdmbc 92 7 trials trial NNS cord-254852-qr5gdmbc 92 8 found find VBN cord-254852-qr5gdmbc 92 9 significantly significantly RB cord-254852-qr5gdmbc 92 10 decreased decrease VBD cord-254852-qr5gdmbc 92 11 mortality mortality NN cord-254852-qr5gdmbc 92 12 in in IN cord-254852-qr5gdmbc 92 13 severe severe JJ cord-254852-qr5gdmbc 92 14 pneumonia pneumonia NN cord-254852-qr5gdmbc 92 15 , , , cord-254852-qr5gdmbc 92 16 decreased decrease VBD cord-254852-qr5gdmbc 92 17 need need NN cord-254852-qr5gdmbc 92 18 for for IN cord-254852-qr5gdmbc 92 19 mechanical mechanical JJ cord-254852-qr5gdmbc 92 20 ventilation ventilation NN cord-254852-qr5gdmbc 92 21 , , , cord-254852-qr5gdmbc 92 22 decreased decrease VBD cord-254852-qr5gdmbc 92 23 occurrence occurrence NN cord-254852-qr5gdmbc 92 24 of of IN cord-254852-qr5gdmbc 92 25 acute acute JJ cord-254852-qr5gdmbc 92 26 respiratory respiratory JJ cord-254852-qr5gdmbc 92 27 distress distress NN cord-254852-qr5gdmbc 92 28 syndrome syndrome NN cord-254852-qr5gdmbc 92 29 , , , cord-254852-qr5gdmbc 92 30 decreased decrease VBD cord-254852-qr5gdmbc 92 31 time time NN cord-254852-qr5gdmbc 92 32 to to IN cord-254852-qr5gdmbc 92 33 clinical clinical JJ cord-254852-qr5gdmbc 92 34 stability stability NN cord-254852-qr5gdmbc 92 35 , , , cord-254852-qr5gdmbc 92 36 and and CC cord-254852-qr5gdmbc 92 37 shorter short JJR cord-254852-qr5gdmbc 92 38 duration duration NN cord-254852-qr5gdmbc 92 39 of of IN cord-254852-qr5gdmbc 92 40 hospitalization hospitalization NN cord-254852-qr5gdmbc 92 41 . . . cord-254852-qr5gdmbc 93 1 20 20 CD cord-254852-qr5gdmbc 93 2 Hyperglycemia hyperglycemia NN cord-254852-qr5gdmbc 93 3 requiring require VBG cord-254852-qr5gdmbc 93 4 treatment treatment NN cord-254852-qr5gdmbc 93 5 occurred occur VBD cord-254852-qr5gdmbc 93 6 more more RBR cord-254852-qr5gdmbc 93 7 frequently frequently RB cord-254852-qr5gdmbc 93 8 in in IN cord-254852-qr5gdmbc 93 9 patients patient NNS cord-254852-qr5gdmbc 93 10 treated treat VBN cord-254852-qr5gdmbc 93 11 with with IN cord-254852-qr5gdmbc 93 12 corticosteroids corticosteroid NNS cord-254852-qr5gdmbc 93 13 . . . cord-254852-qr5gdmbc 94 1 20 20 CD cord-254852-qr5gdmbc 94 2 , , , cord-254852-qr5gdmbc 94 3 21 21 CD cord-254852-qr5gdmbc 94 4 The the DT cord-254852-qr5gdmbc 94 5 most most RBS cord-254852-qr5gdmbc 94 6 recent recent JJ cord-254852-qr5gdmbc 94 7 IDSA IDSA NNP cord-254852-qr5gdmbc 94 8 and and CC cord-254852-qr5gdmbc 94 9 BTS BTS NNP cord-254852-qr5gdmbc 94 10 guidelines guideline NNS cord-254852-qr5gdmbc 94 11 do do VBP cord-254852-qr5gdmbc 94 12 not not RB cord-254852-qr5gdmbc 94 13 make make VB cord-254852-qr5gdmbc 94 14 recommendations recommendation NNS cord-254852-qr5gdmbc 94 15 regarding regard VBG cord-254852-qr5gdmbc 94 16 the the DT cord-254852-qr5gdmbc 94 17 routine routine JJ cord-254852-qr5gdmbc 94 18 use use NN cord-254852-qr5gdmbc 94 19 of of IN cord-254852-qr5gdmbc 94 20 adjunctive adjunctive JJ cord-254852-qr5gdmbc 94 21 corticosteroid corticosteroid NN cord-254852-qr5gdmbc 94 22 for for IN cord-254852-qr5gdmbc 94 23 CAP CAP NNP cord-254852-qr5gdmbc 94 24 . . . cord-254852-qr5gdmbc 95 1 11 11 CD cord-254852-qr5gdmbc 95 2 , , , cord-254852-qr5gdmbc 95 3 12 12 CD cord-254852-qr5gdmbc 95 4 Given give VBN cord-254852-qr5gdmbc 95 5 the the DT cord-254852-qr5gdmbc 95 6 variations variation NNS cord-254852-qr5gdmbc 95 7 in in IN cord-254852-qr5gdmbc 95 8 dose dose NN cord-254852-qr5gdmbc 95 9 and and CC cord-254852-qr5gdmbc 95 10 route route NN cord-254852-qr5gdmbc 95 11 of of IN cord-254852-qr5gdmbc 95 12 administration administration NN cord-254852-qr5gdmbc 95 13 , , , cord-254852-qr5gdmbc 95 14 an an DT cord-254852-qr5gdmbc 95 15 optimal optimal JJ cord-254852-qr5gdmbc 95 16 agent agent NN cord-254852-qr5gdmbc 95 17 and and CC cord-254852-qr5gdmbc 95 18 dose dose NN cord-254852-qr5gdmbc 95 19 is be VBZ cord-254852-qr5gdmbc 95 20 unknown unknown JJ cord-254852-qr5gdmbc 95 21 . . . cord-254852-qr5gdmbc 96 1 Further further JJ cord-254852-qr5gdmbc 96 2 research research NN cord-254852-qr5gdmbc 96 3 is be VBZ cord-254852-qr5gdmbc 96 4 needed need VBN cord-254852-qr5gdmbc 96 5 to to TO cord-254852-qr5gdmbc 96 6 determine determine VB cord-254852-qr5gdmbc 96 7 steroid steroid NN cord-254852-qr5gdmbc 96 8 dosing dosing NN cord-254852-qr5gdmbc 96 9 and and CC cord-254852-qr5gdmbc 96 10 duration duration NN cord-254852-qr5gdmbc 96 11 , , , cord-254852-qr5gdmbc 96 12 as as RB cord-254852-qr5gdmbc 96 13 well well RB cord-254852-qr5gdmbc 96 14 as as IN cord-254852-qr5gdmbc 96 15 what what WDT cord-254852-qr5gdmbc 96 16 patient patient JJ cord-254852-qr5gdmbc 96 17 populations population NNS cord-254852-qr5gdmbc 96 18 are be VBP cord-254852-qr5gdmbc 96 19 most most RBS cord-254852-qr5gdmbc 96 20 likely likely JJ cord-254852-qr5gdmbc 96 21 to to TO cord-254852-qr5gdmbc 96 22 benefit benefit VB cord-254852-qr5gdmbc 96 23 from from IN cord-254852-qr5gdmbc 96 24 its -PRON- PRP$ cord-254852-qr5gdmbc 96 25 use use NN cord-254852-qr5gdmbc 96 26 . . . cord-254852-qr5gdmbc 97 1 20 20 CD cord-254852-qr5gdmbc 97 2 , , , cord-254852-qr5gdmbc 97 3 21 21 CD cord-254852-qr5gdmbc 97 4 There there EX cord-254852-qr5gdmbc 97 5 are be VBP cord-254852-qr5gdmbc 97 6 a a DT cord-254852-qr5gdmbc 97 7 large large JJ cord-254852-qr5gdmbc 97 8 number number NN cord-254852-qr5gdmbc 97 9 of of IN cord-254852-qr5gdmbc 97 10 studies study NNS cord-254852-qr5gdmbc 97 11 assessing assess VBG cord-254852-qr5gdmbc 97 12 the the DT cord-254852-qr5gdmbc 97 13 role role NN cord-254852-qr5gdmbc 97 14 of of IN cord-254852-qr5gdmbc 97 15 the the DT cord-254852-qr5gdmbc 97 16 infection infection NN cord-254852-qr5gdmbc 97 17 biomarker biomarker NN cord-254852-qr5gdmbc 97 18 procalcitonin procalcitonin NNS cord-254852-qr5gdmbc 97 19 in in IN cord-254852-qr5gdmbc 97 20 diagnosis diagnosis NN cord-254852-qr5gdmbc 97 21 and and CC cord-254852-qr5gdmbc 97 22 monitoring monitoring NN cord-254852-qr5gdmbc 97 23 of of IN cord-254852-qr5gdmbc 97 24 patients patient NNS cord-254852-qr5gdmbc 97 25 with with IN cord-254852-qr5gdmbc 97 26 bacterial bacterial JJ cord-254852-qr5gdmbc 97 27 infections infection NNS cord-254852-qr5gdmbc 97 28 . . . cord-254852-qr5gdmbc 98 1 22 22 CD cord-254852-qr5gdmbc 99 1 A a DT cord-254852-qr5gdmbc 99 2 Cochrane Cochrane NNP cord-254852-qr5gdmbc 99 3 2017 2017 CD cord-254852-qr5gdmbc 99 4 meta meta NN cord-254852-qr5gdmbc 99 5 - - HYPH cord-254852-qr5gdmbc 99 6 analysis analysis NN cord-254852-qr5gdmbc 99 7 in in IN cord-254852-qr5gdmbc 99 8 the the DT cord-254852-qr5gdmbc 99 9 primary primary JJ cord-254852-qr5gdmbc 99 10 care care NN cord-254852-qr5gdmbc 99 11 setting setting NN cord-254852-qr5gdmbc 99 12 concluded conclude VBD cord-254852-qr5gdmbc 99 13 that that IN cord-254852-qr5gdmbc 99 14 the the DT cord-254852-qr5gdmbc 99 15 use use NN cord-254852-qr5gdmbc 99 16 of of IN cord-254852-qr5gdmbc 99 17 procalcitonin procalcitonin NNS cord-254852-qr5gdmbc 99 18 to to TO cord-254852-qr5gdmbc 99 19 guide guide VB cord-254852-qr5gdmbc 99 20 initiation initiation NN cord-254852-qr5gdmbc 99 21 and and CC cord-254852-qr5gdmbc 99 22 duration duration NN cord-254852-qr5gdmbc 99 23 of of IN cord-254852-qr5gdmbc 99 24 antibiotic antibiotic JJ cord-254852-qr5gdmbc 99 25 treatment treatment NN cord-254852-qr5gdmbc 99 26 results result NNS cord-254852-qr5gdmbc 99 27 in in IN cord-254852-qr5gdmbc 99 28 lower low JJR cord-254852-qr5gdmbc 99 29 risks risk NNS cord-254852-qr5gdmbc 99 30 of of IN cord-254852-qr5gdmbc 99 31 mortality mortality NN cord-254852-qr5gdmbc 99 32 , , , cord-254852-qr5gdmbc 99 33 lower lower VB cord-254852-qr5gdmbc 99 34 antibiotic antibiotic JJ cord-254852-qr5gdmbc 99 35 consumption consumption NN cord-254852-qr5gdmbc 99 36 , , , cord-254852-qr5gdmbc 99 37 and and CC cord-254852-qr5gdmbc 99 38 lower low JJR cord-254852-qr5gdmbc 99 39 risk risk NN cord-254852-qr5gdmbc 99 40 for for IN cord-254852-qr5gdmbc 99 41 antibiotic antibiotic NN cord-254852-qr5gdmbc 99 42 - - HYPH cord-254852-qr5gdmbc 99 43 related relate VBN cord-254852-qr5gdmbc 99 44 side side NN cord-254852-qr5gdmbc 99 45 effects effect NNS cord-254852-qr5gdmbc 99 46 . . . cord-254852-qr5gdmbc 100 1 23 23 CD cord-254852-qr5gdmbc 101 1 Procalcitonin Procalcitonin NNS cord-254852-qr5gdmbc 101 2 values value VBZ cord-254852-qr5gdmbc 101 3 too too RB cord-254852-qr5gdmbc 101 4 low low JJ cord-254852-qr5gdmbc 101 5 or or CC cord-254852-qr5gdmbc 101 6 too too RB cord-254852-qr5gdmbc 101 7 high high JJ cord-254852-qr5gdmbc 101 8 usually usually RB cord-254852-qr5gdmbc 101 9 exclude exclude VBP cord-254852-qr5gdmbc 101 10 bacterial bacterial JJ cord-254852-qr5gdmbc 101 11 infection infection NN cord-254852-qr5gdmbc 101 12 , , , cord-254852-qr5gdmbc 101 13 but but CC cord-254852-qr5gdmbc 101 14 not not RB cord-254852-qr5gdmbc 101 15 always always RB cord-254852-qr5gdmbc 101 16 . . . cord-254852-qr5gdmbc 102 1 24 24 CD cord-254852-qr5gdmbc 102 2 Per per IN cord-254852-qr5gdmbc 102 3 practitioner practitioner NN cord-254852-qr5gdmbc 102 4 discretion discretion NN cord-254852-qr5gdmbc 102 5 and and CC cord-254852-qr5gdmbc 102 6 , , , cord-254852-qr5gdmbc 102 7 depending depend VBG cord-254852-qr5gdmbc 102 8 on on IN cord-254852-qr5gdmbc 102 9 patient patient JJ cord-254852-qr5gdmbc 102 10 complexity complexity NN cord-254852-qr5gdmbc 102 11 and and CC cord-254852-qr5gdmbc 102 12 other other JJ cord-254852-qr5gdmbc 102 13 comorbidities comorbiditie NNS cord-254852-qr5gdmbc 102 14 , , , cord-254852-qr5gdmbc 102 15 a a DT cord-254852-qr5gdmbc 102 16 follow follow VB cord-254852-qr5gdmbc 102 17 - - HYPH cord-254852-qr5gdmbc 102 18 up up NN cord-254852-qr5gdmbc 102 19 appointment appointment NN cord-254852-qr5gdmbc 102 20 after after IN cord-254852-qr5gdmbc 102 21 successful successful JJ cord-254852-qr5gdmbc 102 22 management management NN cord-254852-qr5gdmbc 102 23 in in IN cord-254852-qr5gdmbc 102 24 the the DT cord-254852-qr5gdmbc 102 25 primary primary JJ cord-254852-qr5gdmbc 102 26 care care NN cord-254852-qr5gdmbc 102 27 setting setting NN cord-254852-qr5gdmbc 102 28 may may MD cord-254852-qr5gdmbc 102 29 be be VB cord-254852-qr5gdmbc 102 30 arranged arrange VBN cord-254852-qr5gdmbc 102 31 . . . cord-254852-qr5gdmbc 103 1 At at IN cord-254852-qr5gdmbc 103 2 this this DT cord-254852-qr5gdmbc 103 3 appointment appointment NN cord-254852-qr5gdmbc 103 4 , , , cord-254852-qr5gdmbc 103 5 repeat repeat NN cord-254852-qr5gdmbc 103 6 X x NN cord-254852-qr5gdmbc 103 7 - - NN cord-254852-qr5gdmbc 103 8 ray ray NN cord-254852-qr5gdmbc 103 9 imaging imaging NN cord-254852-qr5gdmbc 103 10 to to TO cord-254852-qr5gdmbc 103 11 confirm confirm VB cord-254852-qr5gdmbc 103 12 resolution resolution NN cord-254852-qr5gdmbc 103 13 of of IN cord-254852-qr5gdmbc 103 14 pneumonia pneumonia NN cord-254852-qr5gdmbc 103 15 is be VBZ cord-254852-qr5gdmbc 103 16 not not RB cord-254852-qr5gdmbc 103 17 indicated indicate VBN cord-254852-qr5gdmbc 103 18 if if IN cord-254852-qr5gdmbc 103 19 the the DT cord-254852-qr5gdmbc 103 20 patient patient NN cord-254852-qr5gdmbc 103 21 seems seem VBZ cord-254852-qr5gdmbc 103 22 clinically clinically RB cord-254852-qr5gdmbc 103 23 well well JJ cord-254852-qr5gdmbc 103 24 . . . cord-254852-qr5gdmbc 104 1 In in IN cord-254852-qr5gdmbc 104 2 patients patient NNS cord-254852-qr5gdmbc 104 3 with with IN cord-254852-qr5gdmbc 104 4 persistence persistence NN cord-254852-qr5gdmbc 104 5 of of IN cord-254852-qr5gdmbc 104 6 symptoms symptom NNS cord-254852-qr5gdmbc 104 7 or or CC cord-254852-qr5gdmbc 104 8 who who WP cord-254852-qr5gdmbc 104 9 have have VBP cord-254852-qr5gdmbc 104 10 a a DT cord-254852-qr5gdmbc 104 11 high high JJ cord-254852-qr5gdmbc 104 12 risk risk NN cord-254852-qr5gdmbc 104 13 of of IN cord-254852-qr5gdmbc 104 14 lung lung NN cord-254852-qr5gdmbc 104 15 cancer cancer NN cord-254852-qr5gdmbc 104 16 ( ( -LRB- cord-254852-qr5gdmbc 104 17 age age NN cord-254852-qr5gdmbc 104 18 > > XX cord-254852-qr5gdmbc 104 19 50 50 CD cord-254852-qr5gdmbc 104 20 , , , cord-254852-qr5gdmbc 104 21 > > XX cord-254852-qr5gdmbc 104 22 30 30 CD cord-254852-qr5gdmbc 104 23 pack pack NN cord-254852-qr5gdmbc 104 24 year year NN cord-254852-qr5gdmbc 104 25 smoking smoking NN cord-254852-qr5gdmbc 104 26 history history NN cord-254852-qr5gdmbc 104 27 ) ) -RRB- cord-254852-qr5gdmbc 104 28 , , , cord-254852-qr5gdmbc 104 29 repeat repeat NN cord-254852-qr5gdmbc 104 30 X x NN cord-254852-qr5gdmbc 104 31 - - NN cord-254852-qr5gdmbc 104 32 ray ray NN cord-254852-qr5gdmbc 104 33 imaging imaging NN cord-254852-qr5gdmbc 104 34 or or CC cord-254852-qr5gdmbc 104 35 low low JJ cord-254852-qr5gdmbc 104 36 - - HYPH cord-254852-qr5gdmbc 104 37 dose dose NN cord-254852-qr5gdmbc 104 38 computerized computerized JJ cord-254852-qr5gdmbc 104 39 tomography tomography NN cord-254852-qr5gdmbc 104 40 ( ( -LRB- cord-254852-qr5gdmbc 104 41 CT CT NNP cord-254852-qr5gdmbc 104 42 ) ) -RRB- cord-254852-qr5gdmbc 104 43 scan scan VBP cord-254852-qr5gdmbc 104 44 to to TO cord-254852-qr5gdmbc 104 45 screen screen NN cord-254852-qr5gdmbc 104 46 for for IN cord-254852-qr5gdmbc 104 47 lung lung NN cord-254852-qr5gdmbc 104 48 cancer cancer NN cord-254852-qr5gdmbc 104 49 can can MD cord-254852-qr5gdmbc 104 50 be be VB cord-254852-qr5gdmbc 104 51 considered consider VBN cord-254852-qr5gdmbc 104 52 . . . cord-254852-qr5gdmbc 105 1 12 12 CD cord-254852-qr5gdmbc 105 2 _SP cord-254852-qr5gdmbc 106 1 In in IN cord-254852-qr5gdmbc 106 2 the the DT cord-254852-qr5gdmbc 106 3 United United NNP cord-254852-qr5gdmbc 106 4 States States NNP cord-254852-qr5gdmbc 106 5 , , , cord-254852-qr5gdmbc 106 6 the the DT cord-254852-qr5gdmbc 106 7 pneumococcal pneumococcal JJ cord-254852-qr5gdmbc 106 8 conjugate conjugate NN cord-254852-qr5gdmbc 106 9 vaccine vaccine NN cord-254852-qr5gdmbc 106 10 ( ( -LRB- cord-254852-qr5gdmbc 106 11 PCV13 PCV13 NNP cord-254852-qr5gdmbc 106 12 or or CC cord-254852-qr5gdmbc 106 13 Prevnar-13 Prevnar-13 NNP cord-254852-qr5gdmbc 106 14 ) ) -RRB- cord-254852-qr5gdmbc 106 15 is be VBZ cord-254852-qr5gdmbc 106 16 recommended recommend VBN cord-254852-qr5gdmbc 106 17 for for IN cord-254852-qr5gdmbc 106 18 all all DT cord-254852-qr5gdmbc 106 19 babies baby NNS cord-254852-qr5gdmbc 106 20 and and CC cord-254852-qr5gdmbc 106 21 children child NNS cord-254852-qr5gdmbc 106 22 younger young JJR cord-254852-qr5gdmbc 106 23 than than IN cord-254852-qr5gdmbc 106 24 2 2 CD cord-254852-qr5gdmbc 106 25 years year NNS cord-254852-qr5gdmbc 106 26 , , , cord-254852-qr5gdmbc 106 27 all all DT cord-254852-qr5gdmbc 106 28 adults adult NNS cord-254852-qr5gdmbc 106 29 aged age VBN cord-254852-qr5gdmbc 106 30 65 65 CD cord-254852-qr5gdmbc 106 31 years year NNS cord-254852-qr5gdmbc 106 32 or or CC cord-254852-qr5gdmbc 106 33 older old JJR cord-254852-qr5gdmbc 106 34 , , , cord-254852-qr5gdmbc 106 35 as as RB cord-254852-qr5gdmbc 106 36 well well RB cord-254852-qr5gdmbc 106 37 as as IN cord-254852-qr5gdmbc 106 38 children child NNS cord-254852-qr5gdmbc 106 39 and and CC cord-254852-qr5gdmbc 106 40 adults adult NNS cord-254852-qr5gdmbc 106 41 aged age VBN cord-254852-qr5gdmbc 106 42 2 2 CD cord-254852-qr5gdmbc 106 43 years year NNS cord-254852-qr5gdmbc 106 44 through through IN cord-254852-qr5gdmbc 106 45 64 64 CD cord-254852-qr5gdmbc 106 46 years year NNS cord-254852-qr5gdmbc 106 47 who who WP cord-254852-qr5gdmbc 106 48 are be VBP cord-254852-qr5gdmbc 106 49 at at IN cord-254852-qr5gdmbc 106 50 increased increase VBN cord-254852-qr5gdmbc 106 51 risk risk NN cord-254852-qr5gdmbc 106 52 for for IN cord-254852-qr5gdmbc 106 53 pneumococcal pneumococcal JJ cord-254852-qr5gdmbc 106 54 disease disease NN cord-254852-qr5gdmbc 106 55 due due JJ cord-254852-qr5gdmbc 106 56 to to IN cord-254852-qr5gdmbc 106 57 certain certain JJ cord-254852-qr5gdmbc 106 58 medical medical JJ cord-254852-qr5gdmbc 106 59 conditions condition NNS cord-254852-qr5gdmbc 106 60 . . . cord-254852-qr5gdmbc 107 1 24 24 CD cord-254852-qr5gdmbc 108 1 The the DT cord-254852-qr5gdmbc 108 2 pneumococcal pneumococcal JJ cord-254852-qr5gdmbc 108 3 conjugate conjugate NN cord-254852-qr5gdmbc 108 4 vaccine vaccine NN cord-254852-qr5gdmbc 108 5 has have VBZ cord-254852-qr5gdmbc 108 6 been be VBN cord-254852-qr5gdmbc 108 7 shown show VBN cord-254852-qr5gdmbc 108 8 to to TO cord-254852-qr5gdmbc 108 9 have have VB cord-254852-qr5gdmbc 108 10 an an DT cord-254852-qr5gdmbc 108 11 observed observed JJ cord-254852-qr5gdmbc 108 12 46 46 CD cord-254852-qr5gdmbc 108 13 % % NN cord-254852-qr5gdmbc 108 14 reduction reduction NN cord-254852-qr5gdmbc 108 15 in in IN cord-254852-qr5gdmbc 108 16 vaccine vaccine NN cord-254852-qr5gdmbc 108 17 - - HYPH cord-254852-qr5gdmbc 108 18 type type NN cord-254852-qr5gdmbc 108 19 pneumococcal pneumococcal JJ cord-254852-qr5gdmbc 108 20 CAP cap NN cord-254852-qr5gdmbc 108 21 , , , cord-254852-qr5gdmbc 108 22 persisting persist VBG cord-254852-qr5gdmbc 108 23 for for IN cord-254852-qr5gdmbc 108 24 at at RB cord-254852-qr5gdmbc 108 25 least least JJS cord-254852-qr5gdmbc 108 26 4 4 CD cord-254852-qr5gdmbc 108 27 years year NNS cord-254852-qr5gdmbc 108 28 after after IN cord-254852-qr5gdmbc 108 29 receiving receive VBG cord-254852-qr5gdmbc 108 30 the the DT cord-254852-qr5gdmbc 108 31 vaccine vaccine NN cord-254852-qr5gdmbc 108 32 . . . cord-254852-qr5gdmbc 109 1 25 25 CD cord-254852-qr5gdmbc 109 2 , , , cord-254852-qr5gdmbc 109 3 26 26 CD cord-254852-qr5gdmbc 110 1 The the DT cord-254852-qr5gdmbc 110 2 pneumococcal pneumococcal JJ cord-254852-qr5gdmbc 110 3 polysaccharide polysaccharide NN cord-254852-qr5gdmbc 110 4 vaccine vaccine NN cord-254852-qr5gdmbc 110 5 ( ( -LRB- cord-254852-qr5gdmbc 110 6 PPSV23 PPSV23 NNP cord-254852-qr5gdmbc 110 7 or or CC cord-254852-qr5gdmbc 110 8 Pneumovax Pneumovax NNP cord-254852-qr5gdmbc 110 9 23 23 CD cord-254852-qr5gdmbc 110 10 ) ) -RRB- cord-254852-qr5gdmbc 110 11 is be VBZ cord-254852-qr5gdmbc 110 12 recommended recommend VBN cord-254852-qr5gdmbc 110 13 for for IN cord-254852-qr5gdmbc 110 14 all all DT cord-254852-qr5gdmbc 110 15 adults adult NNS cord-254852-qr5gdmbc 110 16 aged age VBN cord-254852-qr5gdmbc 110 17 65 65 CD cord-254852-qr5gdmbc 110 18 years year NNS cord-254852-qr5gdmbc 110 19 or or CC cord-254852-qr5gdmbc 110 20 older old JJR cord-254852-qr5gdmbc 110 21 , , , cord-254852-qr5gdmbc 110 22 all all DT cord-254852-qr5gdmbc 110 23 cigarette cigarette NN cord-254852-qr5gdmbc 110 24 smokers smoker NNS cord-254852-qr5gdmbc 110 25 aged age VBN cord-254852-qr5gdmbc 110 26 19 19 CD cord-254852-qr5gdmbc 110 27 to to TO cord-254852-qr5gdmbc 110 28 64 64 CD cord-254852-qr5gdmbc 110 29 years year NNS cord-254852-qr5gdmbc 110 30 , , , cord-254852-qr5gdmbc 110 31 as as RB cord-254852-qr5gdmbc 110 32 well well RB cord-254852-qr5gdmbc 110 33 as as IN cord-254852-qr5gdmbc 110 34 children child NNS cord-254852-qr5gdmbc 110 35 and and CC cord-254852-qr5gdmbc 110 36 adults adult NNS cord-254852-qr5gdmbc 110 37 aged age VBN cord-254852-qr5gdmbc 110 38 2 2 CD cord-254852-qr5gdmbc 110 39 to to IN cord-254852-qr5gdmbc 110 40 64 64 CD cord-254852-qr5gdmbc 110 41 years year NNS cord-254852-qr5gdmbc 110 42 with with IN cord-254852-qr5gdmbc 110 43 certain certain JJ cord-254852-qr5gdmbc 110 44 medical medical JJ cord-254852-qr5gdmbc 110 45 conditions condition NNS cord-254852-qr5gdmbc 110 46 . . . cord-254852-qr5gdmbc 111 1 27 27 CD cord-254852-qr5gdmbc 112 1 A a DT cord-254852-qr5gdmbc 112 2 2013 2013 CD cord-254852-qr5gdmbc 112 3 Cochrane Cochrane NNP cord-254852-qr5gdmbc 112 4 review review NN cord-254852-qr5gdmbc 112 5 found find VBD cord-254852-qr5gdmbc 112 6 that that IN cord-254852-qr5gdmbc 112 7 the the DT cord-254852-qr5gdmbc 112 8 polysaccharide polysaccharide NN cord-254852-qr5gdmbc 112 9 vaccine vaccine NN cord-254852-qr5gdmbc 112 10 is be VBZ cord-254852-qr5gdmbc 112 11 effective effective JJ cord-254852-qr5gdmbc 112 12 in in IN cord-254852-qr5gdmbc 112 13 preventing prevent VBG cord-254852-qr5gdmbc 112 14 invasive invasive JJ cord-254852-qr5gdmbc 112 15 pneumococcal pneumococcal JJ cord-254852-qr5gdmbc 112 16 disease disease NN cord-254852-qr5gdmbc 112 17 in in IN cord-254852-qr5gdmbc 112 18 healthy healthy JJ cord-254852-qr5gdmbc 112 19 adults adult NNS cord-254852-qr5gdmbc 112 20 . . . cord-254852-qr5gdmbc 113 1 Vaccine vaccine NN cord-254852-qr5gdmbc 113 2 efficacy efficacy NN cord-254852-qr5gdmbc 113 3 was be VBD cord-254852-qr5gdmbc 113 4 , , , cord-254852-qr5gdmbc 113 5 however however RB cord-254852-qr5gdmbc 113 6 , , , cord-254852-qr5gdmbc 113 7 poorer poor JJR cord-254852-qr5gdmbc 113 8 in in IN cord-254852-qr5gdmbc 113 9 adults adult NNS cord-254852-qr5gdmbc 113 10 with with IN cord-254852-qr5gdmbc 113 11 chronic chronic JJ cord-254852-qr5gdmbc 113 12 illnesses illness NNS cord-254852-qr5gdmbc 113 13 . . . cord-254852-qr5gdmbc 114 1 28 28 CD cord-254852-qr5gdmbc 114 2 _SP cord-254852-qr5gdmbc 115 1 Pneumonia pneumonia NN cord-254852-qr5gdmbc 115 2 is be VBZ cord-254852-qr5gdmbc 115 3 considered consider VBN cord-254852-qr5gdmbc 115 4 " " `` cord-254852-qr5gdmbc 115 5 nonresolving nonresolving JJ cord-254852-qr5gdmbc 115 6 " " '' cord-254852-qr5gdmbc 115 7 if if IN cord-254852-qr5gdmbc 115 8 there there EX cord-254852-qr5gdmbc 115 9 is be VBZ cord-254852-qr5gdmbc 115 10 an an DT cord-254852-qr5gdmbc 115 11 inadequate inadequate JJ cord-254852-qr5gdmbc 115 12 clinical clinical JJ cord-254852-qr5gdmbc 115 13 response response NN cord-254852-qr5gdmbc 115 14 despite despite IN cord-254852-qr5gdmbc 115 15 antibiotic antibiotic JJ cord-254852-qr5gdmbc 115 16 treatment treatment NN cord-254852-qr5gdmbc 115 17 . . . cord-254852-qr5gdmbc 116 1 11 11 CD cord-254852-qr5gdmbc 117 1 The the DT cord-254852-qr5gdmbc 117 2 incidence incidence NN cord-254852-qr5gdmbc 117 3 of of IN cord-254852-qr5gdmbc 117 4 treatment treatment NN cord-254852-qr5gdmbc 117 5 failure failure NN cord-254852-qr5gdmbc 117 6 is be VBZ cord-254852-qr5gdmbc 117 7 6 6 CD cord-254852-qr5gdmbc 117 8 % % NN cord-254852-qr5gdmbc 117 9 to to TO cord-254852-qr5gdmbc 117 10 15 15 CD cord-254852-qr5gdmbc 117 11 % % NN cord-254852-qr5gdmbc 117 12 and and CC cord-254852-qr5gdmbc 117 13 is be VBZ cord-254852-qr5gdmbc 117 14 associated associate VBN cord-254852-qr5gdmbc 117 15 with with IN cord-254852-qr5gdmbc 117 16 a a DT cord-254852-qr5gdmbc 117 17 5-fold 5-fold CD cord-254852-qr5gdmbc 117 18 increase increase NN cord-254852-qr5gdmbc 117 19 in in IN cord-254852-qr5gdmbc 117 20 mortality mortality NN cord-254852-qr5gdmbc 117 21 . . . cord-254852-qr5gdmbc 118 1 29 29 CD cord-254852-qr5gdmbc 118 2 IDSA IDSA NNP cord-254852-qr5gdmbc 118 3 broadly broadly RB cord-254852-qr5gdmbc 118 4 classifies classify VBZ cord-254852-qr5gdmbc 118 5 nonresponse nonresponse NN cord-254852-qr5gdmbc 118 6 into into IN cord-254852-qr5gdmbc 118 7 2 2 CD cord-254852-qr5gdmbc 118 8 different different JJ cord-254852-qr5gdmbc 118 9 groups group NNS cord-254852-qr5gdmbc 118 10 : : : cord-254852-qr5gdmbc 118 11 ( ( -LRB- cord-254852-qr5gdmbc 118 12 1 1 LS cord-254852-qr5gdmbc 118 13 ) ) -RRB- cord-254852-qr5gdmbc 118 14 progressive progressive JJ cord-254852-qr5gdmbc 118 15 pneumonia pneumonia NN cord-254852-qr5gdmbc 118 16 characterized characterize VBN cord-254852-qr5gdmbc 118 17 by by IN cord-254852-qr5gdmbc 118 18 clinical clinical JJ cord-254852-qr5gdmbc 118 19 deterioration deterioration NN cord-254852-qr5gdmbc 118 20 and and CC cord-254852-qr5gdmbc 118 21 ( ( -LRB- cord-254852-qr5gdmbc 118 22 2 2 LS cord-254852-qr5gdmbc 118 23 ) ) -RRB- cord-254852-qr5gdmbc 118 24 persistent persistent JJ cord-254852-qr5gdmbc 118 25 pneumonia pneumonia NN cord-254852-qr5gdmbc 118 26 with with IN cord-254852-qr5gdmbc 118 27 absence absence NN cord-254852-qr5gdmbc 118 28 or or CC cord-254852-qr5gdmbc 118 29 delay delay NN cord-254852-qr5gdmbc 118 30 of of IN cord-254852-qr5gdmbc 118 31 clinical clinical JJ cord-254852-qr5gdmbc 118 32 stability stability NN cord-254852-qr5gdmbc 118 33 . . . cord-254852-qr5gdmbc 119 1 11 11 CD cord-254852-qr5gdmbc 119 2 Progressive progressive JJ cord-254852-qr5gdmbc 119 3 pneumonia pneumonia NN cord-254852-qr5gdmbc 119 4 with with IN cord-254852-qr5gdmbc 119 5 deterioration deterioration NN cord-254852-qr5gdmbc 119 6 is be VBZ cord-254852-qr5gdmbc 119 7 characterized characterize VBN cord-254852-qr5gdmbc 119 8 by by IN cord-254852-qr5gdmbc 119 9 respiratory respiratory JJ cord-254852-qr5gdmbc 119 10 failure failure NN cord-254852-qr5gdmbc 119 11 and/ and/ CD cord-254852-qr5gdmbc 119 12 or or CC cord-254852-qr5gdmbc 119 13 septic septic JJ cord-254852-qr5gdmbc 119 14 shock shock NN cord-254852-qr5gdmbc 119 15 and and CC cord-254852-qr5gdmbc 119 16 typically typically RB cord-254852-qr5gdmbc 119 17 occurs occur VBZ cord-254852-qr5gdmbc 119 18 within within IN cord-254852-qr5gdmbc 119 19 72 72 CD cord-254852-qr5gdmbc 119 20 hours hour NNS cord-254852-qr5gdmbc 119 21 . . . cord-254852-qr5gdmbc 120 1 Persistent persistent JJ cord-254852-qr5gdmbc 120 2 pneumonia pneumonia NN cord-254852-qr5gdmbc 120 3 with with IN cord-254852-qr5gdmbc 120 4 absent absent JJ cord-254852-qr5gdmbc 120 5 or or CC cord-254852-qr5gdmbc 120 6 delayed delayed JJ cord-254852-qr5gdmbc 120 7 response response NN cord-254852-qr5gdmbc 120 8 is be VBZ cord-254852-qr5gdmbc 120 9 typically typically RB cord-254852-qr5gdmbc 120 10 considered consider VBN cord-254852-qr5gdmbc 120 11 after after IN cord-254852-qr5gdmbc 120 12 a a DT cord-254852-qr5gdmbc 120 13 time time NN cord-254852-qr5gdmbc 120 14 period period NN cord-254852-qr5gdmbc 120 15 of of IN cord-254852-qr5gdmbc 120 16 72 72 CD cord-254852-qr5gdmbc 120 17 hours hour NNS cord-254852-qr5gdmbc 120 18 , , , cord-254852-qr5gdmbc 120 19 because because IN cord-254852-qr5gdmbc 120 20 this this DT cord-254852-qr5gdmbc 120 21 is be VBZ cord-254852-qr5gdmbc 120 22 often often RB cord-254852-qr5gdmbc 120 23 regarded regard VBN cord-254852-qr5gdmbc 120 24 as as IN cord-254852-qr5gdmbc 120 25 the the DT cord-254852-qr5gdmbc 120 26 median median JJ cord-254852-qr5gdmbc 120 27 time time NN cord-254852-qr5gdmbc 120 28 required require VBN cord-254852-qr5gdmbc 120 29 for for IN cord-254852-qr5gdmbc 120 30 clinical clinical JJ cord-254852-qr5gdmbc 120 31 stability stability NN cord-254852-qr5gdmbc 120 32 . . . cord-254852-qr5gdmbc 121 1 11 11 CD cord-254852-qr5gdmbc 121 2 , , , cord-254852-qr5gdmbc 121 3 29 29 CD cord-254852-qr5gdmbc 121 4 Concern concern NN cord-254852-qr5gdmbc 121 5 for for IN cord-254852-qr5gdmbc 121 6 nonresponse nonresponse NN cord-254852-qr5gdmbc 121 7 in in IN cord-254852-qr5gdmbc 121 8 a a DT cord-254852-qr5gdmbc 121 9 patient patient NN cord-254852-qr5gdmbc 121 10 with with IN cord-254852-qr5gdmbc 121 11 pneumonia pneumonia NN cord-254852-qr5gdmbc 121 12 should should MD cord-254852-qr5gdmbc 121 13 initiate initiate VB cord-254852-qr5gdmbc 121 14 a a DT cord-254852-qr5gdmbc 121 15 systematic systematic JJ cord-254852-qr5gdmbc 121 16 evaluation evaluation NN cord-254852-qr5gdmbc 121 17 of of IN cord-254852-qr5gdmbc 121 18 possible possible JJ cord-254852-qr5gdmbc 121 19 causes cause NNS cord-254852-qr5gdmbc 121 20 . . . cord-254852-qr5gdmbc 122 1 Host host NN cord-254852-qr5gdmbc 122 2 factors factor NNS cord-254852-qr5gdmbc 122 3 that that WDT cord-254852-qr5gdmbc 122 4 may may MD cord-254852-qr5gdmbc 122 5 explain explain VB cord-254852-qr5gdmbc 122 6 poor poor JJ cord-254852-qr5gdmbc 122 7 response response NN cord-254852-qr5gdmbc 122 8 should should MD cord-254852-qr5gdmbc 122 9 be be VB cord-254852-qr5gdmbc 122 10 considered consider VBN cord-254852-qr5gdmbc 122 11 , , , cord-254852-qr5gdmbc 122 12 including include VBG cord-254852-qr5gdmbc 122 13 high high JJ cord-254852-qr5gdmbc 122 14 initial initial JJ cord-254852-qr5gdmbc 122 15 severity severity NN cord-254852-qr5gdmbc 122 16 score score NN cord-254852-qr5gdmbc 122 17 , , , cord-254852-qr5gdmbc 122 18 risk risk NN cord-254852-qr5gdmbc 122 19 factors factor NNS cord-254852-qr5gdmbc 122 20 for for IN cord-254852-qr5gdmbc 122 21 infection infection NN cord-254852-qr5gdmbc 122 22 with with IN cord-254852-qr5gdmbc 122 23 unusual unusual JJ cord-254852-qr5gdmbc 122 24 organisms organism NNS cord-254852-qr5gdmbc 122 25 , , , cord-254852-qr5gdmbc 122 26 underlying underlie VBG cord-254852-qr5gdmbc 122 27 comorbidities comorbiditie NNS cord-254852-qr5gdmbc 122 28 , , , cord-254852-qr5gdmbc 122 29 or or CC cord-254852-qr5gdmbc 122 30 risk risk NN cord-254852-qr5gdmbc 122 31 factors factor NNS cord-254852-qr5gdmbc 122 32 for for IN cord-254852-qr5gdmbc 122 33 multi multi JJ cord-254852-qr5gdmbc 122 34 - - JJ cord-254852-qr5gdmbc 122 35 drug drug JJ cord-254852-qr5gdmbc 122 36 - - HYPH cord-254852-qr5gdmbc 122 37 resistant resistant JJ cord-254852-qr5gdmbc 122 38 pathogens pathogen NNS cord-254852-qr5gdmbc 122 39 ( ( -LRB- cord-254852-qr5gdmbc 122 40 Table table NN cord-254852-qr5gdmbc 122 41 5 5 CD cord-254852-qr5gdmbc 122 42 ) ) -RRB- cord-254852-qr5gdmbc 122 43 . . . cord-254852-qr5gdmbc 123 1 24 24 CD cord-254852-qr5gdmbc 124 1 In in IN cord-254852-qr5gdmbc 124 2 areas area NNS cord-254852-qr5gdmbc 124 3 with with IN cord-254852-qr5gdmbc 124 4 high high JJ cord-254852-qr5gdmbc 124 5 prevalence prevalence NN cord-254852-qr5gdmbc 124 6 of of IN cord-254852-qr5gdmbc 124 7 HIV HIV NNP cord-254852-qr5gdmbc 124 8 or or CC cord-254852-qr5gdmbc 124 9 TB TB NNP cord-254852-qr5gdmbc 124 10 , , , cord-254852-qr5gdmbc 124 11 testing testing NN cord-254852-qr5gdmbc 124 12 is be VBZ cord-254852-qr5gdmbc 124 13 recommended recommend VBN cord-254852-qr5gdmbc 124 14 . . . cord-254852-qr5gdmbc 125 1 30 30 CD cord-254852-qr5gdmbc 125 2 Results result NNS cord-254852-qr5gdmbc 125 3 of of IN cord-254852-qr5gdmbc 125 4 initial initial JJ cord-254852-qr5gdmbc 125 5 microbiological microbiological JJ cord-254852-qr5gdmbc 125 6 tests test NNS cord-254852-qr5gdmbc 125 7 such such JJ cord-254852-qr5gdmbc 125 8 as as IN cord-254852-qr5gdmbc 125 9 blood blood NN cord-254852-qr5gdmbc 125 10 or or CC cord-254852-qr5gdmbc 125 11 sputum sputum NN cord-254852-qr5gdmbc 125 12 cultures culture NNS cord-254852-qr5gdmbc 125 13 should should MD cord-254852-qr5gdmbc 125 14 be be VB cord-254852-qr5gdmbc 125 15 reviewed review VBN cord-254852-qr5gdmbc 125 16 , , , cord-254852-qr5gdmbc 125 17 including include VBG cord-254852-qr5gdmbc 125 18 any any DT cord-254852-qr5gdmbc 125 19 sensitivity sensitivity NN cord-254852-qr5gdmbc 125 20 data datum NNS cord-254852-qr5gdmbc 125 21 . . . cord-254852-qr5gdmbc 126 1 Repeat repeat VB cord-254852-qr5gdmbc 126 2 blood blood NN cord-254852-qr5gdmbc 126 3 cultures culture NNS cord-254852-qr5gdmbc 126 4 should should MD cord-254852-qr5gdmbc 126 5 be be VB cord-254852-qr5gdmbc 126 6 obtained obtain VBN cord-254852-qr5gdmbc 126 7 in in IN cord-254852-qr5gdmbc 126 8 the the DT cord-254852-qr5gdmbc 126 9 setting setting NN cord-254852-qr5gdmbc 126 10 of of IN cord-254852-qr5gdmbc 126 11 clinical clinical JJ cord-254852-qr5gdmbc 126 12 deterioration deterioration NN cord-254852-qr5gdmbc 126 13 . . . cord-254852-qr5gdmbc 127 1 Additional additional JJ cord-254852-qr5gdmbc 127 2 laboratory laboratory NN cord-254852-qr5gdmbc 127 3 testing testing NN cord-254852-qr5gdmbc 127 4 for for IN cord-254852-qr5gdmbc 127 5 S. S. NNP cord-254852-qr5gdmbc 127 6 pneumonia pneumonia NN cord-254852-qr5gdmbc 127 7 and and CC cord-254852-qr5gdmbc 127 8 Legionella Legionella NNP cord-254852-qr5gdmbc 127 9 pneumophila pneumophila NN cord-254852-qr5gdmbc 127 10 via via IN cord-254852-qr5gdmbc 127 11 urine urine NN cord-254852-qr5gdmbc 127 12 antigen antigen NN cord-254852-qr5gdmbc 127 13 testing testing NN cord-254852-qr5gdmbc 127 14 may may MD cord-254852-qr5gdmbc 127 15 be be VB cord-254852-qr5gdmbc 127 16 performed perform VBN cord-254852-qr5gdmbc 127 17 , , , cord-254852-qr5gdmbc 127 18 because because IN cord-254852-qr5gdmbc 127 19 they -PRON- PRP cord-254852-qr5gdmbc 127 20 may may MD cord-254852-qr5gdmbc 127 21 remain remain VB cord-254852-qr5gdmbc 127 22 positive positive JJ cord-254852-qr5gdmbc 127 23 for for IN cord-254852-qr5gdmbc 127 24 days day NNS cord-254852-qr5gdmbc 127 25 after after IN cord-254852-qr5gdmbc 127 26 initiating initiate VBG cord-254852-qr5gdmbc 127 27 antibiotic antibiotic JJ cord-254852-qr5gdmbc 127 28 treatment treatment NN cord-254852-qr5gdmbc 127 29 . . . cord-254852-qr5gdmbc 128 1 Additional additional JJ cord-254852-qr5gdmbc 128 2 imaging imaging NN cord-254852-qr5gdmbc 128 3 such such JJ cord-254852-qr5gdmbc 128 4 as as IN cord-254852-qr5gdmbc 128 5 chest chest NN cord-254852-qr5gdmbc 128 6 CT CT NNP cord-254852-qr5gdmbc 128 7 may may MD cord-254852-qr5gdmbc 128 8 be be VB cord-254852-qr5gdmbc 128 9 beneficial beneficial JJ cord-254852-qr5gdmbc 128 10 for for IN cord-254852-qr5gdmbc 128 11 assessing assess VBG cord-254852-qr5gdmbc 128 12 interval interval NN cord-254852-qr5gdmbc 128 13 progression progression NN cord-254852-qr5gdmbc 128 14 or or CC cord-254852-qr5gdmbc 128 15 improvement improvement NN cord-254852-qr5gdmbc 128 16 or or CC cord-254852-qr5gdmbc 128 17 identifying identify VBG cord-254852-qr5gdmbc 128 18 pleural pleural JJ cord-254852-qr5gdmbc 128 19 effusions effusion NNS cord-254852-qr5gdmbc 128 20 , , , cord-254852-qr5gdmbc 128 21 lung lung NN cord-254852-qr5gdmbc 128 22 abscesses abscess NNS cord-254852-qr5gdmbc 128 23 , , , cord-254852-qr5gdmbc 128 24 or or CC cord-254852-qr5gdmbc 128 25 pulmonary pulmonary JJ cord-254852-qr5gdmbc 128 26 embolism embolism NN cord-254852-qr5gdmbc 128 27 . . . cord-254852-qr5gdmbc 129 1 If if IN cord-254852-qr5gdmbc 129 2 pleural pleural JJ cord-254852-qr5gdmbc 129 3 effusions effusion NNS cord-254852-qr5gdmbc 129 4 are be VBP cord-254852-qr5gdmbc 129 5 identified identify VBN cord-254852-qr5gdmbc 129 6 in in IN cord-254852-qr5gdmbc 129 7 a a DT cord-254852-qr5gdmbc 129 8 patient patient NN cord-254852-qr5gdmbc 129 9 with with IN cord-254852-qr5gdmbc 129 10 treatment treatment NN cord-254852-qr5gdmbc 129 11 failure failure NN cord-254852-qr5gdmbc 129 12 , , , cord-254852-qr5gdmbc 129 13 thoracentesis thoracentesis NN cord-254852-qr5gdmbc 129 14 should should MD cord-254852-qr5gdmbc 129 15 be be VB cord-254852-qr5gdmbc 129 16 performed perform VBN cord-254852-qr5gdmbc 129 17 to to TO cord-254852-qr5gdmbc 129 18 evaluate evaluate VB cord-254852-qr5gdmbc 129 19 for for IN cord-254852-qr5gdmbc 129 20 empyema empyema NNP cord-254852-qr5gdmbc 129 21 . . . cord-254852-qr5gdmbc 130 1 In in IN cord-254852-qr5gdmbc 130 2 select select JJ cord-254852-qr5gdmbc 130 3 patients patient NNS cord-254852-qr5gdmbc 130 4 , , , cord-254852-qr5gdmbc 130 5 bronchoscopy bronchoscopy RB cord-254852-qr5gdmbc 130 6 with with IN cord-254852-qr5gdmbc 130 7 protected protect VBN cord-254852-qr5gdmbc 130 8 bronchial bronchial JJ cord-254852-qr5gdmbc 130 9 sampling sampling NN cord-254852-qr5gdmbc 130 10 or or CC cord-254852-qr5gdmbc 130 11 bronchoalveolar bronchoalveolar NNP cord-254852-qr5gdmbc 130 12 lavage lavage NNP cord-254852-qr5gdmbc 130 13 ( ( -LRB- cord-254852-qr5gdmbc 130 14 BAL BAL NNP cord-254852-qr5gdmbc 130 15 ) ) -RRB- cord-254852-qr5gdmbc 130 16 may may MD cord-254852-qr5gdmbc 130 17 be be VB cord-254852-qr5gdmbc 130 18 beneficial beneficial JJ cord-254852-qr5gdmbc 130 19 to to TO cord-254852-qr5gdmbc 130 20 provide provide VB cord-254852-qr5gdmbc 130 21 diagnostic diagnostic JJ cord-254852-qr5gdmbc 130 22 information information NN cord-254852-qr5gdmbc 130 23 for for IN cord-254852-qr5gdmbc 130 24 infectious infectious JJ cord-254852-qr5gdmbc 130 25 causes cause NNS cord-254852-qr5gdmbc 130 26 and and CC cord-254852-qr5gdmbc 130 27 noninfectious noninfectious JJ cord-254852-qr5gdmbc 130 28 mimics mimic NNS cord-254852-qr5gdmbc 130 29 , , , cord-254852-qr5gdmbc 130 30 such such JJ cord-254852-qr5gdmbc 130 31 as as IN cord-254852-qr5gdmbc 130 32 pulmonary pulmonary JJ cord-254852-qr5gdmbc 130 33 eosinophilia eosinophilia NN cord-254852-qr5gdmbc 130 34 , , , cord-254852-qr5gdmbc 130 35 drug drug NN cord-254852-qr5gdmbc 130 36 - - HYPH cord-254852-qr5gdmbc 130 37 induced induce VBN cord-254852-qr5gdmbc 130 38 pneumonitis pneumonitis NN cord-254852-qr5gdmbc 130 39 , , , cord-254852-qr5gdmbc 130 40 sarcoidosis sarcoidosis NN cord-254852-qr5gdmbc 130 41 , , , cord-254852-qr5gdmbc 130 42 or or CC cord-254852-qr5gdmbc 130 43 pulmonary pulmonary JJ cord-254852-qr5gdmbc 130 44 fibrosis fibrosis NN cord-254852-qr5gdmbc 130 45 . . . cord-254852-qr5gdmbc 131 1 11 11 CD cord-254852-qr5gdmbc 131 2 , , , cord-254852-qr5gdmbc 131 3 29 29 CD cord-254852-qr5gdmbc 131 4 Primary primary JJ cord-254852-qr5gdmbc 131 5 or or CC cord-254852-qr5gdmbc 131 6 metastatic metastatic JJ cord-254852-qr5gdmbc 131 7 neoplastic neoplastic JJ cord-254852-qr5gdmbc 131 8 lesions lesion NNS cord-254852-qr5gdmbc 131 9 obstructing obstruct VBG cord-254852-qr5gdmbc 131 10 the the DT cord-254852-qr5gdmbc 131 11 bronchus bronchus NN cord-254852-qr5gdmbc 131 12 may may MD cord-254852-qr5gdmbc 131 13 cause cause VB cord-254852-qr5gdmbc 131 14 accumulation accumulation NN cord-254852-qr5gdmbc 131 15 of of IN cord-254852-qr5gdmbc 131 16 secretions secretion NNS cord-254852-qr5gdmbc 131 17 distal distal JJ cord-254852-qr5gdmbc 131 18 to to IN cord-254852-qr5gdmbc 131 19 the the DT cord-254852-qr5gdmbc 131 20 obstruction obstruction NN cord-254852-qr5gdmbc 131 21 , , , cord-254852-qr5gdmbc 131 22 predisposing predispose VBG cord-254852-qr5gdmbc 131 23 to to IN cord-254852-qr5gdmbc 131 24 infection infection NN cord-254852-qr5gdmbc 131 25 . . . cord-254852-qr5gdmbc 132 1 Both both DT cord-254852-qr5gdmbc 132 2 Hodgkin Hodgkin NNP cord-254852-qr5gdmbc 132 3 and and CC cord-254852-qr5gdmbc 132 4 non non JJ cord-254852-qr5gdmbc 132 5 - - JJ cord-254852-qr5gdmbc 132 6 Hodgkin Hodgkin NNP cord-254852-qr5gdmbc 132 7 lymphoma lymphoma NN cord-254852-qr5gdmbc 132 8 can can MD cord-254852-qr5gdmbc 132 9 present present VB cord-254852-qr5gdmbc 132 10 with with IN cord-254852-qr5gdmbc 132 11 lung lung NN cord-254852-qr5gdmbc 132 12 involvement involvement NN cord-254852-qr5gdmbc 132 13 , , , cord-254852-qr5gdmbc 132 14 with with IN cord-254852-qr5gdmbc 132 15 typical typical JJ cord-254852-qr5gdmbc 132 16 radiographic radiographic JJ cord-254852-qr5gdmbc 132 17 findings finding NNS cord-254852-qr5gdmbc 132 18 of of IN cord-254852-qr5gdmbc 132 19 hilar hilar JJ cord-254852-qr5gdmbc 132 20 or or CC cord-254852-qr5gdmbc 132 21 mediastinal mediastinal JJ cord-254852-qr5gdmbc 132 22 adenopathy adenopathy NN cord-254852-qr5gdmbc 132 23 , , , cord-254852-qr5gdmbc 132 24 but but CC cord-254852-qr5gdmbc 132 25 may may MD cord-254852-qr5gdmbc 132 26 also also RB cord-254852-qr5gdmbc 132 27 have have VB cord-254852-qr5gdmbc 132 28 a a DT cord-254852-qr5gdmbc 132 29 presenting present VBG cord-254852-qr5gdmbc 132 30 pattern pattern NN cord-254852-qr5gdmbc 132 31 that that WDT cord-254852-qr5gdmbc 132 32 suggests suggest VBZ cord-254852-qr5gdmbc 132 33 infection infection NN cord-254852-qr5gdmbc 132 34 . . . cord-254852-qr5gdmbc 133 1 31 31 CD cord-254852-qr5gdmbc 133 2 _SP cord-254852-qr5gdmbc 134 1 Elderly elderly JJ cord-254852-qr5gdmbc 134 2 patients patient NNS cord-254852-qr5gdmbc 134 3 with with IN cord-254852-qr5gdmbc 134 4 pneumonia pneumonia NN cord-254852-qr5gdmbc 134 5 may may MD cord-254852-qr5gdmbc 134 6 not not RB cord-254852-qr5gdmbc 134 7 exhibit exhibit VB cord-254852-qr5gdmbc 134 8 typical typical JJ cord-254852-qr5gdmbc 134 9 symptoms symptom NNS cord-254852-qr5gdmbc 134 10 or or CC cord-254852-qr5gdmbc 134 11 physical physical JJ cord-254852-qr5gdmbc 134 12 examination examination NN cord-254852-qr5gdmbc 134 13 findings finding NNS cord-254852-qr5gdmbc 134 14 seen see VBN cord-254852-qr5gdmbc 134 15 in in IN cord-254852-qr5gdmbc 134 16 younger young JJR cord-254852-qr5gdmbc 134 17 adults adult NNS cord-254852-qr5gdmbc 134 18 , , , cord-254852-qr5gdmbc 134 19 such such JJ cord-254852-qr5gdmbc 134 20 as as IN cord-254852-qr5gdmbc 134 21 pleuritic pleuritic JJ cord-254852-qr5gdmbc 134 22 chest chest NN cord-254852-qr5gdmbc 134 23 pain pain NN cord-254852-qr5gdmbc 134 24 , , , cord-254852-qr5gdmbc 134 25 cough cough NN cord-254852-qr5gdmbc 134 26 , , , cord-254852-qr5gdmbc 134 27 fever fever NN cord-254852-qr5gdmbc 134 28 , , , cord-254852-qr5gdmbc 134 29 and and CC cord-254852-qr5gdmbc 134 30 leukocytosis leukocytosis NNP cord-254852-qr5gdmbc 134 31 . . . cord-254852-qr5gdmbc 135 1 32 32 CD cord-254852-qr5gdmbc 135 2 Signs sign NNS cord-254852-qr5gdmbc 135 3 and and CC cord-254852-qr5gdmbc 135 4 symptoms symptom NNS cord-254852-qr5gdmbc 135 5 more more RBR cord-254852-qr5gdmbc 135 6 frequently frequently RB cord-254852-qr5gdmbc 135 7 seen see VBN cord-254852-qr5gdmbc 135 8 in in IN cord-254852-qr5gdmbc 135 9 older old JJR cord-254852-qr5gdmbc 135 10 adults adult NNS cord-254852-qr5gdmbc 135 11 include include VBP cord-254852-qr5gdmbc 135 12 falls fall NNS cord-254852-qr5gdmbc 135 13 , , , cord-254852-qr5gdmbc 135 14 decreased decrease VBD cord-254852-qr5gdmbc 135 15 appetite appetite NN cord-254852-qr5gdmbc 135 16 , , , cord-254852-qr5gdmbc 135 17 or or CC cord-254852-qr5gdmbc 135 18 functional functional JJ cord-254852-qr5gdmbc 135 19 impairment impairment NN cord-254852-qr5gdmbc 135 20 . . . cord-254852-qr5gdmbc 136 1 32 32 CD cord-254852-qr5gdmbc 137 1 A a DT cord-254852-qr5gdmbc 137 2 change change NN cord-254852-qr5gdmbc 137 3 in in IN cord-254852-qr5gdmbc 137 4 mental mental JJ cord-254852-qr5gdmbc 137 5 status status NN cord-254852-qr5gdmbc 137 6 should should MD cord-254852-qr5gdmbc 137 7 prompt prompt VB cord-254852-qr5gdmbc 137 8 evaluation evaluation NN cord-254852-qr5gdmbc 137 9 for for IN cord-254852-qr5gdmbc 137 10 an an DT cord-254852-qr5gdmbc 137 11 infectious infectious JJ cord-254852-qr5gdmbc 137 12 cause cause NN cord-254852-qr5gdmbc 137 13 . . . cord-254852-qr5gdmbc 138 1 9 9 CD cord-254852-qr5gdmbc 138 2 , , , cord-254852-qr5gdmbc 138 3 11 11 CD cord-254852-qr5gdmbc 139 1 As as IN cord-254852-qr5gdmbc 139 2 with with IN cord-254852-qr5gdmbc 139 3 any any DT cord-254852-qr5gdmbc 139 4 adult adult NN cord-254852-qr5gdmbc 139 5 , , , cord-254852-qr5gdmbc 139 6 risk risk NN cord-254852-qr5gdmbc 139 7 factors factor NNS cord-254852-qr5gdmbc 139 8 for for IN cord-254852-qr5gdmbc 139 9 atypical atypical JJ cord-254852-qr5gdmbc 139 10 or or CC cord-254852-qr5gdmbc 139 11 drug drug NN cord-254852-qr5gdmbc 139 12 - - HYPH cord-254852-qr5gdmbc 139 13 resistant resistant JJ cord-254852-qr5gdmbc 139 14 pathogens pathogen NNS cord-254852-qr5gdmbc 139 15 should should MD cord-254852-qr5gdmbc 139 16 guide guide VB cord-254852-qr5gdmbc 139 17 treatment treatment NN cord-254852-qr5gdmbc 139 18 . . . cord-254852-qr5gdmbc 140 1 Elderly elderly JJ cord-254852-qr5gdmbc 140 2 patients patient NNS cord-254852-qr5gdmbc 140 3 with with IN cord-254852-qr5gdmbc 140 4 history history NN cord-254852-qr5gdmbc 140 5 of of IN cord-254852-qr5gdmbc 140 6 stroke stroke NN cord-254852-qr5gdmbc 140 7 or or CC cord-254852-qr5gdmbc 140 8 known know VBN cord-254852-qr5gdmbc 140 9 dysphagia dysphagia NN cord-254852-qr5gdmbc 140 10 are be VBP cord-254852-qr5gdmbc 140 11 at at IN cord-254852-qr5gdmbc 140 12 an an DT cord-254852-qr5gdmbc 140 13 increased increase VBN cord-254852-qr5gdmbc 140 14 risk risk NN cord-254852-qr5gdmbc 140 15 for for IN cord-254852-qr5gdmbc 140 16 aspiration aspiration NN cord-254852-qr5gdmbc 140 17 pneumonia pneumonia NN cord-254852-qr5gdmbc 140 18 . . . cord-254852-qr5gdmbc 141 1 Residents resident NNS cord-254852-qr5gdmbc 141 2 of of IN cord-254852-qr5gdmbc 141 3 nursing nursing NN cord-254852-qr5gdmbc 141 4 homes home NNS cord-254852-qr5gdmbc 141 5 or or CC cord-254852-qr5gdmbc 141 6 long long JJ cord-254852-qr5gdmbc 141 7 - - HYPH cord-254852-qr5gdmbc 141 8 term term NN cord-254852-qr5gdmbc 141 9 care care NN cord-254852-qr5gdmbc 141 10 facilities facility NNS cord-254852-qr5gdmbc 141 11 are be VBP cord-254852-qr5gdmbc 141 12 at at IN cord-254852-qr5gdmbc 141 13 an an DT cord-254852-qr5gdmbc 141 14 increased increase VBN cord-254852-qr5gdmbc 141 15 risk risk NN cord-254852-qr5gdmbc 141 16 for for IN cord-254852-qr5gdmbc 141 17 methicillinresistant methicillinresistant JJ cord-254852-qr5gdmbc 141 18 Staphylococcus Staphylococcus NNP cord-254852-qr5gdmbc 141 19 aureus aureus NN cord-254852-qr5gdmbc 141 20 ( ( -LRB- cord-254852-qr5gdmbc 141 21 MRSA MRSA NNP cord-254852-qr5gdmbc 141 22 ) ) -RRB- cord-254852-qr5gdmbc 141 23 or or CC cord-254852-qr5gdmbc 141 24 multidrug multidrug NN cord-254852-qr5gdmbc 141 25 - - HYPH cord-254852-qr5gdmbc 141 26 resistant resistant JJ cord-254852-qr5gdmbc 141 27 ( ( -LRB- cord-254852-qr5gdmbc 141 28 MDR MDR NNP cord-254852-qr5gdmbc 141 29 ) ) -RRB- cord-254852-qr5gdmbc 141 30 pathogens pathogen NNS cord-254852-qr5gdmbc 141 31 . . . cord-254852-qr5gdmbc 142 1 32 32 CD cord-254852-qr5gdmbc 142 2 _SP cord-254852-qr5gdmbc 142 3 Evaluation Evaluation NNP cord-254852-qr5gdmbc 142 4 of of IN cord-254852-qr5gdmbc 142 5 a a DT cord-254852-qr5gdmbc 142 6 returned return VBN cord-254852-qr5gdmbc 142 7 traveler traveler NN cord-254852-qr5gdmbc 142 8 should should MD cord-254852-qr5gdmbc 142 9 include include VB cord-254852-qr5gdmbc 142 10 the the DT cord-254852-qr5gdmbc 142 11 following follow VBG cord-254852-qr5gdmbc 142 12 : : : cord-254852-qr5gdmbc 142 13 appropriate appropriate JJ cord-254852-qr5gdmbc 142 14 history history NN cord-254852-qr5gdmbc 142 15 covering cover VBG cord-254852-qr5gdmbc 142 16 the the DT cord-254852-qr5gdmbc 142 17 travel travel NN cord-254852-qr5gdmbc 142 18 itinerary itinerary NN cord-254852-qr5gdmbc 142 19 ( ( -LRB- cord-254852-qr5gdmbc 142 20 location location NN cord-254852-qr5gdmbc 142 21 and and CC cord-254852-qr5gdmbc 142 22 activities activity NNS cord-254852-qr5gdmbc 142 23 ) ) -RRB- cord-254852-qr5gdmbc 142 24 , , , cord-254852-qr5gdmbc 142 25 onset onset NN cord-254852-qr5gdmbc 142 26 of of IN cord-254852-qr5gdmbc 142 27 illness illness NN cord-254852-qr5gdmbc 142 28 related relate VBN cord-254852-qr5gdmbc 142 29 to to IN cord-254852-qr5gdmbc 142 30 travel travel NN cord-254852-qr5gdmbc 142 31 , , , cord-254852-qr5gdmbc 142 32 vaccines vaccine NNS cord-254852-qr5gdmbc 142 33 or or CC cord-254852-qr5gdmbc 142 34 prophylaxis prophylaxis NN cord-254852-qr5gdmbc 142 35 received receive VBN cord-254852-qr5gdmbc 142 36 , , , cord-254852-qr5gdmbc 142 37 diet diet NN cord-254852-qr5gdmbc 142 38 , , , cord-254852-qr5gdmbc 142 39 sexual sexual JJ cord-254852-qr5gdmbc 142 40 history history NN cord-254852-qr5gdmbc 142 41 , , , cord-254852-qr5gdmbc 142 42 and and CC cord-254852-qr5gdmbc 142 43 exposure exposure NN cord-254852-qr5gdmbc 142 44 to to IN cord-254852-qr5gdmbc 142 45 animals animal NNS cord-254852-qr5gdmbc 142 46 . . . cord-254852-qr5gdmbc 143 1 30 30 CD cord-254852-qr5gdmbc 143 2 , , , cord-254852-qr5gdmbc 143 3 33 33 CD cord-254852-qr5gdmbc 143 4 Respiratory respiratory JJ cord-254852-qr5gdmbc 143 5 tract tract NN cord-254852-qr5gdmbc 143 6 infections infection NNS cord-254852-qr5gdmbc 143 7 are be VBP cord-254852-qr5gdmbc 143 8 among among IN cord-254852-qr5gdmbc 143 9 the the DT cord-254852-qr5gdmbc 143 10 most most RBS cord-254852-qr5gdmbc 143 11 common common JJ cord-254852-qr5gdmbc 143 12 health health NN cord-254852-qr5gdmbc 143 13 care care NN cord-254852-qr5gdmbc 143 14 complaints complaint NNS cord-254852-qr5gdmbc 143 15 affecting affect VBG cord-254852-qr5gdmbc 143 16 returned return VBD cord-254852-qr5gdmbc 143 17 travelers traveler NNS cord-254852-qr5gdmbc 143 18 and and CC cord-254852-qr5gdmbc 143 19 are be VBP cord-254852-qr5gdmbc 143 20 diagnosed diagnose VBN cord-254852-qr5gdmbc 143 21 in in IN cord-254852-qr5gdmbc 143 22 up up IN cord-254852-qr5gdmbc 143 23 to to TO cord-254852-qr5gdmbc 143 24 24 24 CD cord-254852-qr5gdmbc 143 25 % % NN cord-254852-qr5gdmbc 143 26 of of IN cord-254852-qr5gdmbc 143 27 returned return VBN cord-254852-qr5gdmbc 143 28 patients patient NNS cord-254852-qr5gdmbc 143 29 with with IN cord-254852-qr5gdmbc 143 30 fever fever NN cord-254852-qr5gdmbc 143 31 . . . cord-254852-qr5gdmbc 144 1 30 30 CD cord-254852-qr5gdmbc 144 2 , , , cord-254852-qr5gdmbc 144 3 34 34 CD cord-254852-qr5gdmbc 145 1 Although although IN cord-254852-qr5gdmbc 145 2 upper upper JJ cord-254852-qr5gdmbc 145 3 respiratory respiratory JJ cord-254852-qr5gdmbc 145 4 tract tract NN cord-254852-qr5gdmbc 145 5 infections infection NNS cord-254852-qr5gdmbc 145 6 are be VBP cord-254852-qr5gdmbc 145 7 more more RBR cord-254852-qr5gdmbc 145 8 common common JJ cord-254852-qr5gdmbc 145 9 , , , cord-254852-qr5gdmbc 145 10 the the DT cord-254852-qr5gdmbc 145 11 severity severity NN cord-254852-qr5gdmbc 145 12 and and CC cord-254852-qr5gdmbc 145 13 possible possible JJ cord-254852-qr5gdmbc 145 14 mortality mortality NN cord-254852-qr5gdmbc 145 15 associated associate VBN cord-254852-qr5gdmbc 145 16 with with IN cord-254852-qr5gdmbc 145 17 lower low JJR cord-254852-qr5gdmbc 145 18 respiratory respiratory JJ cord-254852-qr5gdmbc 145 19 tract tract NN cord-254852-qr5gdmbc 145 20 infections infection NNS cord-254852-qr5gdmbc 145 21 such such JJ cord-254852-qr5gdmbc 145 22 as as IN cord-254852-qr5gdmbc 145 23 pneumonia pneumonia NN cord-254852-qr5gdmbc 145 24 make make VBP cord-254852-qr5gdmbc 145 25 it -PRON- PRP cord-254852-qr5gdmbc 145 26 a a DT cord-254852-qr5gdmbc 145 27 must must MD cord-254852-qr5gdmbc 145 28 - - HYPH cord-254852-qr5gdmbc 145 29 not not RB cord-254852-qr5gdmbc 145 30 - - HYPH cord-254852-qr5gdmbc 145 31 miss miss VB cord-254852-qr5gdmbc 145 32 diagnosis diagnosis NN cord-254852-qr5gdmbc 145 33 in in IN cord-254852-qr5gdmbc 145 34 the the DT cord-254852-qr5gdmbc 145 35 returned return VBN cord-254852-qr5gdmbc 145 36 traveler traveler NN cord-254852-qr5gdmbc 145 37 . . . cord-254852-qr5gdmbc 146 1 As as IN cord-254852-qr5gdmbc 146 2 in in IN cord-254852-qr5gdmbc 146 3 the the DT cord-254852-qr5gdmbc 146 4 United United NNP cord-254852-qr5gdmbc 146 5 States States NNP cord-254852-qr5gdmbc 146 6 , , , cord-254852-qr5gdmbc 146 7 S S NNP cord-254852-qr5gdmbc 146 8 pneumoniae pneumoniae NN cord-254852-qr5gdmbc 146 9 , , , cord-254852-qr5gdmbc 146 10 H. H. NNP cord-254852-qr5gdmbc 146 11 influenzae influenzae NN cord-254852-qr5gdmbc 146 12 , , , cord-254852-qr5gdmbc 146 13 and and CC cord-254852-qr5gdmbc 146 14 S. S. NNP cord-254852-qr5gdmbc 146 15 aureus aureu NNS cord-254852-qr5gdmbc 146 16 are be VBP cord-254852-qr5gdmbc 146 17 the the DT cord-254852-qr5gdmbc 146 18 dominant dominant JJ cord-254852-qr5gdmbc 146 19 pneumonia pneumonia NN cord-254852-qr5gdmbc 146 20 isolates isolate VBZ cord-254852-qr5gdmbc 146 21 in in IN cord-254852-qr5gdmbc 146 22 developing develop VBG cord-254852-qr5gdmbc 146 23 countries country NNS cord-254852-qr5gdmbc 146 24 . . . cord-254852-qr5gdmbc 147 1 It -PRON- PRP cord-254852-qr5gdmbc 147 2 must must MD cord-254852-qr5gdmbc 147 3 be be VB cord-254852-qr5gdmbc 147 4 considered consider VBN cord-254852-qr5gdmbc 147 5 that that IN cord-254852-qr5gdmbc 147 6 bacterial bacterial JJ cord-254852-qr5gdmbc 147 7 resistance resistance NN cord-254852-qr5gdmbc 147 8 patterns pattern NNS cord-254852-qr5gdmbc 147 9 from from IN cord-254852-qr5gdmbc 147 10 different different JJ cord-254852-qr5gdmbc 147 11 countries country NNS cord-254852-qr5gdmbc 147 12 may may MD cord-254852-qr5gdmbc 147 13 differ differ VB cord-254852-qr5gdmbc 147 14 in in IN cord-254852-qr5gdmbc 147 15 these these DT cord-254852-qr5gdmbc 147 16 otherwise otherwise RB cord-254852-qr5gdmbc 147 17 commonplace commonplace JJ cord-254852-qr5gdmbc 147 18 bacteria bacteria NNS cord-254852-qr5gdmbc 147 19 . . . cord-254852-qr5gdmbc 148 1 34 34 CD cord-254852-qr5gdmbc 148 2 Respiratory respiratory JJ cord-254852-qr5gdmbc 148 3 symptoms symptom NNS cord-254852-qr5gdmbc 148 4 occur occur VBP cord-254852-qr5gdmbc 148 5 in in IN cord-254852-qr5gdmbc 148 6 up up IN cord-254852-qr5gdmbc 148 7 to to TO cord-254852-qr5gdmbc 148 8 half half NN cord-254852-qr5gdmbc 148 9 of of IN cord-254852-qr5gdmbc 148 10 patients patient NNS cord-254852-qr5gdmbc 148 11 with with IN cord-254852-qr5gdmbc 148 12 malaria malaria NN cord-254852-qr5gdmbc 148 13 , , , cord-254852-qr5gdmbc 148 14 and and CC cord-254852-qr5gdmbc 148 15 the the DT cord-254852-qr5gdmbc 148 16 presentation presentation NN cord-254852-qr5gdmbc 148 17 may may MD cord-254852-qr5gdmbc 148 18 seem seem VB cord-254852-qr5gdmbc 148 19 similar similar JJ cord-254852-qr5gdmbc 148 20 to to IN cord-254852-qr5gdmbc 148 21 that that DT cord-254852-qr5gdmbc 148 22 of of IN cord-254852-qr5gdmbc 148 23 pneumonia pneumonia NN cord-254852-qr5gdmbc 148 24 . . . cord-254852-qr5gdmbc 149 1 Thus thus RB cord-254852-qr5gdmbc 149 2 , , , cord-254852-qr5gdmbc 149 3 in in IN cord-254852-qr5gdmbc 149 4 a a DT cord-254852-qr5gdmbc 149 5 patient patient NN cord-254852-qr5gdmbc 149 6 returning return VBG cord-254852-qr5gdmbc 149 7 from from IN cord-254852-qr5gdmbc 149 8 a a DT cord-254852-qr5gdmbc 149 9 malariaendemic malariaendemic JJ cord-254852-qr5gdmbc 149 10 area area NN cord-254852-qr5gdmbc 149 11 , , , cord-254852-qr5gdmbc 149 12 blood blood NN cord-254852-qr5gdmbc 149 13 smear smear NN cord-254852-qr5gdmbc 149 14 testing testing NN cord-254852-qr5gdmbc 149 15 for for IN cord-254852-qr5gdmbc 149 16 malaria malaria NN cord-254852-qr5gdmbc 149 17 should should MD cord-254852-qr5gdmbc 149 18 be be VB cord-254852-qr5gdmbc 149 19 performed perform VBN cord-254852-qr5gdmbc 149 20 . . . cord-254852-qr5gdmbc 150 1 35 35 CD cord-254852-qr5gdmbc 150 2 Increased increase VBN cord-254852-qr5gdmbc 150 3 time time NN cord-254852-qr5gdmbc 150 4 spent spend VBN cord-254852-qr5gdmbc 150 5 at at IN cord-254852-qr5gdmbc 150 6 hotels hotel NNS cord-254852-qr5gdmbc 150 7 or or CC cord-254852-qr5gdmbc 150 8 on on IN cord-254852-qr5gdmbc 150 9 cruise cruise NN cord-254852-qr5gdmbc 150 10 ships ship NNS cord-254852-qr5gdmbc 150 11 in in IN cord-254852-qr5gdmbc 150 12 a a DT cord-254852-qr5gdmbc 150 13 patient patient NN cord-254852-qr5gdmbc 150 14 presenting present VBG cord-254852-qr5gdmbc 150 15 with with IN cord-254852-qr5gdmbc 150 16 symptoms symptom NNS cord-254852-qr5gdmbc 150 17 of of IN cord-254852-qr5gdmbc 150 18 pneumonia pneumonia NN cord-254852-qr5gdmbc 150 19 should should MD cord-254852-qr5gdmbc 150 20 increase increase VB cord-254852-qr5gdmbc 150 21 suspicion suspicion NN cord-254852-qr5gdmbc 150 22 for for IN cord-254852-qr5gdmbc 150 23 Legionella Legionella NNP cord-254852-qr5gdmbc 150 24 . . . cord-254852-qr5gdmbc 151 1 30 30 CD cord-254852-qr5gdmbc 151 2 Travelers traveler NNS cord-254852-qr5gdmbc 151 3 returning return VBG cord-254852-qr5gdmbc 151 4 from from IN cord-254852-qr5gdmbc 151 5 East East NNP cord-254852-qr5gdmbc 151 6 and and CC cord-254852-qr5gdmbc 151 7 Southeast Southeast NNP cord-254852-qr5gdmbc 151 8 Asia Asia NNP cord-254852-qr5gdmbc 151 9 , , , cord-254852-qr5gdmbc 151 10 as as RB cord-254852-qr5gdmbc 151 11 well well RB cord-254852-qr5gdmbc 151 12 as as IN cord-254852-qr5gdmbc 151 13 Australia Australia NNP cord-254852-qr5gdmbc 151 14 , , , cord-254852-qr5gdmbc 151 15 with with IN cord-254852-qr5gdmbc 151 16 a a DT cord-254852-qr5gdmbc 151 17 severe severe JJ cord-254852-qr5gdmbc 151 18 pneumonia pneumonia NN cord-254852-qr5gdmbc 151 19 may may MD cord-254852-qr5gdmbc 151 20 have have VB cord-254852-qr5gdmbc 151 21 been be VBN cord-254852-qr5gdmbc 151 22 exposed expose VBN cord-254852-qr5gdmbc 151 23 to to IN cord-254852-qr5gdmbc 151 24 Burkholderia Burkholderia NNP cord-254852-qr5gdmbc 151 25 pseudomallei pseudomallei NN cord-254852-qr5gdmbc 151 26 - - , cord-254852-qr5gdmbc 151 27 the the DT cord-254852-qr5gdmbc 151 28 causative causative JJ cord-254852-qr5gdmbc 151 29 agent agent NN cord-254852-qr5gdmbc 151 30 of of IN cord-254852-qr5gdmbc 151 31 melioidosis melioidosis NNP cord-254852-qr5gdmbc 151 32 , , , cord-254852-qr5gdmbc 151 33 which which WDT cord-254852-qr5gdmbc 151 34 can can MD cord-254852-qr5gdmbc 151 35 cause cause VB cord-254852-qr5gdmbc 151 36 severe severe JJ cord-254852-qr5gdmbc 151 37 necrotizing necrotize VBG cord-254852-qr5gdmbc 151 38 pneumonia pneumonia NN cord-254852-qr5gdmbc 151 39 and and CC cord-254852-qr5gdmbc 151 40 has have VBZ cord-254852-qr5gdmbc 151 41 14 14 CD cord-254852-qr5gdmbc 151 42 % % NN cord-254852-qr5gdmbc 151 43 to to TO cord-254852-qr5gdmbc 151 44 40 40 CD cord-254852-qr5gdmbc 151 45 % % NN cord-254852-qr5gdmbc 151 46 mortality mortality NN cord-254852-qr5gdmbc 151 47 despite despite IN cord-254852-qr5gdmbc 151 48 appropriate appropriate JJ cord-254852-qr5gdmbc 151 49 antibiotic antibiotic JJ cord-254852-qr5gdmbc 151 50 therapy therapy NN cord-254852-qr5gdmbc 151 51 . . . cord-254852-qr5gdmbc 152 1 30 30 CD cord-254852-qr5gdmbc 152 2 Severe severe JJ cord-254852-qr5gdmbc 152 3 pneumonia pneumonia NN cord-254852-qr5gdmbc 152 4 may may MD cord-254852-qr5gdmbc 152 5 also also RB cord-254852-qr5gdmbc 152 6 be be VB cord-254852-qr5gdmbc 152 7 because because IN cord-254852-qr5gdmbc 152 8 of of IN cord-254852-qr5gdmbc 152 9 viruses virus NNS cord-254852-qr5gdmbc 152 10 such such JJ cord-254852-qr5gdmbc 152 11 as as IN cord-254852-qr5gdmbc 152 12 influenza influenza NN cord-254852-qr5gdmbc 152 13 , , , cord-254852-qr5gdmbc 152 14 Middle middle JJ cord-254852-qr5gdmbc 152 15 Eastern eastern JJ cord-254852-qr5gdmbc 152 16 respiratory respiratory JJ cord-254852-qr5gdmbc 152 17 syndrome syndrome NN cord-254852-qr5gdmbc 152 18 , , , cord-254852-qr5gdmbc 152 19 or or CC cord-254852-qr5gdmbc 152 20 hantavirus hantavirus NN cord-254852-qr5gdmbc 152 21 . . . cord-254852-qr5gdmbc 153 1 A a DT cord-254852-qr5gdmbc 153 2 returned return VBN cord-254852-qr5gdmbc 153 3 traveler traveler NN cord-254852-qr5gdmbc 153 4 with with IN cord-254852-qr5gdmbc 153 5 pneumonia pneumonia NN cord-254852-qr5gdmbc 153 6 with with IN cord-254852-qr5gdmbc 153 7 eosinophilia eosinophilia NN cord-254852-qr5gdmbc 153 8 should should MD cord-254852-qr5gdmbc 153 9 raise raise VB cord-254852-qr5gdmbc 153 10 suspicion suspicion NN cord-254852-qr5gdmbc 153 11 for for IN cord-254852-qr5gdmbc 153 12 helminth helminth JJ cord-254852-qr5gdmbc 153 13 infection infection NN cord-254852-qr5gdmbc 153 14 . . . cord-254852-qr5gdmbc 154 1 30 30 CD cord-254852-qr5gdmbc 154 2 , , , cord-254852-qr5gdmbc 154 3 34 34 CD cord-254852-qr5gdmbc 154 4 Histoplasma Histoplasma NNP cord-254852-qr5gdmbc 154 5 capsulatum capsulatum NN cord-254852-qr5gdmbc 154 6 is be VBZ cord-254852-qr5gdmbc 154 7 a a DT cord-254852-qr5gdmbc 154 8 dimorphic dimorphic JJ cord-254852-qr5gdmbc 154 9 fungus fungus NN cord-254852-qr5gdmbc 154 10 that that WDT cord-254852-qr5gdmbc 154 11 is be VBZ cord-254852-qr5gdmbc 154 12 relatively relatively RB cord-254852-qr5gdmbc 154 13 common common JJ cord-254852-qr5gdmbc 154 14 in in IN cord-254852-qr5gdmbc 154 15 North North NNP cord-254852-qr5gdmbc 154 16 , , , cord-254852-qr5gdmbc 154 17 Central Central NNP cord-254852-qr5gdmbc 154 18 , , , cord-254852-qr5gdmbc 154 19 and and CC cord-254852-qr5gdmbc 154 20 South South NNP cord-254852-qr5gdmbc 154 21 America America NNP cord-254852-qr5gdmbc 154 22 and and CC cord-254852-qr5gdmbc 154 23 given give VBN cord-254852-qr5gdmbc 154 24 its -PRON- PRP$ cord-254852-qr5gdmbc 154 25 growth growth NN cord-254852-qr5gdmbc 154 26 in in IN cord-254852-qr5gdmbc 154 27 bird bird NN cord-254852-qr5gdmbc 154 28 and and CC cord-254852-qr5gdmbc 154 29 bat bat NN cord-254852-qr5gdmbc 154 30 droppings dropping NNS cord-254852-qr5gdmbc 154 31 is be VBZ cord-254852-qr5gdmbc 154 32 associated associate VBN cord-254852-qr5gdmbc 154 33 with with IN cord-254852-qr5gdmbc 154 34 activities activity NNS cord-254852-qr5gdmbc 154 35 such such JJ cord-254852-qr5gdmbc 154 36 as as IN cord-254852-qr5gdmbc 154 37 cave cave NN cord-254852-qr5gdmbc 154 38 exploration exploration NN cord-254852-qr5gdmbc 154 39 . . . cord-254852-qr5gdmbc 155 1 Coccidioides Coccidioides NNP cord-254852-qr5gdmbc 155 2 immitis immitis RB cord-254852-qr5gdmbc 155 3 is be VBZ cord-254852-qr5gdmbc 155 4 endemic endemic JJ cord-254852-qr5gdmbc 155 5 in in IN cord-254852-qr5gdmbc 155 6 the the DT cord-254852-qr5gdmbc 155 7 southwest southwest NN cord-254852-qr5gdmbc 155 8 United United NNP cord-254852-qr5gdmbc 155 9 States States NNP cord-254852-qr5gdmbc 155 10 and and CC cord-254852-qr5gdmbc 155 11 northern northern JJ cord-254852-qr5gdmbc 155 12 Mexico Mexico NNP cord-254852-qr5gdmbc 155 13 , , , cord-254852-qr5gdmbc 155 14 as as RB cord-254852-qr5gdmbc 155 15 well well RB cord-254852-qr5gdmbc 155 16 as as IN cord-254852-qr5gdmbc 155 17 smaller small JJR cord-254852-qr5gdmbc 155 18 areas area NNS cord-254852-qr5gdmbc 155 19 in in IN cord-254852-qr5gdmbc 155 20 Central Central NNP cord-254852-qr5gdmbc 155 21 America America NNP cord-254852-qr5gdmbc 155 22 . . . cord-254852-qr5gdmbc 156 1 It -PRON- PRP cord-254852-qr5gdmbc 156 2 is be VBZ cord-254852-qr5gdmbc 156 3 spread spread VBN cord-254852-qr5gdmbc 156 4 through through IN cord-254852-qr5gdmbc 156 5 inhalation inhalation NN cord-254852-qr5gdmbc 156 6 of of IN cord-254852-qr5gdmbc 156 7 spores spore NNS cord-254852-qr5gdmbc 156 8 found find VBN cord-254852-qr5gdmbc 156 9 in in IN cord-254852-qr5gdmbc 156 10 the the DT cord-254852-qr5gdmbc 156 11 soil soil NN cord-254852-qr5gdmbc 156 12 . . . cord-254852-qr5gdmbc 157 1 Fungal fungal JJ cord-254852-qr5gdmbc 157 2 infection infection NN cord-254852-qr5gdmbc 157 3 with with IN cord-254852-qr5gdmbc 157 4 H. H. NNP cord-254852-qr5gdmbc 157 5 capsulatum capsulatum NN cord-254852-qr5gdmbc 157 6 and and CC cord-254852-qr5gdmbc 157 7 C C NNP cord-254852-qr5gdmbc 157 8 immitis immitis NNP cord-254852-qr5gdmbc 157 9 are be VBP cord-254852-qr5gdmbc 157 10 often often RB cord-254852-qr5gdmbc 157 11 asymptomatic asymptomatic JJ cord-254852-qr5gdmbc 157 12 but but CC cord-254852-qr5gdmbc 157 13 may may MD cord-254852-qr5gdmbc 157 14 also also RB cord-254852-qr5gdmbc 157 15 present present VB cord-254852-qr5gdmbc 157 16 as as IN cord-254852-qr5gdmbc 157 17 a a DT cord-254852-qr5gdmbc 157 18 flulike flulike JJ cord-254852-qr5gdmbc 157 19 illness illness NN cord-254852-qr5gdmbc 157 20 with with IN cord-254852-qr5gdmbc 157 21 fever fever NN cord-254852-qr5gdmbc 157 22 , , , cord-254852-qr5gdmbc 157 23 malaise malaise NN cord-254852-qr5gdmbc 157 24 , , , cord-254852-qr5gdmbc 157 25 and and CC cord-254852-qr5gdmbc 157 26 dry dry JJ cord-254852-qr5gdmbc 157 27 cough cough NN cord-254852-qr5gdmbc 157 28 1 1 CD cord-254852-qr5gdmbc 157 29 to to TO cord-254852-qr5gdmbc 157 30 3 3 CD cord-254852-qr5gdmbc 157 31 weeks week NNS cord-254852-qr5gdmbc 157 32 after after IN cord-254852-qr5gdmbc 157 33 exposure exposure NN cord-254852-qr5gdmbc 157 34 . . . cord-254852-qr5gdmbc 158 1 34 34 CD cord-254852-qr5gdmbc 158 2 , , , cord-254852-qr5gdmbc 158 3 36 36 CD cord-254852-qr5gdmbc 158 4 Ventilator Ventilator NNP cord-254852-qr5gdmbc 158 5 - - HYPH cord-254852-qr5gdmbc 158 6 Associated Associated NNP cord-254852-qr5gdmbc 158 7 Pneumonia Pneumonia NNP cord-254852-qr5gdmbc 158 8 Ventilator Ventilator NNP cord-254852-qr5gdmbc 158 9 - - HYPH cord-254852-qr5gdmbc 158 10 associated associate VBN cord-254852-qr5gdmbc 158 11 pneumonia pneumonia NN cord-254852-qr5gdmbc 158 12 ( ( -LRB- cord-254852-qr5gdmbc 158 13 VAP VAP NNP cord-254852-qr5gdmbc 158 14 ) ) -RRB- cord-254852-qr5gdmbc 158 15 is be VBZ cord-254852-qr5gdmbc 158 16 a a DT cord-254852-qr5gdmbc 158 17 type type NN cord-254852-qr5gdmbc 158 18 of of IN cord-254852-qr5gdmbc 158 19 pneumonia pneumonia NN cord-254852-qr5gdmbc 158 20 that that WDT cord-254852-qr5gdmbc 158 21 occurs occur VBZ cord-254852-qr5gdmbc 158 22 in in IN cord-254852-qr5gdmbc 158 23 patients patient NNS cord-254852-qr5gdmbc 158 24 who who WP cord-254852-qr5gdmbc 158 25 have have VBP cord-254852-qr5gdmbc 158 26 been be VBN cord-254852-qr5gdmbc 158 27 intubated intubate VBN cord-254852-qr5gdmbc 158 28 or or CC cord-254852-qr5gdmbc 158 29 mechanically mechanically RB cord-254852-qr5gdmbc 158 30 ventilated ventilate VBN cord-254852-qr5gdmbc 158 31 by by IN cord-254852-qr5gdmbc 158 32 means mean NNS cord-254852-qr5gdmbc 158 33 of of IN cord-254852-qr5gdmbc 158 34 a a DT cord-254852-qr5gdmbc 158 35 tracheostomy tracheostomy NN cord-254852-qr5gdmbc 158 36 for for IN cord-254852-qr5gdmbc 158 37 at at RB cord-254852-qr5gdmbc 158 38 least least RBS cord-254852-qr5gdmbc 158 39 48 48 CD cord-254852-qr5gdmbc 158 40 hours hour NNS cord-254852-qr5gdmbc 158 41 . . . cord-254852-qr5gdmbc 159 1 37 37 CD cord-254852-qr5gdmbc 159 2 , , , cord-254852-qr5gdmbc 159 3 38 38 CD cord-254852-qr5gdmbc 159 4 Mechanical mechanical JJ cord-254852-qr5gdmbc 159 5 ventilation ventilation NN cord-254852-qr5gdmbc 159 6 modifies modify VBZ cord-254852-qr5gdmbc 159 7 the the DT cord-254852-qr5gdmbc 159 8 oropharyngeal oropharyngeal JJ cord-254852-qr5gdmbc 159 9 and and CC cord-254852-qr5gdmbc 159 10 tracheal tracheal JJ cord-254852-qr5gdmbc 159 11 environment environment NN cord-254852-qr5gdmbc 159 12 , , , cord-254852-qr5gdmbc 159 13 allowing allow VBG cord-254852-qr5gdmbc 159 14 oral oral JJ cord-254852-qr5gdmbc 159 15 and and CC cord-254852-qr5gdmbc 159 16 gastric gastric JJ cord-254852-qr5gdmbc 159 17 secretions secretion NNS cord-254852-qr5gdmbc 159 18 to to TO cord-254852-qr5gdmbc 159 19 enter enter VB cord-254852-qr5gdmbc 159 20 the the DT cord-254852-qr5gdmbc 159 21 lower low JJR cord-254852-qr5gdmbc 159 22 airways airway NNS cord-254852-qr5gdmbc 159 23 . . . cord-254852-qr5gdmbc 160 1 37 37 CD cord-254852-qr5gdmbc 161 1 It -PRON- PRP cord-254852-qr5gdmbc 161 2 is be VBZ cord-254852-qr5gdmbc 161 3 this this DT cord-254852-qr5gdmbc 161 4 change change NN cord-254852-qr5gdmbc 161 5 in in IN cord-254852-qr5gdmbc 161 6 lower low JJR cord-254852-qr5gdmbc 161 7 respiratory respiratory JJ cord-254852-qr5gdmbc 161 8 tract tract NN cord-254852-qr5gdmbc 161 9 bacterial bacterial JJ cord-254852-qr5gdmbc 161 10 flora flora NNS cord-254852-qr5gdmbc 161 11 that that WDT cord-254852-qr5gdmbc 161 12 precipitates precipitate VBZ cord-254852-qr5gdmbc 161 13 the the DT cord-254852-qr5gdmbc 161 14 beginning beginning NN cord-254852-qr5gdmbc 161 15 of of IN cord-254852-qr5gdmbc 161 16 pneumonia pneumonia NN cord-254852-qr5gdmbc 161 17 . . . cord-254852-qr5gdmbc 162 1 VAP VAP NNP cord-254852-qr5gdmbc 162 2 is be VBZ cord-254852-qr5gdmbc 162 3 common common JJ cord-254852-qr5gdmbc 162 4 . . . cord-254852-qr5gdmbc 163 1 Approximately approximately RB cord-254852-qr5gdmbc 163 2 30 30 CD cord-254852-qr5gdmbc 163 3 % % NN cord-254852-qr5gdmbc 163 4 of of IN cord-254852-qr5gdmbc 163 5 patients patient NNS cord-254852-qr5gdmbc 163 6 who who WP cord-254852-qr5gdmbc 163 7 receive receive VBP cord-254852-qr5gdmbc 163 8 mechanical mechanical JJ cord-254852-qr5gdmbc 163 9 ventilation ventilation NN cord-254852-qr5gdmbc 163 10 will will MD cord-254852-qr5gdmbc 163 11 develop develop VB cord-254852-qr5gdmbc 163 12 VAP VAP NNP cord-254852-qr5gdmbc 163 13 . . . cord-254852-qr5gdmbc 164 1 39 39 CD cord-254852-qr5gdmbc 164 2 _SP cord-254852-qr5gdmbc 164 3 VAP VAP NNP cord-254852-qr5gdmbc 164 4 should should MD cord-254852-qr5gdmbc 164 5 be be VB cord-254852-qr5gdmbc 164 6 suspected suspect VBN cord-254852-qr5gdmbc 164 7 when when WRB cord-254852-qr5gdmbc 164 8 signs sign NNS cord-254852-qr5gdmbc 164 9 of of IN cord-254852-qr5gdmbc 164 10 pulmonary pulmonary JJ cord-254852-qr5gdmbc 164 11 infection infection NN cord-254852-qr5gdmbc 164 12 ( ( -LRB- cord-254852-qr5gdmbc 164 13 fever fever NN cord-254852-qr5gdmbc 164 14 , , , cord-254852-qr5gdmbc 164 15 purulent purulent JJ cord-254852-qr5gdmbc 164 16 secretions secretion NNS cord-254852-qr5gdmbc 164 17 , , , cord-254852-qr5gdmbc 164 18 leukocytosis leukocytosis NNP cord-254852-qr5gdmbc 164 19 ) ) -RRB- cord-254852-qr5gdmbc 164 20 and and CC cord-254852-qr5gdmbc 164 21 radiologic radiologic JJ cord-254852-qr5gdmbc 164 22 evidence evidence NN cord-254852-qr5gdmbc 164 23 ( ( -LRB- cord-254852-qr5gdmbc 164 24 air air NN cord-254852-qr5gdmbc 164 25 bronchograms bronchograms NNP cord-254852-qr5gdmbc 164 26 , , , cord-254852-qr5gdmbc 164 27 infiltrates infiltrate VBZ cord-254852-qr5gdmbc 164 28 ) ) -RRB- cord-254852-qr5gdmbc 164 29 are be VBP cord-254852-qr5gdmbc 164 30 present present JJ cord-254852-qr5gdmbc 164 31 ; ; : cord-254852-qr5gdmbc 164 32 bacteriologic bacteriologic NNP cord-254852-qr5gdmbc 164 33 confirmation confirmation NN cord-254852-qr5gdmbc 164 34 usually usually RB cord-254852-qr5gdmbc 164 35 follows follow VBZ cord-254852-qr5gdmbc 164 36 . . . cord-254852-qr5gdmbc 165 1 40 40 CD cord-254852-qr5gdmbc 165 2 Sensitivity sensitivity NN cord-254852-qr5gdmbc 165 3 and and CC cord-254852-qr5gdmbc 165 4 specificity specificity NN cord-254852-qr5gdmbc 165 5 of of IN cord-254852-qr5gdmbc 165 6 the the DT cord-254852-qr5gdmbc 165 7 diagnostic diagnostic JJ cord-254852-qr5gdmbc 165 8 criteria criterion NNS cord-254852-qr5gdmbc 165 9 discussed discuss VBD cord-254852-qr5gdmbc 165 10 earlier early RBR cord-254852-qr5gdmbc 165 11 are be VBP cord-254852-qr5gdmbc 165 12 69 69 CD cord-254852-qr5gdmbc 165 13 % % NN cord-254852-qr5gdmbc 165 14 and and CC cord-254852-qr5gdmbc 165 15 75 75 CD cord-254852-qr5gdmbc 165 16 % % NN cord-254852-qr5gdmbc 165 17 , , , cord-254852-qr5gdmbc 165 18 respectively respectively RB cord-254852-qr5gdmbc 165 19 . . . cord-254852-qr5gdmbc 166 1 40 40 CD cord-254852-qr5gdmbc 166 2 Other other JJ cord-254852-qr5gdmbc 166 3 useful useful JJ cord-254852-qr5gdmbc 166 4 diagnostic diagnostic JJ cord-254852-qr5gdmbc 166 5 criteria criterion NNS cord-254852-qr5gdmbc 166 6 have have VBP cord-254852-qr5gdmbc 166 7 been be VBN cord-254852-qr5gdmbc 166 8 developed develop VBN cord-254852-qr5gdmbc 166 9 , , , cord-254852-qr5gdmbc 166 10 incorporating incorporate VBG cord-254852-qr5gdmbc 166 11 additional additional JJ cord-254852-qr5gdmbc 166 12 symptoms symptom NNS cord-254852-qr5gdmbc 166 13 and and CC cord-254852-qr5gdmbc 166 14 similar similar JJ cord-254852-qr5gdmbc 166 15 signs sign NNS cord-254852-qr5gdmbc 166 16 and and CC cord-254852-qr5gdmbc 166 17 laboratory laboratory NN cord-254852-qr5gdmbc 166 18 / / SYM cord-254852-qr5gdmbc 166 19 radiologic radiologic JJ cord-254852-qr5gdmbc 166 20 criteria criterion NNS cord-254852-qr5gdmbc 166 21 . . . cord-254852-qr5gdmbc 167 1 41 41 CD cord-254852-qr5gdmbc 168 1 Once once IN cord-254852-qr5gdmbc 168 2 VAP VAP NNP cord-254852-qr5gdmbc 168 3 is be VBZ cord-254852-qr5gdmbc 168 4 clinically clinically RB cord-254852-qr5gdmbc 168 5 suspected suspect VBN cord-254852-qr5gdmbc 168 6 , , , cord-254852-qr5gdmbc 168 7 early early JJ cord-254852-qr5gdmbc 168 8 empirical empirical JJ cord-254852-qr5gdmbc 168 9 treatment treatment NN cord-254852-qr5gdmbc 168 10 is be VBZ cord-254852-qr5gdmbc 168 11 favored favor VBN cord-254852-qr5gdmbc 168 12 . . . cord-254852-qr5gdmbc 169 1 Delaying delay VBG cord-254852-qr5gdmbc 169 2 treatment treatment NN cord-254852-qr5gdmbc 169 3 and/or and/or CC cord-254852-qr5gdmbc 169 4 not not RB cord-254852-qr5gdmbc 169 5 appropriately appropriately RB cord-254852-qr5gdmbc 169 6 covering cover VBG cord-254852-qr5gdmbc 169 7 for for IN cord-254852-qr5gdmbc 169 8 the the DT cord-254852-qr5gdmbc 169 9 likely likely JJ cord-254852-qr5gdmbc 169 10 microbial microbial JJ cord-254852-qr5gdmbc 169 11 culprit culprit NN cord-254852-qr5gdmbc 169 12 are be VBP cord-254852-qr5gdmbc 169 13 both both DT cord-254852-qr5gdmbc 169 14 associated associate VBN cord-254852-qr5gdmbc 169 15 with with IN cord-254852-qr5gdmbc 169 16 higher high JJR cord-254852-qr5gdmbc 169 17 morbidity morbidity NN cord-254852-qr5gdmbc 169 18 and and CC cord-254852-qr5gdmbc 169 19 mortality mortality NN cord-254852-qr5gdmbc 169 20 . . . cord-254852-qr5gdmbc 170 1 [ [ -LRB- cord-254852-qr5gdmbc 170 2 42 42 CD cord-254852-qr5gdmbc 170 3 ] ] -RRB- cord-254852-qr5gdmbc 170 4 [ [ -LRB- cord-254852-qr5gdmbc 170 5 43 43 CD cord-254852-qr5gdmbc 170 6 ] ] -RRB- cord-254852-qr5gdmbc 170 7 [ [ -LRB- cord-254852-qr5gdmbc 170 8 44 44 CD cord-254852-qr5gdmbc 170 9 ] ] -RRB- cord-254852-qr5gdmbc 171 1 [ [ -LRB- cord-254852-qr5gdmbc 171 2 45 45 CD cord-254852-qr5gdmbc 171 3 ] ] -RRB- cord-254852-qr5gdmbc 171 4 MICROBIOLOGY MICROBIOLOGY NNP cord-254852-qr5gdmbc 171 5 Microbial microbial JJ cord-254852-qr5gdmbc 171 6 organisms organism NNS cord-254852-qr5gdmbc 171 7 associated associate VBN cord-254852-qr5gdmbc 171 8 with with IN cord-254852-qr5gdmbc 171 9 VAP VAP NNP cord-254852-qr5gdmbc 171 10 have have VBP cord-254852-qr5gdmbc 171 11 been be VBN cord-254852-qr5gdmbc 171 12 identified identify VBN cord-254852-qr5gdmbc 171 13 ( ( -LRB- cord-254852-qr5gdmbc 171 14 Table table NN cord-254852-qr5gdmbc 171 15 6 6 CD cord-254852-qr5gdmbc 171 16 ) ) -RRB- cord-254852-qr5gdmbc 171 17 . . . cord-254852-qr5gdmbc 172 1 Early early RB cord-254852-qr5gdmbc 172 2 versus versus IN cord-254852-qr5gdmbc 172 3 late late JJ cord-254852-qr5gdmbc 172 4 - - HYPH cord-254852-qr5gdmbc 172 5 onset onset NN cord-254852-qr5gdmbc 172 6 VAP VAP NNP cord-254852-qr5gdmbc 172 7 organisms organism NNS cord-254852-qr5gdmbc 172 8 have have VBP cord-254852-qr5gdmbc 172 9 also also RB cord-254852-qr5gdmbc 172 10 been be VBN cord-254852-qr5gdmbc 172 11 documented document VBN cord-254852-qr5gdmbc 172 12 . . . cord-254852-qr5gdmbc 173 1 46 46 CD cord-254852-qr5gdmbc 173 2 , , , cord-254852-qr5gdmbc 173 3 47 47 CD cord-254852-qr5gdmbc 173 4 Acinetobacter Acinetobacter NNP cord-254852-qr5gdmbc 173 5 , , , cord-254852-qr5gdmbc 173 6 citrobacter citrobacter NNP cord-254852-qr5gdmbc 173 7 , , , cord-254852-qr5gdmbc 173 8 pseudomonas pseudomonas NNP cord-254852-qr5gdmbc 173 9 , , , cord-254852-qr5gdmbc 173 10 and and CC cord-254852-qr5gdmbc 173 11 klebsiella klebsiella NNP cord-254852-qr5gdmbc 173 12 are be VBP cord-254852-qr5gdmbc 173 13 the the DT cord-254852-qr5gdmbc 173 14 most most RBS cord-254852-qr5gdmbc 173 15 predominant predominant JJ cord-254852-qr5gdmbc 173 16 late late JJ cord-254852-qr5gdmbc 173 17 - - HYPH cord-254852-qr5gdmbc 173 18 onset onset NN cord-254852-qr5gdmbc 173 19 organisms organism NNS cord-254852-qr5gdmbc 173 20 , , , cord-254852-qr5gdmbc 173 21 warranting warrant VBG cord-254852-qr5gdmbc 173 22 more more RBR cord-254852-qr5gdmbc 173 23 aggressive aggressive JJ cord-254852-qr5gdmbc 173 24 antibacterial antibacterial JJ cord-254852-qr5gdmbc 173 25 intervention intervention NN cord-254852-qr5gdmbc 173 26 . . . cord-254852-qr5gdmbc 174 1 47 47 CD cord-254852-qr5gdmbc 174 2 _SP cord-254852-qr5gdmbc 174 3 Bacterial bacterial JJ cord-254852-qr5gdmbc 174 4 confirmation confirmation NN cord-254852-qr5gdmbc 174 5 usually usually RB cord-254852-qr5gdmbc 174 6 requires require VBZ cord-254852-qr5gdmbc 174 7 secretion secretion NN cord-254852-qr5gdmbc 174 8 sampling sampling NN cord-254852-qr5gdmbc 174 9 , , , cord-254852-qr5gdmbc 174 10 either either CC cord-254852-qr5gdmbc 174 11 via via IN cord-254852-qr5gdmbc 174 12 bronchoscopic bronchoscopic NNP cord-254852-qr5gdmbc 174 13 or or CC cord-254852-qr5gdmbc 174 14 via via IN cord-254852-qr5gdmbc 174 15 nonbronchoscopic nonbronchoscopic NNP cord-254852-qr5gdmbc 174 16 methods method NNS cord-254852-qr5gdmbc 174 17 . . . cord-254852-qr5gdmbc 175 1 Obtaining obtain VBG cord-254852-qr5gdmbc 175 2 pleural pleural JJ cord-254852-qr5gdmbc 175 3 fluid fluid NN cord-254852-qr5gdmbc 175 4 , , , cord-254852-qr5gdmbc 175 5 when when WRB cord-254852-qr5gdmbc 175 6 present present JJ cord-254852-qr5gdmbc 175 7 , , , cord-254852-qr5gdmbc 175 8 under under IN cord-254852-qr5gdmbc 175 9 ultrasound ultrasound NN cord-254852-qr5gdmbc 175 10 guidance guidance NN cord-254852-qr5gdmbc 175 11 , , , cord-254852-qr5gdmbc 175 12 is be VBZ cord-254852-qr5gdmbc 175 13 recommended recommend VBN cord-254852-qr5gdmbc 175 14 . . . cord-254852-qr5gdmbc 176 1 37 37 CD cord-254852-qr5gdmbc 176 2 Endotracheal Endotracheal NNP cord-254852-qr5gdmbc 176 3 aspirates aspirate NNS cord-254852-qr5gdmbc 176 4 are be VBP cord-254852-qr5gdmbc 176 5 easily easily RB cord-254852-qr5gdmbc 176 6 retrieved retrieve VBN cord-254852-qr5gdmbc 176 7 but but CC cord-254852-qr5gdmbc 176 8 have have VBP cord-254852-qr5gdmbc 176 9 a a DT cord-254852-qr5gdmbc 176 10 high high JJ cord-254852-qr5gdmbc 176 11 false false JJ cord-254852-qr5gdmbc 176 12 - - HYPH cord-254852-qr5gdmbc 176 13 positive positive JJ cord-254852-qr5gdmbc 176 14 rate rate NN cord-254852-qr5gdmbc 176 15 in in IN cord-254852-qr5gdmbc 176 16 ICU ICU NNP cord-254852-qr5gdmbc 176 17 patients patient NNS cord-254852-qr5gdmbc 176 18 due due JJ cord-254852-qr5gdmbc 176 19 to to IN cord-254852-qr5gdmbc 176 20 airway airway NN cord-254852-qr5gdmbc 176 21 colonization colonization NN cord-254852-qr5gdmbc 176 22 . . . cord-254852-qr5gdmbc 177 1 37 37 CD cord-254852-qr5gdmbc 177 2 Bronchoscopic Bronchoscopic NNP cord-254852-qr5gdmbc 177 3 retrieval retrieval NN cord-254852-qr5gdmbc 177 4 of of IN cord-254852-qr5gdmbc 177 5 distal distal JJ cord-254852-qr5gdmbc 177 6 airway airway NN cord-254852-qr5gdmbc 177 7 specimens specimen NNS cord-254852-qr5gdmbc 177 8 via via IN cord-254852-qr5gdmbc 177 9 BAL bal NN cord-254852-qr5gdmbc 177 10 or or CC cord-254852-qr5gdmbc 177 11 protected protect VBN cord-254852-qr5gdmbc 177 12 - - HYPH cord-254852-qr5gdmbc 177 13 specimen specimen NN cord-254852-qr5gdmbc 177 14 brush brush NN cord-254852-qr5gdmbc 177 15 techniques technique NNS cord-254852-qr5gdmbc 177 16 is be VBZ cord-254852-qr5gdmbc 177 17 the the DT cord-254852-qr5gdmbc 177 18 best good JJS cord-254852-qr5gdmbc 177 19 , , , cord-254852-qr5gdmbc 177 20 but but CC cord-254852-qr5gdmbc 177 21 requires require VBZ cord-254852-qr5gdmbc 177 22 a a DT cord-254852-qr5gdmbc 177 23 trained train VBN cord-254852-qr5gdmbc 177 24 bronchoscopist bronchoscopist NN cord-254852-qr5gdmbc 177 25 . . . cord-254852-qr5gdmbc 178 1 37 37 CD cord-254852-qr5gdmbc 178 2 _SP cord-254852-qr5gdmbc 178 3 Selection Selection NNP cord-254852-qr5gdmbc 178 4 of of IN cord-254852-qr5gdmbc 178 5 antibiotics antibiotic NNS cord-254852-qr5gdmbc 178 6 is be VBZ cord-254852-qr5gdmbc 178 7 typically typically RB cord-254852-qr5gdmbc 178 8 done do VBN cord-254852-qr5gdmbc 178 9 empirically empirically RB cord-254852-qr5gdmbc 178 10 and and CC cord-254852-qr5gdmbc 178 11 based base VBN cord-254852-qr5gdmbc 178 12 on on IN cord-254852-qr5gdmbc 178 13 whether whether IN cord-254852-qr5gdmbc 178 14 the the DT cord-254852-qr5gdmbc 178 15 patient patient NN cord-254852-qr5gdmbc 178 16 has have VBZ cord-254852-qr5gdmbc 178 17 any any DT cord-254852-qr5gdmbc 178 18 risk risk NN cord-254852-qr5gdmbc 178 19 factors factor NNS cord-254852-qr5gdmbc 178 20 for for IN cord-254852-qr5gdmbc 178 21 MDR MDR NNP cord-254852-qr5gdmbc 178 22 pathogens pathogen NNS cord-254852-qr5gdmbc 178 23 ( ( -LRB- cord-254852-qr5gdmbc 178 24 Table Table NNP cord-254852-qr5gdmbc 178 25 7 7 CD cord-254852-qr5gdmbc 178 26 ) ) -RRB- cord-254852-qr5gdmbc 178 27 and and CC cord-254852-qr5gdmbc 178 28 whether whether IN cord-254852-qr5gdmbc 178 29 onset onset NN cord-254852-qr5gdmbc 178 30 of of IN cord-254852-qr5gdmbc 178 31 VAP VAP NNP cord-254852-qr5gdmbc 178 32 is be VBZ cord-254852-qr5gdmbc 178 33 early early JJ cord-254852-qr5gdmbc 178 34 ( ( -LRB- cord-254852-qr5gdmbc 178 35 defined define VBN cord-254852-qr5gdmbc 178 36 as as IN cord-254852-qr5gdmbc 178 37 within within IN cord-254852-qr5gdmbc 178 38 first first JJ cord-254852-qr5gdmbc 178 39 4 4 CD cord-254852-qr5gdmbc 178 40 days day NNS cord-254852-qr5gdmbc 178 41 of of IN cord-254852-qr5gdmbc 178 42 being be VBG cord-254852-qr5gdmbc 178 43 in in IN cord-254852-qr5gdmbc 178 44 the the DT cord-254852-qr5gdmbc 178 45 ICU ICU NNP cord-254852-qr5gdmbc 178 46 ) ) -RRB- cord-254852-qr5gdmbc 178 47 or or CC cord-254852-qr5gdmbc 178 48 late late JJ cord-254852-qr5gdmbc 178 49 ( ( -LRB- cord-254852-qr5gdmbc 178 50 5 5 CD cord-254852-qr5gdmbc 178 51 days day NNS cord-254852-qr5gdmbc 178 52 or or CC cord-254852-qr5gdmbc 178 53 later later RB cord-254852-qr5gdmbc 178 54 ) ) -RRB- cord-254852-qr5gdmbc 178 55 . . . cord-254852-qr5gdmbc 179 1 37 37 CD cord-254852-qr5gdmbc 179 2 , , , cord-254852-qr5gdmbc 179 3 38 38 CD cord-254852-qr5gdmbc 179 4 , , , cord-254852-qr5gdmbc 179 5 48 48 CD cord-254852-qr5gdmbc 179 6 Evaluation Evaluation NNP cord-254852-qr5gdmbc 179 7 and and CC cord-254852-qr5gdmbc 179 8 Treatment Treatment NNP cord-254852-qr5gdmbc 179 9 of of IN cord-254852-qr5gdmbc 179 10 Pneumonia Pneumonia NNP cord-254852-qr5gdmbc 179 11 Empirical empirical JJ cord-254852-qr5gdmbc 179 12 treatment treatment NN cord-254852-qr5gdmbc 179 13 should should MD cord-254852-qr5gdmbc 179 14 also also RB cord-254852-qr5gdmbc 179 15 be be VB cord-254852-qr5gdmbc 179 16 determined determine VBN cord-254852-qr5gdmbc 179 17 as as IN cord-254852-qr5gdmbc 179 18 a a DT cord-254852-qr5gdmbc 179 19 result result NN cord-254852-qr5gdmbc 179 20 of of IN cord-254852-qr5gdmbc 179 21 knowledge knowledge NN cord-254852-qr5gdmbc 179 22 of of IN cord-254852-qr5gdmbc 179 23 local local JJ cord-254852-qr5gdmbc 179 24 distribution distribution NN cord-254852-qr5gdmbc 179 25 of of IN cord-254852-qr5gdmbc 179 26 pathogens pathogen NNS cord-254852-qr5gdmbc 179 27 and and CC cord-254852-qr5gdmbc 179 28 their -PRON- PRP$ cord-254852-qr5gdmbc 179 29 antimicrobial antimicrobial JJ cord-254852-qr5gdmbc 179 30 susceptibility susceptibility NN cord-254852-qr5gdmbc 179 31 patterns pattern NNS cord-254852-qr5gdmbc 179 32 . . . cord-254852-qr5gdmbc 180 1 49 49 CD cord-254852-qr5gdmbc 180 2 Early early JJ cord-254852-qr5gdmbc 180 3 - - HYPH cord-254852-qr5gdmbc 180 4 onset onset NN cord-254852-qr5gdmbc 180 5 VAP VAP NNP cord-254852-qr5gdmbc 180 6 without without IN cord-254852-qr5gdmbc 180 7 MDR MDR NNP cord-254852-qr5gdmbc 180 8 risk risk NN cord-254852-qr5gdmbc 180 9 factors factor NNS cord-254852-qr5gdmbc 180 10 typically typically RB cord-254852-qr5gdmbc 180 11 should should MD cord-254852-qr5gdmbc 180 12 be be VB cord-254852-qr5gdmbc 180 13 prescribed prescribe VBN cord-254852-qr5gdmbc 180 14 one one CD cord-254852-qr5gdmbc 180 15 of of IN cord-254852-qr5gdmbc 180 16 the the DT cord-254852-qr5gdmbc 180 17 following follow VBG cord-254852-qr5gdmbc 180 18 antibiotic antibiotic JJ cord-254852-qr5gdmbc 180 19 options option NNS cord-254852-qr5gdmbc 180 20 37 37 CD cord-254852-qr5gdmbc 180 21 : : : cord-254852-qr5gdmbc 181 1 For for IN cord-254852-qr5gdmbc 181 2 late late JJ cord-254852-qr5gdmbc 181 3 - - HYPH cord-254852-qr5gdmbc 181 4 onset onset NN cord-254852-qr5gdmbc 181 5 and/or and/or CC cord-254852-qr5gdmbc 181 6 MDR MDR NNP cord-254852-qr5gdmbc 181 7 factor factor NN cord-254852-qr5gdmbc 181 8 patients patient NNS cord-254852-qr5gdmbc 181 9 , , , cord-254852-qr5gdmbc 181 10 appropriate appropriate JJ cord-254852-qr5gdmbc 181 11 antibiotic antibiotic JJ cord-254852-qr5gdmbc 181 12 options option NNS cord-254852-qr5gdmbc 181 13 would would MD cord-254852-qr5gdmbc 181 14 include include VB cord-254852-qr5gdmbc 181 15 one one CD cord-254852-qr5gdmbc 181 16 or or CC cord-254852-qr5gdmbc 181 17 more more JJR cord-254852-qr5gdmbc 181 18 of of IN cord-254852-qr5gdmbc 181 19 the the DT cord-254852-qr5gdmbc 181 20 following following JJ cord-254852-qr5gdmbc 181 21 37 37 CD cord-254852-qr5gdmbc 181 22 : : : cord-254852-qr5gdmbc 182 1 Antipseudomonal Antipseudomonal NNP cord-254852-qr5gdmbc 182 2 cephalosporins cephalosporin NNS cord-254852-qr5gdmbc 182 3 ( ( -LRB- cord-254852-qr5gdmbc 182 4 eg eg RB cord-254852-qr5gdmbc 182 5 , , , cord-254852-qr5gdmbc 182 6 Cefepime Cefepime NNP cord-254852-qr5gdmbc 182 7 , , , cord-254852-qr5gdmbc 182 8 ceftazidime ceftazidime NN cord-254852-qr5gdmbc 182 9 ) ) -RRB- cord-254852-qr5gdmbc 183 1 Antipseudomonal Antipseudomonal NNP cord-254852-qr5gdmbc 183 2 carbapenems carbapenems NNP cord-254852-qr5gdmbc 183 3 ( ( -LRB- cord-254852-qr5gdmbc 183 4 imipenem imipenem NNP cord-254852-qr5gdmbc 183 5 or or CC cord-254852-qr5gdmbc 183 6 meropenem meropenem NNP cord-254852-qr5gdmbc 183 7 ) ) -RRB- cord-254852-qr5gdmbc 184 1 Beta beta NN cord-254852-qr5gdmbc 184 2 - - HYPH cord-254852-qr5gdmbc 184 3 lactam lactam NNS cord-254852-qr5gdmbc 184 4 / / SYM cord-254852-qr5gdmbc 184 5 beta beta NN cord-254852-qr5gdmbc 184 6 - - HYPH cord-254852-qr5gdmbc 184 7 lactamase lactamase NN cord-254852-qr5gdmbc 184 8 inhibitors inhibitor NNS cord-254852-qr5gdmbc 184 9 ( ( -LRB- cord-254852-qr5gdmbc 184 10 piperacillin piperacillin NNP cord-254852-qr5gdmbc 184 11 - - HYPH cord-254852-qr5gdmbc 184 12 tazobactam tazobactam NNP cord-254852-qr5gdmbc 184 13 ) ) -RRB- cord-254852-qr5gdmbc 184 14 with with IN cord-254852-qr5gdmbc 184 15 an an DT cord-254852-qr5gdmbc 184 16 antipseudomonal antipseudomonal JJ cord-254852-qr5gdmbc 184 17 fluoroquinolone fluoroquinolone NN cord-254852-qr5gdmbc 184 18 ( ( -LRB- cord-254852-qr5gdmbc 184 19 ciprofloxacin ciprofloxacin NNP cord-254852-qr5gdmbc 184 20 ) ) -RRB- cord-254852-qr5gdmbc 184 21 or or CC cord-254852-qr5gdmbc 184 22 aminoglycoside aminoglycoside JJ cord-254852-qr5gdmbc 184 23 plus plus CC cord-254852-qr5gdmbc 184 24 linezolid linezolid NN cord-254852-qr5gdmbc 184 25 or or CC cord-254852-qr5gdmbc 184 26 vancomycin vancomycin FW cord-254852-qr5gdmbc 184 27 ( ( -LRB- cord-254852-qr5gdmbc 184 28 if if IN cord-254852-qr5gdmbc 184 29 MRSA MRSA NNP cord-254852-qr5gdmbc 184 30 risk risk NN cord-254852-qr5gdmbc 184 31 factors factor NNS cord-254852-qr5gdmbc 184 32 are be VBP cord-254852-qr5gdmbc 184 33 present present JJ cord-254852-qr5gdmbc 184 34 ) ) -RRB- cord-254852-qr5gdmbc 185 1 Telavancin Telavancin NNP cord-254852-qr5gdmbc 185 2 is be VBZ cord-254852-qr5gdmbc 185 3 indicated indicate VBN cord-254852-qr5gdmbc 185 4 for for IN cord-254852-qr5gdmbc 185 5 VAP VAP NNP cord-254852-qr5gdmbc 185 6 for for IN cord-254852-qr5gdmbc 185 7 susceptible susceptible JJ cord-254852-qr5gdmbc 185 8 isolates isolate NNS cord-254852-qr5gdmbc 185 9 of of IN cord-254852-qr5gdmbc 185 10 S. S. NNP cord-254852-qr5gdmbc 185 11 aureus aureus NN cord-254852-qr5gdmbc 185 12 when when WRB cord-254852-qr5gdmbc 185 13 other other JJ cord-254852-qr5gdmbc 185 14 therapies therapy NNS cord-254852-qr5gdmbc 185 15 are be VBP cord-254852-qr5gdmbc 185 16 not not RB cord-254852-qr5gdmbc 185 17 suitable suitable JJ cord-254852-qr5gdmbc 185 18 . . . cord-254852-qr5gdmbc 186 1 Dose dose NN cord-254852-qr5gdmbc 186 2 and and CC cord-254852-qr5gdmbc 186 3 frequency frequency NN cord-254852-qr5gdmbc 186 4 of of IN cord-254852-qr5gdmbc 186 5 administration administration NN cord-254852-qr5gdmbc 186 6 of of IN cord-254852-qr5gdmbc 186 7 the the DT cord-254852-qr5gdmbc 186 8 antibiotic antibiotic JJ cord-254852-qr5gdmbc 186 9 choices choice NNS cord-254852-qr5gdmbc 186 10 discussed discuss VBN cord-254852-qr5gdmbc 186 11 earlier early RBR cord-254852-qr5gdmbc 186 12 are be VBP cord-254852-qr5gdmbc 186 13 documented document VBN cord-254852-qr5gdmbc 186 14 extensively extensively RB cord-254852-qr5gdmbc 186 15 elsewhere elsewhere RB cord-254852-qr5gdmbc 186 16 . . . cord-254852-qr5gdmbc 187 1 38 38 CD cord-254852-qr5gdmbc 187 2 Atypical atypical JJ cord-254852-qr5gdmbc 187 3 antibiotic antibiotic JJ cord-254852-qr5gdmbc 187 4 choices choice NNS cord-254852-qr5gdmbc 187 5 , , , cord-254852-qr5gdmbc 187 6 such such JJ cord-254852-qr5gdmbc 187 7 as as IN cord-254852-qr5gdmbc 187 8 colistin colistin NNP cord-254852-qr5gdmbc 187 9 , , , cord-254852-qr5gdmbc 187 10 polymyxin polymyxin NNP cord-254852-qr5gdmbc 187 11 B b NN cord-254852-qr5gdmbc 187 12 , , , cord-254852-qr5gdmbc 187 13 telavancin telavancin NNS cord-254852-qr5gdmbc 187 14 , , , cord-254852-qr5gdmbc 187 15 inter inter NNP cord-254852-qr5gdmbc 187 16 alia alia NNP cord-254852-qr5gdmbc 187 17 , , , cord-254852-qr5gdmbc 187 18 are be VBP cord-254852-qr5gdmbc 187 19 rarely rarely RB cord-254852-qr5gdmbc 187 20 indicated indicate VBN cord-254852-qr5gdmbc 187 21 but but CC cord-254852-qr5gdmbc 187 22 can can MD cord-254852-qr5gdmbc 187 23 be be VB cord-254852-qr5gdmbc 187 24 used use VBN cord-254852-qr5gdmbc 187 25 when when WRB cord-254852-qr5gdmbc 187 26 antimicrobial antimicrobial JJ cord-254852-qr5gdmbc 187 27 resistance resistance NN cord-254852-qr5gdmbc 187 28 warrants warrant NNS cord-254852-qr5gdmbc 187 29 these these DT cord-254852-qr5gdmbc 187 30 agents agent NNS cord-254852-qr5gdmbc 187 31 . . . cord-254852-qr5gdmbc 188 1 48 48 CD cord-254852-qr5gdmbc 189 1 Typically typically RB cord-254852-qr5gdmbc 189 2 , , , cord-254852-qr5gdmbc 189 3 consultation consultation NN cord-254852-qr5gdmbc 189 4 with with IN cord-254852-qr5gdmbc 189 5 an an DT cord-254852-qr5gdmbc 189 6 infectious infectious JJ cord-254852-qr5gdmbc 189 7 disease disease NN cord-254852-qr5gdmbc 189 8 physician physician NN cord-254852-qr5gdmbc 189 9 or or CC cord-254852-qr5gdmbc 189 10 clinical clinical JJ cord-254852-qr5gdmbc 189 11 pharmacist pharmacist NN cord-254852-qr5gdmbc 189 12 with with IN cord-254852-qr5gdmbc 189 13 expertise expertise NN cord-254852-qr5gdmbc 189 14 and and CC cord-254852-qr5gdmbc 189 15 familiarity familiarity NN cord-254852-qr5gdmbc 189 16 when when WRB cord-254852-qr5gdmbc 189 17 using use VBG cord-254852-qr5gdmbc 189 18 these these DT cord-254852-qr5gdmbc 189 19 drugs drug NNS cord-254852-qr5gdmbc 189 20 is be VBZ cord-254852-qr5gdmbc 189 21 a a DT cord-254852-qr5gdmbc 189 22 sine sine FW cord-254852-qr5gdmbc 189 23 qua qua FW cord-254852-qr5gdmbc 189 24 non non FW cord-254852-qr5gdmbc 189 25 . . . cord-254852-qr5gdmbc 190 1 48 48 CD cord-254852-qr5gdmbc 190 2 Pediatric Pediatric NNP cord-254852-qr5gdmbc 190 3 Pneumonia pneumonia NN cord-254852-qr5gdmbc 190 4 Epidemiology Epidemiology NNP cord-254852-qr5gdmbc 190 5 Pneumonia Pneumonia NNP cord-254852-qr5gdmbc 190 6 is be VBZ cord-254852-qr5gdmbc 190 7 a a DT cord-254852-qr5gdmbc 190 8 very very RB cord-254852-qr5gdmbc 190 9 common common JJ cord-254852-qr5gdmbc 190 10 affliction affliction NN cord-254852-qr5gdmbc 190 11 of of IN cord-254852-qr5gdmbc 190 12 childhood childhood NN cord-254852-qr5gdmbc 190 13 . . . cord-254852-qr5gdmbc 191 1 Pneumonia pneumonia NN cord-254852-qr5gdmbc 191 2 accounts account VBZ cord-254852-qr5gdmbc 191 3 for for IN cord-254852-qr5gdmbc 191 4 13 13 CD cord-254852-qr5gdmbc 191 5 % % NN cord-254852-qr5gdmbc 191 6 of of IN cord-254852-qr5gdmbc 191 7 infectious infectious JJ cord-254852-qr5gdmbc 191 8 illnesses illness NNS cord-254852-qr5gdmbc 191 9 in in IN cord-254852-qr5gdmbc 191 10 infants infant NNS cord-254852-qr5gdmbc 191 11 and and CC cord-254852-qr5gdmbc 191 12 toddlers toddler NNS cord-254852-qr5gdmbc 191 13 younger young JJR cord-254852-qr5gdmbc 191 14 than than IN cord-254852-qr5gdmbc 191 15 2 2 CD cord-254852-qr5gdmbc 191 16 years year NNS cord-254852-qr5gdmbc 191 17 . . . cord-254852-qr5gdmbc 192 1 50 50 CD cord-254852-qr5gdmbc 192 2 Worldwide Worldwide NNP cord-254852-qr5gdmbc 192 3 , , , cord-254852-qr5gdmbc 192 4 approximately approximately RB cord-254852-qr5gdmbc 192 5 150 150 CD cord-254852-qr5gdmbc 192 6 million million CD cord-254852-qr5gdmbc 192 7 new new JJ cord-254852-qr5gdmbc 192 8 cases case NNS cord-254852-qr5gdmbc 192 9 of of IN cord-254852-qr5gdmbc 192 10 pneumonia pneumonia NN cord-254852-qr5gdmbc 192 11 occur occur VBP cord-254852-qr5gdmbc 192 12 annually annually RB cord-254852-qr5gdmbc 192 13 among among IN cord-254852-qr5gdmbc 192 14 children child NNS cord-254852-qr5gdmbc 192 15 younger young JJR cord-254852-qr5gdmbc 192 16 than than IN cord-254852-qr5gdmbc 192 17 5 5 CD cord-254852-qr5gdmbc 192 18 years year NNS cord-254852-qr5gdmbc 192 19 . . . cord-254852-qr5gdmbc 193 1 50 50 CD cord-254852-qr5gdmbc 193 2 Pneumonia pneumonia NN cord-254852-qr5gdmbc 193 3 is be VBZ cord-254852-qr5gdmbc 193 4 the the DT cord-254852-qr5gdmbc 193 5 leading leading JJ cord-254852-qr5gdmbc 193 6 cause cause NN cord-254852-qr5gdmbc 193 7 of of IN cord-254852-qr5gdmbc 193 8 death death NN cord-254852-qr5gdmbc 193 9 in in IN cord-254852-qr5gdmbc 193 10 children child NNS cord-254852-qr5gdmbc 193 11 younger young JJR cord-254852-qr5gdmbc 193 12 than than IN cord-254852-qr5gdmbc 193 13 5 5 CD cord-254852-qr5gdmbc 193 14 years year NNS cord-254852-qr5gdmbc 193 15 in in IN cord-254852-qr5gdmbc 193 16 developing develop VBG cord-254852-qr5gdmbc 193 17 countries country NNS cord-254852-qr5gdmbc 193 18 , , , cord-254852-qr5gdmbc 193 19 accounting account VBG cord-254852-qr5gdmbc 193 20 for for IN cord-254852-qr5gdmbc 193 21 16 16 CD cord-254852-qr5gdmbc 193 22 % % NN cord-254852-qr5gdmbc 193 23 of of IN cord-254852-qr5gdmbc 193 24 all all DT cord-254852-qr5gdmbc 193 25 deaths death NNS cord-254852-qr5gdmbc 193 26 of of IN cord-254852-qr5gdmbc 193 27 children child NNS cord-254852-qr5gdmbc 193 28 younger young JJR cord-254852-qr5gdmbc 193 29 than than IN cord-254852-qr5gdmbc 193 30 5 5 CD cord-254852-qr5gdmbc 193 31 years year NNS cord-254852-qr5gdmbc 193 32 and and CC cord-254852-qr5gdmbc 193 33 killing kill VBG cord-254852-qr5gdmbc 193 34 920,136 920,136 CD cord-254852-qr5gdmbc 193 35 children child NNS cord-254852-qr5gdmbc 193 36 in in IN cord-254852-qr5gdmbc 193 37 2015 2015 CD cord-254852-qr5gdmbc 193 38 . . . cord-254852-qr5gdmbc 194 1 51 51 CD cord-254852-qr5gdmbc 194 2 , , , cord-254852-qr5gdmbc 194 3 52 52 CD cord-254852-qr5gdmbc 194 4 Most Most JJS cord-254852-qr5gdmbc 194 5 childhood childhood NN cord-254852-qr5gdmbc 194 6 pneumonia pneumonia NN cord-254852-qr5gdmbc 194 7 ( ( -LRB- cord-254852-qr5gdmbc 194 8 CP CP NNP cord-254852-qr5gdmbc 194 9 ) ) -RRB- cord-254852-qr5gdmbc 194 10 can can MD cord-254852-qr5gdmbc 194 11 be be VB cord-254852-qr5gdmbc 194 12 treated treat VBN cord-254852-qr5gdmbc 194 13 in in IN cord-254852-qr5gdmbc 194 14 the the DT cord-254852-qr5gdmbc 194 15 outpatient outpatient NN cord-254852-qr5gdmbc 194 16 setting setting NN cord-254852-qr5gdmbc 194 17 . . . cord-254852-qr5gdmbc 195 1 The the DT cord-254852-qr5gdmbc 195 2 rate rate NN cord-254852-qr5gdmbc 195 3 of of IN cord-254852-qr5gdmbc 195 4 hospitalization hospitalization NN cord-254852-qr5gdmbc 195 5 for for IN cord-254852-qr5gdmbc 195 6 CP cp NN cord-254852-qr5gdmbc 195 7 through through IN cord-254852-qr5gdmbc 195 8 age age NN cord-254852-qr5gdmbc 195 9 18 18 CD cord-254852-qr5gdmbc 195 10 years year NNS cord-254852-qr5gdmbc 195 11 varies vary VBZ cord-254852-qr5gdmbc 195 12 per per IN cord-254852-qr5gdmbc 195 13 year year NN cord-254852-qr5gdmbc 195 14 , , , cord-254852-qr5gdmbc 195 15 but but CC cord-254852-qr5gdmbc 195 16 in in IN cord-254852-qr5gdmbc 195 17 2006 2006 CD cord-254852-qr5gdmbc 195 18 it -PRON- PRP cord-254852-qr5gdmbc 195 19 was be VBD cord-254852-qr5gdmbc 195 20 201.1 201.1 CD cord-254852-qr5gdmbc 195 21 per per IN cord-254852-qr5gdmbc 195 22 100 100 CD cord-254852-qr5gdmbc 195 23 000 000 CD cord-254852-qr5gdmbc 195 24 . . . cord-254852-qr5gdmbc 196 1 53 53 CD cord-254852-qr5gdmbc 196 2 Infants infant NNS cord-254852-qr5gdmbc 196 3 younger young JJR cord-254852-qr5gdmbc 196 4 than than IN cord-254852-qr5gdmbc 196 5 1 1 CD cord-254852-qr5gdmbc 196 6 year year NN cord-254852-qr5gdmbc 196 7 had have VBD cord-254852-qr5gdmbc 196 8 the the DT cord-254852-qr5gdmbc 196 9 highest high JJS cord-254852-qr5gdmbc 196 10 rate rate NN cord-254852-qr5gdmbc 196 11 of of IN cord-254852-qr5gdmbc 196 12 hospitalization hospitalization NN cord-254852-qr5gdmbc 196 13 ( ( -LRB- cord-254852-qr5gdmbc 196 14 912.9 912.9 CD cord-254852-qr5gdmbc 196 15 per per IN cord-254852-qr5gdmbc 196 16 100 100 CD cord-254852-qr5gdmbc 196 17 000 000 CD cord-254852-qr5gdmbc 196 18 ) ) -RRB- cord-254852-qr5gdmbc 196 19 , , , cord-254852-qr5gdmbc 196 20 whereas whereas IN cord-254852-qr5gdmbc 196 21 children child NNS cord-254852-qr5gdmbc 196 22 aged age VBN cord-254852-qr5gdmbc 196 23 13 13 CD cord-254852-qr5gdmbc 196 24 to to TO cord-254852-qr5gdmbc 196 25 18 18 CD cord-254852-qr5gdmbc 196 26 years year NNS cord-254852-qr5gdmbc 196 27 had have VBD cord-254852-qr5gdmbc 196 28 the the DT cord-254852-qr5gdmbc 196 29 lowest low JJS cord-254852-qr5gdmbc 196 30 rate rate NN cord-254852-qr5gdmbc 196 31 ( ( -LRB- cord-254852-qr5gdmbc 196 32 62.8 62.8 CD cord-254852-qr5gdmbc 196 33 per per IN cord-254852-qr5gdmbc 196 34 100 100 CD cord-254852-qr5gdmbc 196 35 000 000 CD cord-254852-qr5gdmbc 196 36 ) ) -RRB- cord-254852-qr5gdmbc 196 37 . . . cord-254852-qr5gdmbc 197 1 53 53 CD cord-254852-qr5gdmbc 197 2 _SP cord-254852-qr5gdmbc 198 1 Signs sign NNS cord-254852-qr5gdmbc 198 2 and and CC cord-254852-qr5gdmbc 198 3 symptoms symptom NNS cord-254852-qr5gdmbc 198 4 of of IN cord-254852-qr5gdmbc 198 5 CP CP NNP cord-254852-qr5gdmbc 198 6 are be VBP cord-254852-qr5gdmbc 198 7 often often RB cord-254852-qr5gdmbc 198 8 nonspecific nonspecific JJ cord-254852-qr5gdmbc 198 9 and and CC cord-254852-qr5gdmbc 198 10 depend depend VBP cord-254852-qr5gdmbc 198 11 on on IN cord-254852-qr5gdmbc 198 12 several several JJ cord-254852-qr5gdmbc 198 13 factors factor NNS cord-254852-qr5gdmbc 198 14 including include VBG cord-254852-qr5gdmbc 198 15 age age NN cord-254852-qr5gdmbc 198 16 , , , cord-254852-qr5gdmbc 198 17 microbial microbial JJ cord-254852-qr5gdmbc 198 18 organism organism NN cord-254852-qr5gdmbc 198 19 , , , cord-254852-qr5gdmbc 198 20 and and CC cord-254852-qr5gdmbc 198 21 underlying underlie VBG cord-254852-qr5gdmbc 198 22 health health NN cord-254852-qr5gdmbc 198 23 of of IN cord-254852-qr5gdmbc 198 24 the the DT cord-254852-qr5gdmbc 198 25 patient patient NN cord-254852-qr5gdmbc 198 26 . . . cord-254852-qr5gdmbc 199 1 Clinical clinical JJ cord-254852-qr5gdmbc 199 2 acumen acumen NN cord-254852-qr5gdmbc 199 3 is be VBZ cord-254852-qr5gdmbc 199 4 key key JJ cord-254852-qr5gdmbc 199 5 to to TO cord-254852-qr5gdmbc 199 6 successfully successfully RB cord-254852-qr5gdmbc 199 7 diagnosing diagnose VBG cord-254852-qr5gdmbc 199 8 CP cp NN cord-254852-qr5gdmbc 199 9 . . . cord-254852-qr5gdmbc 200 1 The the DT cord-254852-qr5gdmbc 200 2 universal universal JJ cord-254852-qr5gdmbc 200 3 symptom symptom NN cord-254852-qr5gdmbc 200 4 of of IN cord-254852-qr5gdmbc 200 5 CP cp NN cord-254852-qr5gdmbc 200 6 is be VBZ cord-254852-qr5gdmbc 200 7 cough cough NN cord-254852-qr5gdmbc 200 8 . . . cord-254852-qr5gdmbc 201 1 Other other JJ cord-254852-qr5gdmbc 201 2 symptoms symptom NNS cord-254852-qr5gdmbc 201 3 may may MD cord-254852-qr5gdmbc 201 4 include include VB cord-254852-qr5gdmbc 201 5 chest chest NN cord-254852-qr5gdmbc 201 6 pain pain NN cord-254852-qr5gdmbc 201 7 , , , cord-254852-qr5gdmbc 201 8 headache headache NN cord-254852-qr5gdmbc 201 9 , , , cord-254852-qr5gdmbc 201 10 arthralgia arthralgia NNP cord-254852-qr5gdmbc 201 11 , , , cord-254852-qr5gdmbc 201 12 nausea nausea NN cord-254852-qr5gdmbc 201 13 , , , cord-254852-qr5gdmbc 201 14 and and CC cord-254852-qr5gdmbc 201 15 abdominal abdominal JJ cord-254852-qr5gdmbc 201 16 pain pain NN cord-254852-qr5gdmbc 201 17 . . . cord-254852-qr5gdmbc 202 1 54 54 CD cord-254852-qr5gdmbc 203 1 Most Most JJS cord-254852-qr5gdmbc 203 2 common common JJ cord-254852-qr5gdmbc 203 3 signs sign NNS cord-254852-qr5gdmbc 203 4 to to TO cord-254852-qr5gdmbc 203 5 look look VB cord-254852-qr5gdmbc 203 6 for for IN cord-254852-qr5gdmbc 203 7 include include VBP cord-254852-qr5gdmbc 203 8 fever fever NN cord-254852-qr5gdmbc 203 9 , , , cord-254852-qr5gdmbc 203 10 tachypnea tachypnea NNP cord-254852-qr5gdmbc 203 11 , , , cord-254852-qr5gdmbc 203 12 labored labor VBD cord-254852-qr5gdmbc 203 13 breathing breathing NN cord-254852-qr5gdmbc 203 14 , , , cord-254852-qr5gdmbc 203 15 rhonchi rhonchi NNP cord-254852-qr5gdmbc 203 16 , , , cord-254852-qr5gdmbc 203 17 crackles crackle NNS cord-254852-qr5gdmbc 203 18 , , , cord-254852-qr5gdmbc 203 19 and and CC cord-254852-qr5gdmbc 203 20 wheezing wheezing NN cord-254852-qr5gdmbc 203 21 . . . cord-254852-qr5gdmbc 204 1 54 54 CD cord-254852-qr5gdmbc 205 1 Other other JJ cord-254852-qr5gdmbc 205 2 physical physical JJ cord-254852-qr5gdmbc 205 3 signs sign NNS cord-254852-qr5gdmbc 205 4 to to TO cord-254852-qr5gdmbc 205 5 identify identify VB cord-254852-qr5gdmbc 205 6 include include VB cord-254852-qr5gdmbc 205 7 grunting grunt VBG cord-254852-qr5gdmbc 205 8 , , , cord-254852-qr5gdmbc 205 9 nasal nasal NN cord-254852-qr5gdmbc 205 10 flaring flaring NN cord-254852-qr5gdmbc 205 11 , , , cord-254852-qr5gdmbc 205 12 and and CC cord-254852-qr5gdmbc 205 13 chest chest NN cord-254852-qr5gdmbc 205 14 retractions retraction NNS cord-254852-qr5gdmbc 205 15 because because IN cord-254852-qr5gdmbc 205 16 these these DT cord-254852-qr5gdmbc 205 17 increase increase VBP cord-254852-qr5gdmbc 205 18 the the DT cord-254852-qr5gdmbc 205 19 likelihood likelihood NN cord-254852-qr5gdmbc 205 20 of of IN cord-254852-qr5gdmbc 205 21 CP cp NN cord-254852-qr5gdmbc 205 22 . . . cord-254852-qr5gdmbc 206 1 55 55 CD cord-254852-qr5gdmbc 206 2 Diagnostic diagnostic JJ cord-254852-qr5gdmbc 206 3 testing testing NN cord-254852-qr5gdmbc 206 4 is be VBZ cord-254852-qr5gdmbc 206 5 usually usually RB cord-254852-qr5gdmbc 206 6 performed perform VBN cord-254852-qr5gdmbc 206 7 , , , cord-254852-qr5gdmbc 206 8 when when WRB cord-254852-qr5gdmbc 206 9 available available JJ cord-254852-qr5gdmbc 206 10 , , , cord-254852-qr5gdmbc 206 11 and and CC cord-254852-qr5gdmbc 206 12 would would MD cord-254852-qr5gdmbc 206 13 include include VB cord-254852-qr5gdmbc 206 14 assessment assessment NN cord-254852-qr5gdmbc 206 15 of of IN cord-254852-qr5gdmbc 206 16 oxygen oxygen NN cord-254852-qr5gdmbc 206 17 saturation saturation NN cord-254852-qr5gdmbc 206 18 by by IN cord-254852-qr5gdmbc 206 19 pulse pulse NN cord-254852-qr5gdmbc 206 20 oximetry oximetry NN cord-254852-qr5gdmbc 206 21 , , , cord-254852-qr5gdmbc 206 22 chest chest NN cord-254852-qr5gdmbc 206 23 radiograph radiograph NN cord-254852-qr5gdmbc 206 24 , , , cord-254852-qr5gdmbc 206 25 complete complete JJ cord-254852-qr5gdmbc 206 26 blood blood NN cord-254852-qr5gdmbc 206 27 cell cell NN cord-254852-qr5gdmbc 206 28 count count NN cord-254852-qr5gdmbc 206 29 , , , cord-254852-qr5gdmbc 206 30 respiratory respiratory JJ cord-254852-qr5gdmbc 206 31 microbial microbial JJ cord-254852-qr5gdmbc 206 32 panel panel NN cord-254852-qr5gdmbc 206 33 by by IN cord-254852-qr5gdmbc 206 34 PCR PCR NNP cord-254852-qr5gdmbc 206 35 , , , cord-254852-qr5gdmbc 206 36 ultrasound ultrasound NN cord-254852-qr5gdmbc 206 37 of of IN cord-254852-qr5gdmbc 206 38 the the DT cord-254852-qr5gdmbc 206 39 chest chest NN cord-254852-qr5gdmbc 206 40 ( ( -LRB- cord-254852-qr5gdmbc 206 41 when when WRB cord-254852-qr5gdmbc 206 42 medically medically RB cord-254852-qr5gdmbc 206 43 indicated indicate VBN cord-254852-qr5gdmbc 206 44 ) ) -RRB- cord-254852-qr5gdmbc 206 45 , , , cord-254852-qr5gdmbc 206 46 and and CC cord-254852-qr5gdmbc 206 47 cultures culture NNS cord-254852-qr5gdmbc 206 48 . . . cord-254852-qr5gdmbc 207 1 Disagreement disagreement NN cord-254852-qr5gdmbc 207 2 about about IN cord-254852-qr5gdmbc 207 3 whether whether IN cord-254852-qr5gdmbc 207 4 blood blood NN cord-254852-qr5gdmbc 207 5 cultures culture NNS cord-254852-qr5gdmbc 207 6 are be VBP cord-254852-qr5gdmbc 207 7 warranted warrant VBN cord-254852-qr5gdmbc 207 8 exists exist VBZ cord-254852-qr5gdmbc 207 9 in in IN cord-254852-qr5gdmbc 207 10 the the DT cord-254852-qr5gdmbc 207 11 literature literature NN cord-254852-qr5gdmbc 207 12 . . . cord-254852-qr5gdmbc 208 1 As as IN cord-254852-qr5gdmbc 208 2 per per IN cord-254852-qr5gdmbc 208 3 a a DT cord-254852-qr5gdmbc 208 4 recent recent JJ cord-254852-qr5gdmbc 208 5 study study NN cord-254852-qr5gdmbc 208 6 , , , cord-254852-qr5gdmbc 208 7 blood blood NN cord-254852-qr5gdmbc 208 8 cultures culture NNS cord-254852-qr5gdmbc 208 9 have have VBP cord-254852-qr5gdmbc 208 10 not not RB cord-254852-qr5gdmbc 208 11 been be VBN cord-254852-qr5gdmbc 208 12 shown show VBN cord-254852-qr5gdmbc 208 13 to to TO cord-254852-qr5gdmbc 208 14 assist assist VB cord-254852-qr5gdmbc 208 15 with with IN cord-254852-qr5gdmbc 208 16 clinical clinical JJ cord-254852-qr5gdmbc 208 17 management management NN cord-254852-qr5gdmbc 208 18 in in IN cord-254852-qr5gdmbc 208 19 children child NNS cord-254852-qr5gdmbc 208 20 hospitalized hospitalize VBN cord-254852-qr5gdmbc 208 21 with with IN cord-254852-qr5gdmbc 208 22 pneumonia pneumonia NN cord-254852-qr5gdmbc 208 23 . . . cord-254852-qr5gdmbc 209 1 56 56 CD cord-254852-qr5gdmbc 210 1 The the DT cord-254852-qr5gdmbc 210 2 Infectious Infectious NNP cord-254852-qr5gdmbc 210 3 Diseases Diseases NNPS cord-254852-qr5gdmbc 210 4 Society Society NNP cord-254852-qr5gdmbc 210 5 of of IN cord-254852-qr5gdmbc 210 6 America America NNP cord-254852-qr5gdmbc 210 7 , , , cord-254852-qr5gdmbc 210 8 however however RB cord-254852-qr5gdmbc 210 9 , , , cord-254852-qr5gdmbc 210 10 recommends recommend VBZ cord-254852-qr5gdmbc 210 11 blood blood NN cord-254852-qr5gdmbc 210 12 cultures culture NNS cord-254852-qr5gdmbc 210 13 for for IN cord-254852-qr5gdmbc 210 14 all all DT cord-254852-qr5gdmbc 210 15 hospitalized hospitalize VBN cord-254852-qr5gdmbc 210 16 children child NNS cord-254852-qr5gdmbc 210 17 with with IN cord-254852-qr5gdmbc 210 18 pneumonia pneumonia NN cord-254852-qr5gdmbc 210 19 . . . cord-254852-qr5gdmbc 211 1 57 57 CD cord-254852-qr5gdmbc 212 1 Etiologic etiologic JJ cord-254852-qr5gdmbc 212 2 microbial microbial JJ cord-254852-qr5gdmbc 212 3 organisms organism NNS cord-254852-qr5gdmbc 212 4 differ differ VBP cord-254852-qr5gdmbc 212 5 , , , cord-254852-qr5gdmbc 212 6 depending depend VBG cord-254852-qr5gdmbc 212 7 on on IN cord-254852-qr5gdmbc 212 8 age age NN cord-254852-qr5gdmbc 212 9 of of IN cord-254852-qr5gdmbc 212 10 the the DT cord-254852-qr5gdmbc 212 11 child child NN cord-254852-qr5gdmbc 212 12 . . . cord-254852-qr5gdmbc 213 1 In in IN cord-254852-qr5gdmbc 213 2 infants infant NNS cord-254852-qr5gdmbc 213 3 , , , cord-254852-qr5gdmbc 213 4 toddlers toddler NNS cord-254852-qr5gdmbc 213 5 , , , cord-254852-qr5gdmbc 213 6 and and CC cord-254852-qr5gdmbc 213 7 preschoolers preschooler NNS cord-254852-qr5gdmbc 213 8 , , , cord-254852-qr5gdmbc 213 9 viruses virus NNS cord-254852-qr5gdmbc 213 10 predominate predominate VBP cord-254852-qr5gdmbc 213 11 ( ( -LRB- cord-254852-qr5gdmbc 213 12 Table table NN cord-254852-qr5gdmbc 213 13 8) 8) NN cord-254852-qr5gdmbc 213 14 . . . cord-254852-qr5gdmbc 214 1 Less less RBR cord-254852-qr5gdmbc 214 2 common common JJ cord-254852-qr5gdmbc 214 3 bacterial bacterial JJ cord-254852-qr5gdmbc 214 4 organisms organism NNS cord-254852-qr5gdmbc 214 5 may may MD cord-254852-qr5gdmbc 214 6 infect infect VB cord-254852-qr5gdmbc 214 7 newborns newborn NNS cord-254852-qr5gdmbc 214 8 ( ( -LRB- cord-254852-qr5gdmbc 214 9 see see VB cord-254852-qr5gdmbc 214 10 Table Table NNP cord-254852-qr5gdmbc 214 11 8 8 CD cord-254852-qr5gdmbc 214 12 ) ) -RRB- cord-254852-qr5gdmbc 214 13 . . . cord-254852-qr5gdmbc 215 1 In in IN cord-254852-qr5gdmbc 215 2 older old JJR cord-254852-qr5gdmbc 215 3 children child NNS cord-254852-qr5gdmbc 215 4 , , , cord-254852-qr5gdmbc 215 5 bacteria bacteria NNS cord-254852-qr5gdmbc 215 6 are be VBP cord-254852-qr5gdmbc 215 7 the the DT cord-254852-qr5gdmbc 215 8 more more RBR cord-254852-qr5gdmbc 215 9 common common JJ cord-254852-qr5gdmbc 215 10 culprit culprit NN cord-254852-qr5gdmbc 215 11 ( ( -LRB- cord-254852-qr5gdmbc 215 12 Table table NN cord-254852-qr5gdmbc 215 13 9 9 CD cord-254852-qr5gdmbc 215 14 ) ) -RRB- cord-254852-qr5gdmbc 215 15 . . . cord-254852-qr5gdmbc 216 1 Atypical atypical JJ cord-254852-qr5gdmbc 216 2 organisms organism NNS cord-254852-qr5gdmbc 216 3 may may MD cord-254852-qr5gdmbc 216 4 be be VB cord-254852-qr5gdmbc 216 5 involved involve VBN cord-254852-qr5gdmbc 216 6 when when WRB cord-254852-qr5gdmbc 216 7 children child NNS cord-254852-qr5gdmbc 216 8 are be VBP cord-254852-qr5gdmbc 216 9 immunocompromised immunocompromised JJ cord-254852-qr5gdmbc 216 10 or or CC cord-254852-qr5gdmbc 216 11 have have VBP cord-254852-qr5gdmbc 216 12 other other JJ cord-254852-qr5gdmbc 216 13 underlying underlie VBG cord-254852-qr5gdmbc 216 14 comorbidities comorbiditie NNS cord-254852-qr5gdmbc 216 15 ( ( -LRB- cord-254852-qr5gdmbc 216 16 see see VB cord-254852-qr5gdmbc 216 17 Table Table NNP cord-254852-qr5gdmbc 216 18 9 9 CD cord-254852-qr5gdmbc 216 19 ) ) -RRB- cord-254852-qr5gdmbc 216 20 . . . cord-254852-qr5gdmbc 217 1 In in IN cord-254852-qr5gdmbc 217 2 order order NN cord-254852-qr5gdmbc 217 3 to to TO cord-254852-qr5gdmbc 217 4 provide provide VB cord-254852-qr5gdmbc 217 5 optimal optimal JJ cord-254852-qr5gdmbc 217 6 care care NN cord-254852-qr5gdmbc 217 7 to to IN cord-254852-qr5gdmbc 217 8 a a DT cord-254852-qr5gdmbc 217 9 child child NN cord-254852-qr5gdmbc 217 10 with with IN cord-254852-qr5gdmbc 217 11 pneumonia pneumonia NN cord-254852-qr5gdmbc 217 12 , , , cord-254852-qr5gdmbc 217 13 it -PRON- PRP cord-254852-qr5gdmbc 217 14 is be VBZ cord-254852-qr5gdmbc 217 15 important important JJ cord-254852-qr5gdmbc 217 16 to to TO cord-254852-qr5gdmbc 217 17 determine determine VB cord-254852-qr5gdmbc 217 18 the the DT cord-254852-qr5gdmbc 217 19 severity severity NN cord-254852-qr5gdmbc 217 20 of of IN cord-254852-qr5gdmbc 217 21 the the DT cord-254852-qr5gdmbc 217 22 pneumonia pneumonia NN cord-254852-qr5gdmbc 217 23 and and CC cord-254852-qr5gdmbc 217 24 the the DT cord-254852-qr5gdmbc 217 25 child child NN cord-254852-qr5gdmbc 217 26 's 's POS cord-254852-qr5gdmbc 217 27 clinical clinical JJ cord-254852-qr5gdmbc 217 28 status status NN cord-254852-qr5gdmbc 217 29 . . . cord-254852-qr5gdmbc 218 1 Most Most JJS cord-254852-qr5gdmbc 218 2 children child NNS cord-254852-qr5gdmbc 218 3 will will MD cord-254852-qr5gdmbc 218 4 not not RB cord-254852-qr5gdmbc 218 5 require require VB cord-254852-qr5gdmbc 218 6 inpatient inpatient JJ cord-254852-qr5gdmbc 218 7 admission admission NN cord-254852-qr5gdmbc 218 8 ; ; : cord-254852-qr5gdmbc 218 9 criteria criterion NNS cord-254852-qr5gdmbc 218 10 exist exist VBP cord-254852-qr5gdmbc 218 11 to to TO cord-254852-qr5gdmbc 218 12 help help VB cord-254852-qr5gdmbc 218 13 stratify stratify VB cord-254852-qr5gdmbc 218 14 severity severity NN cord-254852-qr5gdmbc 218 15 of of IN cord-254852-qr5gdmbc 218 16 pneumonia pneumonia NN cord-254852-qr5gdmbc 218 17 and and CC cord-254852-qr5gdmbc 218 18 necessity necessity NN cord-254852-qr5gdmbc 218 19 of of IN cord-254852-qr5gdmbc 218 20 hospitalization hospitalization NN cord-254852-qr5gdmbc 219 1 ( ( -LRB- cord-254852-qr5gdmbc 219 2 Box Box NNP cord-254852-qr5gdmbc 219 3 1 1 CD cord-254852-qr5gdmbc 219 4 and and CC cord-254852-qr5gdmbc 219 5 2 2 CD cord-254852-qr5gdmbc 219 6 ) ) -RRB- cord-254852-qr5gdmbc 219 7 . . . cord-254852-qr5gdmbc 220 1 Choosing choose VBG cord-254852-qr5gdmbc 220 2 an an DT cord-254852-qr5gdmbc 220 3 antibiotic antibiotic NN cord-254852-qr5gdmbc 220 4 for for IN cord-254852-qr5gdmbc 220 5 CP CP NNP cord-254852-qr5gdmbc 220 6 is be VBZ cord-254852-qr5gdmbc 220 7 initially initially RB cord-254852-qr5gdmbc 220 8 always always RB cord-254852-qr5gdmbc 220 9 an an DT cord-254852-qr5gdmbc 220 10 empirical empirical JJ cord-254852-qr5gdmbc 220 11 process process NN cord-254852-qr5gdmbc 220 12 and and CC cord-254852-qr5gdmbc 220 13 based base VBN cord-254852-qr5gdmbc 220 14 on on IN cord-254852-qr5gdmbc 220 15 local local JJ cord-254852-qr5gdmbc 220 16 and and CC cord-254852-qr5gdmbc 220 17 regional regional JJ cord-254852-qr5gdmbc 220 18 microbial microbial JJ cord-254852-qr5gdmbc 220 19 susceptibility susceptibility NN cord-254852-qr5gdmbc 220 20 and and CC cord-254852-qr5gdmbc 220 21 resistance resistance NN cord-254852-qr5gdmbc 220 22 patterns pattern NNS cord-254852-qr5gdmbc 220 23 , , , cord-254852-qr5gdmbc 220 24 along along IN cord-254852-qr5gdmbc 220 25 with with IN cord-254852-qr5gdmbc 220 26 the the DT cord-254852-qr5gdmbc 220 27 child child NN cord-254852-qr5gdmbc 220 28 's 's POS cord-254852-qr5gdmbc 220 29 age age NN cord-254852-qr5gdmbc 220 30 , , , cord-254852-qr5gdmbc 220 31 immunization immunization NN cord-254852-qr5gdmbc 220 32 status status NN cord-254852-qr5gdmbc 220 33 , , , cord-254852-qr5gdmbc 220 34 and and CC cord-254852-qr5gdmbc 220 35 any any DT cord-254852-qr5gdmbc 220 36 underlying underlying JJ cord-254852-qr5gdmbc 220 37 , , , cord-254852-qr5gdmbc 220 38 preexisting preexist VBG cord-254852-qr5gdmbc 220 39 health health NN cord-254852-qr5gdmbc 220 40 conditions condition NNS cord-254852-qr5gdmbc 220 41 . . . cord-254852-qr5gdmbc 221 1 50 50 CD cord-254852-qr5gdmbc 221 2 , , , cord-254852-qr5gdmbc 221 3 54 54 CD cord-254852-qr5gdmbc 221 4 , , , cord-254852-qr5gdmbc 221 5 58 58 CD cord-254852-qr5gdmbc 221 6 , , , cord-254852-qr5gdmbc 221 7 59 59 CD cord-254852-qr5gdmbc 222 1 Most Most JJS cord-254852-qr5gdmbc 222 2 children child NNS cord-254852-qr5gdmbc 222 3 can can MD cord-254852-qr5gdmbc 222 4 be be VB cord-254852-qr5gdmbc 222 5 treated treat VBN cord-254852-qr5gdmbc 222 6 with with IN cord-254852-qr5gdmbc 222 7 oral oral JJ cord-254852-qr5gdmbc 222 8 antibiotics antibiotic NNS cord-254852-qr5gdmbc 222 9 in in IN cord-254852-qr5gdmbc 222 10 the the DT cord-254852-qr5gdmbc 222 11 outpatient outpatient NN cord-254852-qr5gdmbc 222 12 setting setting NN cord-254852-qr5gdmbc 222 13 . . . cord-254852-qr5gdmbc 223 1 First first JJ cord-254852-qr5gdmbc 223 2 - - HYPH cord-254852-qr5gdmbc 223 3 line line NN cord-254852-qr5gdmbc 223 4 and and CC cord-254852-qr5gdmbc 223 5 preferred preferred JJ cord-254852-qr5gdmbc 223 6 agent agent NN cord-254852-qr5gdmbc 223 7 is be VBZ cord-254852-qr5gdmbc 223 8 still still RB cord-254852-qr5gdmbc 223 9 amoxicillin amoxicillin JJ cord-254852-qr5gdmbc 223 10 . . . cord-254852-qr5gdmbc 224 1 50 50 CD cord-254852-qr5gdmbc 224 2 , , , cord-254852-qr5gdmbc 224 3 54 54 CD cord-254852-qr5gdmbc 224 4 , , , cord-254852-qr5gdmbc 224 5 57 57 CD cord-254852-qr5gdmbc 224 6 , , , cord-254852-qr5gdmbc 224 7 59 59 CD cord-254852-qr5gdmbc 224 8 Alternative alternative JJ cord-254852-qr5gdmbc 224 9 agents agent NNS cord-254852-qr5gdmbc 224 10 are be VBP cord-254852-qr5gdmbc 224 11 cephalosporins cephalosporin NNS cord-254852-qr5gdmbc 224 12 and and CC cord-254852-qr5gdmbc 224 13 macrolide macrolide JJ cord-254852-qr5gdmbc 224 14 antibiotics antibiotic NNS cord-254852-qr5gdmbc 224 15 ; ; : cord-254852-qr5gdmbc 224 16 however however RB cord-254852-qr5gdmbc 224 17 , , , cord-254852-qr5gdmbc 224 18 increasing increase VBG cord-254852-qr5gdmbc 224 19 resistance resistance NN cord-254852-qr5gdmbc 224 20 to to IN cord-254852-qr5gdmbc 224 21 penicillin penicillin NN cord-254852-qr5gdmbc 224 22 derivatives derivative NNS cord-254852-qr5gdmbc 224 23 and and CC cord-254852-qr5gdmbc 224 24 macrolides macrolide NNS cord-254852-qr5gdmbc 224 25 should should MD cord-254852-qr5gdmbc 224 26 be be VB cord-254852-qr5gdmbc 224 27 noted note VBN cord-254852-qr5gdmbc 224 28 60 60 CD cord-254852-qr5gdmbc 225 1 ( ( -LRB- cord-254852-qr5gdmbc 225 2 Children child NNS cord-254852-qr5gdmbc 225 3 and and CC cord-254852-qr5gdmbc 225 4 infants infant NNS cord-254852-qr5gdmbc 225 5 for for IN cord-254852-qr5gdmbc 225 6 whom whom WP cord-254852-qr5gdmbc 225 7 there there EX cord-254852-qr5gdmbc 225 8 is be VBZ cord-254852-qr5gdmbc 225 9 concern concern NN cord-254852-qr5gdmbc 225 10 about about IN cord-254852-qr5gdmbc 225 11 careful careful JJ cord-254852-qr5gdmbc 225 12 observation observation NN cord-254852-qr5gdmbc 225 13 at at IN cord-254852-qr5gdmbc 225 14 home home NN cord-254852-qr5gdmbc 225 15 or or CC cord-254852-qr5gdmbc 225 16 who who WP cord-254852-qr5gdmbc 225 17 are be VBP cord-254852-qr5gdmbc 225 18 unable unable JJ cord-254852-qr5gdmbc 225 19 to to TO cord-254852-qr5gdmbc 225 20 comply comply VB cord-254852-qr5gdmbc 225 21 with with IN cord-254852-qr5gdmbc 225 22 therapy therapy NN cord-254852-qr5gdmbc 225 23 or or CC cord-254852-qr5gdmbc 225 24 unable unable JJ cord-254852-qr5gdmbc 225 25 to to TO cord-254852-qr5gdmbc 225 26 be be VB cord-254852-qr5gdmbc 225 27 followed follow VBN cord-254852-qr5gdmbc 225 28 - - HYPH cord-254852-qr5gdmbc 225 29 up up RP cord-254852-qr5gdmbc 225 30 Children child NNS cord-254852-qr5gdmbc 225 31 and and CC cord-254852-qr5gdmbc 225 32 infants infant NNS cord-254852-qr5gdmbc 225 33 who who WP cord-254852-qr5gdmbc 225 34 have have VBP cord-254852-qr5gdmbc 225 35 respiratory respiratory JJ cord-254852-qr5gdmbc 225 36 distress distress NN cord-254852-qr5gdmbc 225 37 and and CC cord-254852-qr5gdmbc 225 38 hypoxemia hypoxemia NN cord-254852-qr5gdmbc 225 39 ( ( -LRB- cord-254852-qr5gdmbc 225 40 oxygen oxygen NN cord-254852-qr5gdmbc 225 41 saturation saturation NN cord-254852-qr5gdmbc 225 42 < < XX cord-254852-qr5gdmbc 225 43 92 92 CD cord-254852-qr5gdmbc 225 44 % % NN cord-254852-qr5gdmbc 225 45 ) ) -RRB- cord-254852-qr5gdmbc 226 1 ( ( -LRB- cord-254852-qr5gdmbc 226 2 see see VB cord-254852-qr5gdmbc 226 3 Table Table NNP cord-254852-qr5gdmbc 226 4 2 2 CD cord-254852-qr5gdmbc 226 5 ) ) -RRB- cord-254852-qr5gdmbc 226 6 Children child NNS cord-254852-qr5gdmbc 226 7 and and CC cord-254852-qr5gdmbc 226 8 infants infant NNS cord-254852-qr5gdmbc 226 9 with with IN cord-254852-qr5gdmbc 226 10 comorbidities comorbiditie NNS cord-254852-qr5gdmbc 226 11 ( ( -LRB- cord-254852-qr5gdmbc 226 12 eg eg IN cord-254852-qr5gdmbc 226 13 , , , cord-254852-qr5gdmbc 226 14 asthma asthma NN cord-254852-qr5gdmbc 226 15 , , , cord-254852-qr5gdmbc 226 16 cystic cystic JJ cord-254852-qr5gdmbc 226 17 fibrosis fibrosis NN cord-254852-qr5gdmbc 226 18 , , , cord-254852-qr5gdmbc 226 19 congenital congenital JJ cord-254852-qr5gdmbc 226 20 heart heart NN cord-254852-qr5gdmbc 226 21 disease disease NN cord-254852-qr5gdmbc 226 22 , , , cord-254852-qr5gdmbc 226 23 diabetes diabetes NN cord-254852-qr5gdmbc 226 24 mellitus mellitus NN cord-254852-qr5gdmbc 226 25 , , , cord-254852-qr5gdmbc 226 26 neuromuscular neuromuscular JJ cord-254852-qr5gdmbc 226 27 disease disease NN cord-254852-qr5gdmbc 226 28 ) ) -RRB- cord-254852-qr5gdmbc 227 1 Poor poor JJ cord-254852-qr5gdmbc 227 2 feeding feeding NN cord-254852-qr5gdmbc 227 3 and/or and/or CC cord-254852-qr5gdmbc 228 1 signs sign NNS cord-254852-qr5gdmbc 228 2 of of IN cord-254852-qr5gdmbc 228 3 dehydration dehydration NN cord-254852-qr5gdmbc 228 4 have have VBP cord-254852-qr5gdmbc 228 5 been be VBN cord-254852-qr5gdmbc 228 6 linked link VBN cord-254852-qr5gdmbc 228 7 to to IN cord-254852-qr5gdmbc 228 8 development development NN cord-254852-qr5gdmbc 228 9 of of IN cord-254852-qr5gdmbc 228 10 childhood childhood NN cord-254852-qr5gdmbc 228 11 tendonitis tendonitis NN cord-254852-qr5gdmbc 228 12 / / , cord-254852-qr5gdmbc 228 13 tendinopathy tendinopathy NN cord-254852-qr5gdmbc 228 14 , , , cord-254852-qr5gdmbc 228 15 yet yet RB cord-254852-qr5gdmbc 229 1 recent recent JJ cord-254852-qr5gdmbc 229 2 literature literature NN cord-254852-qr5gdmbc 229 3 indicates indicate VBZ cord-254852-qr5gdmbc 229 4 these these DT cord-254852-qr5gdmbc 229 5 disabling disable VBG cord-254852-qr5gdmbc 229 6 side side NN cord-254852-qr5gdmbc 229 7 effects effect NNS cord-254852-qr5gdmbc 229 8 are be VBP cord-254852-qr5gdmbc 229 9 rare rare JJ cord-254852-qr5gdmbc 229 10 . . . cord-254852-qr5gdmbc 230 1 61,62 61,62 CD cord-254852-qr5gdmbc 230 2 Inpatient Inpatient NNP cord-254852-qr5gdmbc 230 3 treatment treatment NN cord-254852-qr5gdmbc 230 4 guidelines guideline NNS cord-254852-qr5gdmbc 230 5 have have VBP cord-254852-qr5gdmbc 230 6 also also RB cord-254852-qr5gdmbc 230 7 been be VBN cord-254852-qr5gdmbc 230 8 established establish VBN cord-254852-qr5gdmbc 230 9 ( ( -LRB- cord-254852-qr5gdmbc 230 10 Table table NN cord-254852-qr5gdmbc 230 11 11 11 CD cord-254852-qr5gdmbc 230 12 ) ) -RRB- cord-254852-qr5gdmbc 230 13 . . . cord-254852-qr5gdmbc 231 1 Isolation isolation NN cord-254852-qr5gdmbc 231 2 of of IN cord-254852-qr5gdmbc 231 3 the the DT cord-254852-qr5gdmbc 231 4 particular particular JJ cord-254852-qr5gdmbc 231 5 microbial microbial JJ cord-254852-qr5gdmbc 231 6 organism organism NN cord-254852-qr5gdmbc 231 7 is be VBZ cord-254852-qr5gdmbc 231 8 ideal ideal JJ cord-254852-qr5gdmbc 231 9 , , , cord-254852-qr5gdmbc 231 10 but but CC cord-254852-qr5gdmbc 231 11 not not RB cord-254852-qr5gdmbc 231 12 required require VBN cord-254852-qr5gdmbc 231 13 , , , cord-254852-qr5gdmbc 231 14 in in IN cord-254852-qr5gdmbc 231 15 order order NN cord-254852-qr5gdmbc 231 16 to to TO cord-254852-qr5gdmbc 231 17 determine determine VB cord-254852-qr5gdmbc 231 18 duration duration NN cord-254852-qr5gdmbc 231 19 of of IN cord-254852-qr5gdmbc 231 20 therapy therapy NN cord-254852-qr5gdmbc 231 21 . . . cord-254852-qr5gdmbc 232 1 Uncomplicated uncomplicated JJ cord-254852-qr5gdmbc 232 2 pneumonia pneumonia NN cord-254852-qr5gdmbc 232 3 treatment treatment NN cord-254852-qr5gdmbc 232 4 in in IN cord-254852-qr5gdmbc 232 5 the the DT cord-254852-qr5gdmbc 232 6 outpatient outpatient NN cord-254852-qr5gdmbc 232 7 setting setting NN cord-254852-qr5gdmbc 232 8 usually usually RB cord-254852-qr5gdmbc 232 9 should should MD cord-254852-qr5gdmbc 232 10 last last VB cord-254852-qr5gdmbc 232 11 5 5 CD cord-254852-qr5gdmbc 232 12 to to TO cord-254852-qr5gdmbc 232 13 10 10 CD cord-254852-qr5gdmbc 232 14 days day NNS cord-254852-qr5gdmbc 232 15 . . . cord-254852-qr5gdmbc 233 1 54 54 CD cord-254852-qr5gdmbc 234 1 Inpatient inpatient JJ cord-254852-qr5gdmbc 234 2 admission admission NN cord-254852-qr5gdmbc 234 3 for for IN cord-254852-qr5gdmbc 234 4 pneumonia pneumonia NN cord-254852-qr5gdmbc 234 5 warrants warrant NNS cord-254852-qr5gdmbc 234 6 longer long JJR cord-254852-qr5gdmbc 234 7 duration duration NN cord-254852-qr5gdmbc 234 8 of of IN cord-254852-qr5gdmbc 234 9 antibiotic antibiotic JJ cord-254852-qr5gdmbc 234 10 therapy therapy NN cord-254852-qr5gdmbc 234 11 , , , cord-254852-qr5gdmbc 234 12 typically typically RB cord-254852-qr5gdmbc 234 13 7 7 CD cord-254852-qr5gdmbc 234 14 to to TO cord-254852-qr5gdmbc 234 15 10 10 CD cord-254852-qr5gdmbc 234 16 days day NNS cord-254852-qr5gdmbc 234 17 of of IN cord-254852-qr5gdmbc 234 18 combined combine VBN cord-254852-qr5gdmbc 234 19 parenteral parenteral JJ cord-254852-qr5gdmbc 234 20 and and CC cord-254852-qr5gdmbc 234 21 oral oral JJ cord-254852-qr5gdmbc 234 22 therapy therapy NN cord-254852-qr5gdmbc 234 23 or or CC cord-254852-qr5gdmbc 234 24 at at IN cord-254852-qr5gdmbc 234 25 least least JJS cord-254852-qr5gdmbc 234 26 1 1 CD cord-254852-qr5gdmbc 234 27 week week NN cord-254852-qr5gdmbc 234 28 after after IN cord-254852-qr5gdmbc 234 29 becoming become VBG cord-254852-qr5gdmbc 234 30 afebrile afebrile NNP cord-254852-qr5gdmbc 234 31 . . . cord-254852-qr5gdmbc 235 1 58 58 CD cord-254852-qr5gdmbc 235 2 Complicated complicated JJ cord-254852-qr5gdmbc 235 3 cases case NNS cord-254852-qr5gdmbc 235 4 of of IN cord-254852-qr5gdmbc 235 5 pneumonia pneumonia NN cord-254852-qr5gdmbc 235 6 will will MD cord-254852-qr5gdmbc 235 7 require require VB cord-254852-qr5gdmbc 235 8 a a DT cord-254852-qr5gdmbc 235 9 minimum minimum NN cord-254852-qr5gdmbc 235 10 of of IN cord-254852-qr5gdmbc 235 11 2 2 CD cord-254852-qr5gdmbc 235 12 weeks week NNS cord-254852-qr5gdmbc 235 13 of of IN cord-254852-qr5gdmbc 235 14 therapy therapy NN cord-254852-qr5gdmbc 235 15 once once IN cord-254852-qr5gdmbc 235 16 lack lack NN cord-254852-qr5gdmbc 235 17 of of IN cord-254852-qr5gdmbc 235 18 fever fever NN cord-254852-qr5gdmbc 235 19 is be VBZ cord-254852-qr5gdmbc 235 20 confirmed confirm VBN cord-254852-qr5gdmbc 235 21 and and CC cord-254852-qr5gdmbc 235 22 may may MD cord-254852-qr5gdmbc 235 23 be be VB cord-254852-qr5gdmbc 235 24 extended extend VBN cord-254852-qr5gdmbc 235 25 for for IN cord-254852-qr5gdmbc 235 26 up up IN cord-254852-qr5gdmbc 235 27 to to TO cord-254852-qr5gdmbc 235 28 4 4 CD cord-254852-qr5gdmbc 235 29 weeks week NNS cord-254852-qr5gdmbc 235 30 . . . cord-254852-qr5gdmbc 236 1 58 58 CD cord-254852-qr5gdmbc 237 1 The the DT cord-254852-qr5gdmbc 237 2 switch switch NN cord-254852-qr5gdmbc 237 3 from from IN cord-254852-qr5gdmbc 237 4 parenteral parenteral JJ cord-254852-qr5gdmbc 237 5 to to IN cord-254852-qr5gdmbc 237 6 oral oral JJ cord-254852-qr5gdmbc 237 7 therapy therapy NN cord-254852-qr5gdmbc 237 8 may may MD cord-254852-qr5gdmbc 237 9 occur occur VB cord-254852-qr5gdmbc 237 10 after after IN cord-254852-qr5gdmbc 237 11 24 24 CD cord-254852-qr5gdmbc 237 12 to to TO cord-254852-qr5gdmbc 237 13 48 48 CD cord-254852-qr5gdmbc 237 14 hours hour NNS cord-254852-qr5gdmbc 237 15 of of IN cord-254852-qr5gdmbc 237 16 documented documented JJ cord-254852-qr5gdmbc 237 17 lack lack NN cord-254852-qr5gdmbc 237 18 of of IN cord-254852-qr5gdmbc 237 19 fever fever NN cord-254852-qr5gdmbc 237 20 but but CC cord-254852-qr5gdmbc 237 21 is be VBZ cord-254852-qr5gdmbc 237 22 not not RB cord-254852-qr5gdmbc 237 23 always always RB cord-254852-qr5gdmbc 237 24 practical practical JJ cord-254852-qr5gdmbc 237 25 in in IN cord-254852-qr5gdmbc 237 26 complicated complicated JJ cord-254852-qr5gdmbc 238 1 and/ and/ NNP cord-254852-qr5gdmbc 238 2 or or CC cord-254852-qr5gdmbc 238 3 ICU ICU NNP cord-254852-qr5gdmbc 238 4 - - HYPH cord-254852-qr5gdmbc 238 5 admitted admit VBN cord-254852-qr5gdmbc 238 6 patients patient NNS cord-254852-qr5gdmbc 238 7 . . . cord-254852-qr5gdmbc 239 1 63 63 CD cord-254852-qr5gdmbc 239 2 _SP cord-254852-qr5gdmbc 240 1 Pneumonia pneumonia NN cord-254852-qr5gdmbc 240 2 is be VBZ cord-254852-qr5gdmbc 240 3 a a DT cord-254852-qr5gdmbc 240 4 common common JJ cord-254852-qr5gdmbc 240 5 , , , cord-254852-qr5gdmbc 240 6 well well RB cord-254852-qr5gdmbc 240 7 - - HYPH cord-254852-qr5gdmbc 240 8 recognized recognize VBN cord-254852-qr5gdmbc 240 9 respiratory respiratory JJ cord-254852-qr5gdmbc 240 10 infection infection NN cord-254852-qr5gdmbc 240 11 seen see VBN cord-254852-qr5gdmbc 240 12 in in IN cord-254852-qr5gdmbc 240 13 primary primary JJ cord-254852-qr5gdmbc 240 14 care care NN cord-254852-qr5gdmbc 240 15 settings setting NNS cord-254852-qr5gdmbc 240 16 . . . cord-254852-qr5gdmbc 241 1 Triage triage NN cord-254852-qr5gdmbc 241 2 of of IN cord-254852-qr5gdmbc 241 3 the the DT cord-254852-qr5gdmbc 241 4 usual usual JJ cord-254852-qr5gdmbc 241 5 presenting present VBG cord-254852-qr5gdmbc 241 6 symptoms symptom NNS cord-254852-qr5gdmbc 241 7 will will MD cord-254852-qr5gdmbc 241 8 generally generally RB cord-254852-qr5gdmbc 241 9 set set VB cord-254852-qr5gdmbc 241 10 into into IN cord-254852-qr5gdmbc 241 11 motion motion NN cord-254852-qr5gdmbc 241 12 a a DT cord-254852-qr5gdmbc 241 13 typical typical JJ cord-254852-qr5gdmbc 241 14 course course NN cord-254852-qr5gdmbc 241 15 of of IN cord-254852-qr5gdmbc 241 16 action action NN cord-254852-qr5gdmbc 241 17 , , , cord-254852-qr5gdmbc 241 18 including include VBG cord-254852-qr5gdmbc 241 19 physical physical JJ cord-254852-qr5gdmbc 241 20 examination examination NN cord-254852-qr5gdmbc 241 21 and and CC cord-254852-qr5gdmbc 241 22 possibly possibly RB cord-254852-qr5gdmbc 241 23 imaging image VBG cord-254852-qr5gdmbc 241 24 to to TO cord-254852-qr5gdmbc 241 25 confirm confirm VB cord-254852-qr5gdmbc 241 26 clinical clinical JJ cord-254852-qr5gdmbc 241 27 suspicion suspicion NN cord-254852-qr5gdmbc 241 28 . . . cord-254852-qr5gdmbc 242 1 Further further JJ cord-254852-qr5gdmbc 242 2 testing testing NN cord-254852-qr5gdmbc 242 3 depends depend VBZ cord-254852-qr5gdmbc 242 4 on on IN cord-254852-qr5gdmbc 242 5 treatment treatment NN cord-254852-qr5gdmbc 242 6 venue venue NN cord-254852-qr5gdmbc 242 7 ( ( -LRB- cord-254852-qr5gdmbc 242 8 outpatient outpatient NN cord-254852-qr5gdmbc 242 9 vs vs IN cord-254852-qr5gdmbc 242 10 inpatient inpatient NN cord-254852-qr5gdmbc 242 11 ) ) -RRB- cord-254852-qr5gdmbc 242 12 and and CC cord-254852-qr5gdmbc 242 13 other other JJ cord-254852-qr5gdmbc 242 14 specific specific JJ cord-254852-qr5gdmbc 242 15 criteria criterion NNS cord-254852-qr5gdmbc 242 16 ( ( -LRB- cord-254852-qr5gdmbc 242 17 see see VB cord-254852-qr5gdmbc 242 18 Table Table NNP cord-254852-qr5gdmbc 242 19 3 3 CD cord-254852-qr5gdmbc 242 20 ) ) -RRB- cord-254852-qr5gdmbc 242 21 . . . cord-254852-qr5gdmbc 243 1 Empirical empirical JJ cord-254852-qr5gdmbc 243 2 antibiotic antibiotic JJ cord-254852-qr5gdmbc 243 3 therapy therapy NN cord-254852-qr5gdmbc 243 4 is be VBZ cord-254852-qr5gdmbc 243 5 the the DT cord-254852-qr5gdmbc 243 6 cornerstone cornerstone NN cord-254852-qr5gdmbc 243 7 of of IN cord-254852-qr5gdmbc 243 8 treatment treatment NN cord-254852-qr5gdmbc 243 9 , , , cord-254852-qr5gdmbc 243 10 and and CC cord-254852-qr5gdmbc 243 11 knowledge knowledge NN cord-254852-qr5gdmbc 243 12 of of IN cord-254852-qr5gdmbc 243 13 local local JJ cord-254852-qr5gdmbc 243 14 and and CC cord-254852-qr5gdmbc 243 15 regional regional JJ cord-254852-qr5gdmbc 243 16 microbial microbial JJ cord-254852-qr5gdmbc 243 17 susceptibility susceptibility NN cord-254852-qr5gdmbc 243 18 and and CC cord-254852-qr5gdmbc 243 19 resistance resistance NN cord-254852-qr5gdmbc 243 20 will will MD cord-254852-qr5gdmbc 243 21 bolster bolster VB cord-254852-qr5gdmbc 243 22 the the DT cord-254852-qr5gdmbc 243 23 success success NN cord-254852-qr5gdmbc 243 24 rate rate NN cord-254852-qr5gdmbc 243 25 of of IN cord-254852-qr5gdmbc 243 26 outpatient outpatient NN cord-254852-qr5gdmbc 243 27 management management NN cord-254852-qr5gdmbc 243 28 of of IN cord-254852-qr5gdmbc 243 29 pneumonia pneumonia NN cord-254852-qr5gdmbc 243 30 , , , cord-254852-qr5gdmbc 243 31 regardless regardless RB cord-254852-qr5gdmbc 243 32 of of IN cord-254852-qr5gdmbc 243 33 demographic demographic JJ cord-254852-qr5gdmbc 243 34 and/or and/or CC cord-254852-qr5gdmbc 243 35 accompanying accompany VBG cord-254852-qr5gdmbc 243 36 morbidities morbidity NNS cord-254852-qr5gdmbc 243 37 . . . cord-254852-qr5gdmbc 244 1 Special special JJ cord-254852-qr5gdmbc 244 2 circumstances circumstance NNS cord-254852-qr5gdmbc 244 3 and and CC cord-254852-qr5gdmbc 244 4 scenarios scenario NNS cord-254852-qr5gdmbc 244 5 that that WDT cord-254852-qr5gdmbc 244 6 may may MD cord-254852-qr5gdmbc 244 7 occur occur VB cord-254852-qr5gdmbc 244 8 , , , cord-254852-qr5gdmbc 244 9 including include VBG cord-254852-qr5gdmbc 244 10 nonresolving nonresolve VBG cord-254852-qr5gdmbc 244 11 pneumonias pneumonia NNS cord-254852-qr5gdmbc 244 12 , , , cord-254852-qr5gdmbc 244 13 pediatric pediatric JJ cord-254852-qr5gdmbc 244 14 or or CC cord-254852-qr5gdmbc 244 15 geriatric geriatric JJ cord-254852-qr5gdmbc 244 16 populations population NNS cord-254852-qr5gdmbc 244 17 , , , cord-254852-qr5gdmbc 244 18 travel travel NN cord-254852-qr5gdmbc 244 19 - - HYPH cord-254852-qr5gdmbc 244 20 related relate VBN cord-254852-qr5gdmbc 244 21 infections infection NNS cord-254852-qr5gdmbc 244 22 , , , cord-254852-qr5gdmbc 244 23 among among IN cord-254852-qr5gdmbc 244 24 others other NNS cord-254852-qr5gdmbc 244 25 , , , cord-254852-qr5gdmbc 244 26 will will MD cord-254852-qr5gdmbc 244 27 necessitate necessitate VB cord-254852-qr5gdmbc 244 28 a a DT cord-254852-qr5gdmbc 244 29 more more RBR cord-254852-qr5gdmbc 244 30 careful careful JJ cord-254852-qr5gdmbc 244 31 attention attention NN cord-254852-qr5gdmbc 244 32 to to IN cord-254852-qr5gdmbc 244 33 history history NN cord-254852-qr5gdmbc 244 34 , , , cord-254852-qr5gdmbc 244 35 physical physical JJ cord-254852-qr5gdmbc 244 36 examination examination NN cord-254852-qr5gdmbc 244 37 , , , cord-254852-qr5gdmbc 244 38 and and CC cord-254852-qr5gdmbc 244 39 antibiotic antibiotic JJ cord-254852-qr5gdmbc 244 40 selection selection NN cord-254852-qr5gdmbc 244 41 . . . cord-254852-qr5gdmbc 244 42 _SP cord-254852-qr5gdmbc 245 1 Trends trend NNS cord-254852-qr5gdmbc 245 2 in in IN cord-254852-qr5gdmbc 245 3 hospital hospital NN cord-254852-qr5gdmbc 245 4 inpatient inpatient NN cord-254852-qr5gdmbc 245 5 stays stay VBZ cord-254852-qr5gdmbc 245 6 in in IN cord-254852-qr5gdmbc 245 7 the the DT cord-254852-qr5gdmbc 245 8 United United NNP cord-254852-qr5gdmbc 245 9 States States NNP cord-254852-qr5gdmbc 245 10 National National NNP cord-254852-qr5gdmbc 245 11 Hospital Hospital NNP cord-254852-qr5gdmbc 245 12 Ambulatory Ambulatory NNP cord-254852-qr5gdmbc 245 13 Medical Medical NNP cord-254852-qr5gdmbc 245 14 Care Care NNP cord-254852-qr5gdmbc 245 15 Survey Survey NNP cord-254852-qr5gdmbc 245 16 : : : cord-254852-qr5gdmbc 245 17 2014 2014 CD cord-254852-qr5gdmbc 245 18 emergency emergency NN cord-254852-qr5gdmbc 245 19 department department NN cord-254852-qr5gdmbc 245 20 summary summary NN cord-254852-qr5gdmbc 245 21 tables table NNS cord-254852-qr5gdmbc 245 22 National National NNP cord-254852-qr5gdmbc 245 23 inpatient inpatient JJ cord-254852-qr5gdmbc 245 24 hospital hospital NN cord-254852-qr5gdmbc 245 25 costs cost NNS cord-254852-qr5gdmbc 245 26 : : : cord-254852-qr5gdmbc 246 1 the the DT cord-254852-qr5gdmbc 246 2 most most RBS cord-254852-qr5gdmbc 246 3 expensive expensive JJ cord-254852-qr5gdmbc 246 4 conditions condition NNS cord-254852-qr5gdmbc 246 5 by by IN cord-254852-qr5gdmbc 246 6 payer payer NN cord-254852-qr5gdmbc 246 7 Community community NN cord-254852-qr5gdmbc 246 8 - - HYPH cord-254852-qr5gdmbc 246 9 acquired acquire VBN cord-254852-qr5gdmbc 246 10 pneumonia pneumonia NN cord-254852-qr5gdmbc 246 11 requiring require VBG cord-254852-qr5gdmbc 246 12 hospitalization hospitalization NN cord-254852-qr5gdmbc 246 13 among among IN cord-254852-qr5gdmbc 246 14 U.S. U.S. NNP cord-254852-qr5gdmbc 246 15 adults adult NNS cord-254852-qr5gdmbc 247 1 The the DT cord-254852-qr5gdmbc 247 2 Washington Washington NNP cord-254852-qr5gdmbc 247 3 manual manual NN cord-254852-qr5gdmbc 247 4 of of IN cord-254852-qr5gdmbc 247 5 outpatient outpatient JJ cord-254852-qr5gdmbc 247 6 internal internal JJ cord-254852-qr5gdmbc 247 7 medicine medicine NN cord-254852-qr5gdmbc 247 8 . . . cord-254852-qr5gdmbc 248 1 Philadelphia Philadelphia NNP cord-254852-qr5gdmbc 248 2 : : : cord-254852-qr5gdmbc 249 1 Lippincott Lippincott NNP cord-254852-qr5gdmbc 249 2 Williams Williams NNP cord-254852-qr5gdmbc 249 3 & & CC cord-254852-qr5gdmbc 249 4 Wilkins Wilkins NNP cord-254852-qr5gdmbc 249 5 Community Community NNP cord-254852-qr5gdmbc 249 6 - - HYPH cord-254852-qr5gdmbc 249 7 acquired acquire VBN cord-254852-qr5gdmbc 249 8 pneumonia pneumonia NN cord-254852-qr5gdmbc 249 9 in in IN cord-254852-qr5gdmbc 249 10 adults adult NNS cord-254852-qr5gdmbc 249 11 : : : cord-254852-qr5gdmbc 249 12 diagnosis diagnosis NN cord-254852-qr5gdmbc 249 13 and and CC cord-254852-qr5gdmbc 249 14 management management NN cord-254852-qr5gdmbc 249 15 Prediction Prediction NNP cord-254852-qr5gdmbc 249 16 of of IN cord-254852-qr5gdmbc 249 17 pneumonia pneumonia NN cord-254852-qr5gdmbc 249 18 in in IN cord-254852-qr5gdmbc 249 19 outpatients outpatient NNS cord-254852-qr5gdmbc 249 20 with with IN cord-254852-qr5gdmbc 249 21 acute acute JJ cord-254852-qr5gdmbc 249 22 cough cough NN cord-254852-qr5gdmbc 249 23 : : : cord-254852-qr5gdmbc 249 24 a a DT cord-254852-qr5gdmbc 249 25 statistical statistical JJ cord-254852-qr5gdmbc 249 26 approach approach NN cord-254852-qr5gdmbc 249 27 The the DT cord-254852-qr5gdmbc 249 28 rational rational JJ cord-254852-qr5gdmbc 249 29 clinical clinical JJ cord-254852-qr5gdmbc 249 30 examination examination NN cord-254852-qr5gdmbc 249 31 : : : cord-254852-qr5gdmbc 249 32 evidence evidence NN cord-254852-qr5gdmbc 249 33 - - HYPH cord-254852-qr5gdmbc 249 34 based base VBN cord-254852-qr5gdmbc 249 35 clinical clinical JJ cord-254852-qr5gdmbc 249 36 diagnosis diagnosis NN cord-254852-qr5gdmbc 250 1 Common common JJ cord-254852-qr5gdmbc 250 2 questions question NNS cord-254852-qr5gdmbc 250 3 about about IN cord-254852-qr5gdmbc 250 4 pneumonia pneumonia NN cord-254852-qr5gdmbc 250 5 in in IN cord-254852-qr5gdmbc 250 6 nursing nursing NN cord-254852-qr5gdmbc 250 7 home home NN cord-254852-qr5gdmbc 250 8 residents resident NNS cord-254852-qr5gdmbc 250 9 Predicting predict VBG cord-254852-qr5gdmbc 250 10 pneumonia pneumonia NN cord-254852-qr5gdmbc 250 11 in in IN cord-254852-qr5gdmbc 250 12 adults adult NNS cord-254852-qr5gdmbc 250 13 with with IN cord-254852-qr5gdmbc 250 14 respiratory respiratory JJ cord-254852-qr5gdmbc 250 15 illness illness NN cord-254852-qr5gdmbc 250 16 Infectious Infectious NNP cord-254852-qr5gdmbc 250 17 Diseases Diseases NNPS cord-254852-qr5gdmbc 250 18 Society Society NNP cord-254852-qr5gdmbc 250 19 of of IN cord-254852-qr5gdmbc 250 20 America/ america/ JJ cord-254852-qr5gdmbc 250 21 American American NNP cord-254852-qr5gdmbc 250 22 Thoracic Thoracic NNP cord-254852-qr5gdmbc 250 23 Society Society NNP cord-254852-qr5gdmbc 250 24 consensus consensus NN cord-254852-qr5gdmbc 250 25 guidelines guideline NNS cord-254852-qr5gdmbc 250 26 on on IN cord-254852-qr5gdmbc 250 27 the the DT cord-254852-qr5gdmbc 250 28 management management NN cord-254852-qr5gdmbc 250 29 of of IN cord-254852-qr5gdmbc 250 30 community community NN cord-254852-qr5gdmbc 250 31 - - HYPH cord-254852-qr5gdmbc 250 32 acquired acquire VBN cord-254852-qr5gdmbc 250 33 pneumonia pneumonia NN cord-254852-qr5gdmbc 250 34 in in IN cord-254852-qr5gdmbc 250 35 adults adult NNS cord-254852-qr5gdmbc 250 36 BTS BTS NNP cord-254852-qr5gdmbc 250 37 guidelines guideline NNS cord-254852-qr5gdmbc 250 38 for for IN cord-254852-qr5gdmbc 250 39 the the DT cord-254852-qr5gdmbc 250 40 management management NN cord-254852-qr5gdmbc 250 41 of of IN cord-254852-qr5gdmbc 250 42 community community NN cord-254852-qr5gdmbc 250 43 acquired acquire VBD cord-254852-qr5gdmbc 250 44 pneumonia pneumonia NN cord-254852-qr5gdmbc 250 45 in in IN cord-254852-qr5gdmbc 250 46 adults adult NNS cord-254852-qr5gdmbc 250 47 : : : cord-254852-qr5gdmbc 250 48 update update VB cord-254852-qr5gdmbc 250 49 Guidelines guideline NNS cord-254852-qr5gdmbc 250 50 for for IN cord-254852-qr5gdmbc 250 51 diagnosis diagnosis NN cord-254852-qr5gdmbc 250 52 and and CC cord-254852-qr5gdmbc 250 53 management management NN cord-254852-qr5gdmbc 250 54 of of IN cord-254852-qr5gdmbc 250 55 community community NN cord-254852-qr5gdmbc 250 56 - - HYPH cord-254852-qr5gdmbc 250 57 and and CC cord-254852-qr5gdmbc 250 58 hospital hospital NN cord-254852-qr5gdmbc 250 59 - - HYPH cord-254852-qr5gdmbc 250 60 acquired acquire VBN cord-254852-qr5gdmbc 250 61 pneumonia pneumonia NN cord-254852-qr5gdmbc 250 62 in in IN cord-254852-qr5gdmbc 250 63 adults adult NNS cord-254852-qr5gdmbc 250 64 : : : cord-254852-qr5gdmbc 251 1 joint joint JJ cord-254852-qr5gdmbc 251 2 ICS/ ICS/ NNP cord-254852-qr5gdmbc 251 3 NCCP(I NCCP(I NNP cord-254852-qr5gdmbc 251 4 ) ) -RRB- cord-254852-qr5gdmbc 251 5 recommendations recommendation VBZ cord-254852-qr5gdmbc 251 6 Severity severity NN cord-254852-qr5gdmbc 251 7 assessment assessment NN cord-254852-qr5gdmbc 251 8 tools tool NNS cord-254852-qr5gdmbc 251 9 for for IN cord-254852-qr5gdmbc 251 10 predicting predict VBG cord-254852-qr5gdmbc 251 11 mortality mortality NN cord-254852-qr5gdmbc 251 12 in in IN cord-254852-qr5gdmbc 251 13 hospitalised hospitalise VBN cord-254852-qr5gdmbc 251 14 patients patient NNS cord-254852-qr5gdmbc 251 15 with with IN cord-254852-qr5gdmbc 251 16 community community NN cord-254852-qr5gdmbc 251 17 - - HYPH cord-254852-qr5gdmbc 251 18 acquired acquire VBN cord-254852-qr5gdmbc 251 19 pneumonia pneumonia NN cord-254852-qr5gdmbc 251 20 . . . cord-254852-qr5gdmbc 252 1 Systematic systematic JJ cord-254852-qr5gdmbc 252 2 review review NN cord-254852-qr5gdmbc 252 3 and and CC cord-254852-qr5gdmbc 252 4 meta meta NN cord-254852-qr5gdmbc 252 5 - - HYPH cord-254852-qr5gdmbc 252 6 analysis analysis NN cord-254852-qr5gdmbc 252 7 Defining define VBG cord-254852-qr5gdmbc 252 8 community community NN cord-254852-qr5gdmbc 252 9 acquired acquire VBD cord-254852-qr5gdmbc 252 10 pneumonia pneumonia NN cord-254852-qr5gdmbc 252 11 severity severity NN cord-254852-qr5gdmbc 252 12 on on IN cord-254852-qr5gdmbc 252 13 presentation presentation NN cord-254852-qr5gdmbc 252 14 to to IN cord-254852-qr5gdmbc 252 15 hospital hospital NN cord-254852-qr5gdmbc 252 16 : : : cord-254852-qr5gdmbc 253 1 an an DT cord-254852-qr5gdmbc 253 2 international international JJ cord-254852-qr5gdmbc 253 3 derivation derivation NN cord-254852-qr5gdmbc 253 4 and and CC cord-254852-qr5gdmbc 253 5 validation validation NN cord-254852-qr5gdmbc 253 6 study study NN cord-254852-qr5gdmbc 253 7 Antibiotics antibiotic NNS cord-254852-qr5gdmbc 253 8 for for IN cord-254852-qr5gdmbc 253 9 community community NN cord-254852-qr5gdmbc 253 10 - - HYPH cord-254852-qr5gdmbc 253 11 acquired acquire VBN cord-254852-qr5gdmbc 253 12 pneumonia pneumonia NN cord-254852-qr5gdmbc 253 13 in in IN cord-254852-qr5gdmbc 253 14 adult adult NN cord-254852-qr5gdmbc 253 15 outpatients outpatient NNS cord-254852-qr5gdmbc 253 16 Duration duration NN cord-254852-qr5gdmbc 253 17 of of IN cord-254852-qr5gdmbc 253 18 antibiotic antibiotic JJ cord-254852-qr5gdmbc 253 19 treatment treatment NN cord-254852-qr5gdmbc 253 20 in in IN cord-254852-qr5gdmbc 253 21 community community NN cord-254852-qr5gdmbc 253 22 - - HYPH cord-254852-qr5gdmbc 253 23 acquired acquire VBN cord-254852-qr5gdmbc 253 24 pneumonia pneumonia NN cord-254852-qr5gdmbc 253 25 Corticosteroids Corticosteroids NNPS cord-254852-qr5gdmbc 253 26 for for IN cord-254852-qr5gdmbc 253 27 pneumonia pneumonia NN cord-254852-qr5gdmbc 253 28 Corticosteroid Corticosteroid NNP cord-254852-qr5gdmbc 253 29 therapy therapy NN cord-254852-qr5gdmbc 253 30 for for IN cord-254852-qr5gdmbc 253 31 patients patient NNS cord-254852-qr5gdmbc 253 32 hospitalized hospitalize VBN cord-254852-qr5gdmbc 253 33 with with IN cord-254852-qr5gdmbc 253 34 community community NN cord-254852-qr5gdmbc 253 35 - - HYPH cord-254852-qr5gdmbc 253 36 acquired acquire VBN cord-254852-qr5gdmbc 253 37 pneumonia pneumonia NN cord-254852-qr5gdmbc 253 38 Corticosteroids Corticosteroids NNPS cord-254852-qr5gdmbc 253 39 in in IN cord-254852-qr5gdmbc 253 40 the the DT cord-254852-qr5gdmbc 253 41 adjunctive adjunctive JJ cord-254852-qr5gdmbc 253 42 therapy therapy NN cord-254852-qr5gdmbc 253 43 of of IN cord-254852-qr5gdmbc 253 44 communityacquired communityacquired JJ cord-254852-qr5gdmbc 253 45 pneumonia pneumonia NN cord-254852-qr5gdmbc 253 46 : : : cord-254852-qr5gdmbc 253 47 an an DT cord-254852-qr5gdmbc 253 48 appraisal appraisal NN cord-254852-qr5gdmbc 253 49 of of IN cord-254852-qr5gdmbc 253 50 recent recent JJ cord-254852-qr5gdmbc 253 51 meta meta JJ cord-254852-qr5gdmbc 253 52 - - HYPH cord-254852-qr5gdmbc 253 53 analyses analysis NNS cord-254852-qr5gdmbc 253 54 of of IN cord-254852-qr5gdmbc 253 55 clinical clinical JJ cord-254852-qr5gdmbc 253 56 trials trial NNS cord-254852-qr5gdmbc 253 57 Procalcitonin Procalcitonin NNP cord-254852-qr5gdmbc 253 58 - - HYPH cord-254852-qr5gdmbc 253 59 guided guide VBN cord-254852-qr5gdmbc 253 60 diagnosis diagnosis NN cord-254852-qr5gdmbc 253 61 and and CC cord-254852-qr5gdmbc 253 62 antibiotic antibiotic JJ cord-254852-qr5gdmbc 253 63 stewardship stewardship NN cord-254852-qr5gdmbc 253 64 revisited revisit VBN cord-254852-qr5gdmbc 253 65 Procalcitonin Procalcitonin NNP cord-254852-qr5gdmbc 253 66 to to TO cord-254852-qr5gdmbc 253 67 initiate initiate VB cord-254852-qr5gdmbc 253 68 or or CC cord-254852-qr5gdmbc 253 69 discontinue discontinue VB cord-254852-qr5gdmbc 253 70 antibiotics antibiotic NNS cord-254852-qr5gdmbc 253 71 in in IN cord-254852-qr5gdmbc 253 72 acute acute JJ cord-254852-qr5gdmbc 253 73 respiratory respiratory JJ cord-254852-qr5gdmbc 253 74 tract tract NN cord-254852-qr5gdmbc 253 75 infections infection NNS cord-254852-qr5gdmbc 254 1 Unresolved unresolved JJ cord-254852-qr5gdmbc 254 2 Acute acute JJ cord-254852-qr5gdmbc 254 3 Pneumonia pneumonia NN cord-254852-qr5gdmbc 254 4 : : : cord-254852-qr5gdmbc 255 1 a a DT cord-254852-qr5gdmbc 255 2 " " `` cord-254852-qr5gdmbc 255 3 BAD bad JJ cord-254852-qr5gdmbc 255 4 OMEN OMEN NNP cord-254852-qr5gdmbc 255 5 Pneumococcal Pneumococcal NNP cord-254852-qr5gdmbc 255 6 vaccination vaccination NN cord-254852-qr5gdmbc 255 7 j j NN cord-254852-qr5gdmbc 256 1 what what WP cord-254852-qr5gdmbc 256 2 you -PRON- PRP cord-254852-qr5gdmbc 256 3 should should MD cord-254852-qr5gdmbc 256 4 know know VB cord-254852-qr5gdmbc 256 5 j j NNP cord-254852-qr5gdmbc 256 6 CDC CDC NNP cord-254852-qr5gdmbc 256 7 Polysaccharide Polysaccharide NNP cord-254852-qr5gdmbc 256 8 conjugate conjugate JJ cord-254852-qr5gdmbc 256 9 vaccine vaccine NN cord-254852-qr5gdmbc 256 10 against against IN cord-254852-qr5gdmbc 256 11 pneumococcal pneumococcal JJ cord-254852-qr5gdmbc 256 12 pneumonia pneumonia NN cord-254852-qr5gdmbc 256 13 in in IN cord-254852-qr5gdmbc 256 14 adults adult NNS cord-254852-qr5gdmbc 257 1 Updated update VBN cord-254852-qr5gdmbc 257 2 recommendations recommendation NNS cord-254852-qr5gdmbc 257 3 for for IN cord-254852-qr5gdmbc 257 4 prevention prevention NN cord-254852-qr5gdmbc 257 5 of of IN cord-254852-qr5gdmbc 257 6 invasive invasive JJ cord-254852-qr5gdmbc 257 7 pneumococcal pneumococcal JJ cord-254852-qr5gdmbc 257 8 disease disease NN cord-254852-qr5gdmbc 257 9 among among IN cord-254852-qr5gdmbc 257 10 adults adult NNS cord-254852-qr5gdmbc 257 11 using use VBG cord-254852-qr5gdmbc 257 12 the the DT cord-254852-qr5gdmbc 257 13 23-valent 23-valent CD cord-254852-qr5gdmbc 257 14 pneumococcal pneumococcal JJ cord-254852-qr5gdmbc 257 15 polysaccharide polysaccharide NN cord-254852-qr5gdmbc 257 16 vaccine vaccine NN cord-254852-qr5gdmbc 257 17 ( ( -LRB- cord-254852-qr5gdmbc 257 18 PPSV23 ppsv23 NN cord-254852-qr5gdmbc 257 19 ) ) -RRB- cord-254852-qr5gdmbc 257 20 Vaccines vaccine NNS cord-254852-qr5gdmbc 257 21 for for IN cord-254852-qr5gdmbc 257 22 preventing prevent VBG cord-254852-qr5gdmbc 257 23 pneumococcal pneumococcal JJ cord-254852-qr5gdmbc 257 24 infection infection NN cord-254852-qr5gdmbc 257 25 in in IN cord-254852-qr5gdmbc 257 26 adults adult NNS cord-254852-qr5gdmbc 257 27 What what WP cord-254852-qr5gdmbc 257 28 is be VBZ cord-254852-qr5gdmbc 257 29 the the DT cord-254852-qr5gdmbc 257 30 best good JJS cord-254852-qr5gdmbc 257 31 approach approach NN cord-254852-qr5gdmbc 257 32 to to IN cord-254852-qr5gdmbc 257 33 the the DT cord-254852-qr5gdmbc 257 34 nonresponding nonresponde VBG cord-254852-qr5gdmbc 257 35 patient patient NN cord-254852-qr5gdmbc 257 36 with with IN cord-254852-qr5gdmbc 257 37 community community NN cord-254852-qr5gdmbc 257 38 - - HYPH cord-254852-qr5gdmbc 257 39 acquired acquire VBN cord-254852-qr5gdmbc 257 40 pneumonia pneumonia NN cord-254852-qr5gdmbc 257 41 ? ? . cord-254852-qr5gdmbc 258 1 Pulmonary pulmonary JJ cord-254852-qr5gdmbc 258 2 infections infection NNS cord-254852-qr5gdmbc 258 3 in in IN cord-254852-qr5gdmbc 258 4 the the DT cord-254852-qr5gdmbc 258 5 returned return VBN cord-254852-qr5gdmbc 258 6 traveler traveler NN cord-254852-qr5gdmbc 258 7 Non non JJ cord-254852-qr5gdmbc 258 8 - - JJ cord-254852-qr5gdmbc 258 9 infectious infectious JJ cord-254852-qr5gdmbc 258 10 mimics mimic NNS cord-254852-qr5gdmbc 258 11 of of IN cord-254852-qr5gdmbc 258 12 community community NN cord-254852-qr5gdmbc 258 13 - - HYPH cord-254852-qr5gdmbc 258 14 acquired acquire VBN cord-254852-qr5gdmbc 258 15 pneumonia pneumonia NN cord-254852-qr5gdmbc 259 1 The the DT cord-254852-qr5gdmbc 259 2 management management NN cord-254852-qr5gdmbc 259 3 of of IN cord-254852-qr5gdmbc 259 4 community community NN cord-254852-qr5gdmbc 259 5 - - HYPH cord-254852-qr5gdmbc 259 6 acquired acquire VBN cord-254852-qr5gdmbc 259 7 pneumonia pneumonia NN cord-254852-qr5gdmbc 259 8 in in IN cord-254852-qr5gdmbc 259 9 the the DT cord-254852-qr5gdmbc 259 10 elderly elderly JJ cord-254852-qr5gdmbc 259 11 CDC CDC NNP cord-254852-qr5gdmbc 259 12 yellow yellow JJ cord-254852-qr5gdmbc 259 13 book book NN cord-254852-qr5gdmbc 259 14 2018 2018 CD cord-254852-qr5gdmbc 259 15 : : : cord-254852-qr5gdmbc 259 16 health health NN cord-254852-qr5gdmbc 259 17 information information NN cord-254852-qr5gdmbc 259 18 for for IN cord-254852-qr5gdmbc 259 19 international international JJ cord-254852-qr5gdmbc 259 20 travel travel NN cord-254852-qr5gdmbc 259 21 Travel travel NN cord-254852-qr5gdmbc 259 22 - - HYPH cord-254852-qr5gdmbc 259 23 related relate VBN cord-254852-qr5gdmbc 259 24 respiratory respiratory JJ cord-254852-qr5gdmbc 259 25 infections infection NNS cord-254852-qr5gdmbc 259 26 General general JJ cord-254852-qr5gdmbc 259 27 approach approach NN cord-254852-qr5gdmbc 259 28 to to IN cord-254852-qr5gdmbc 259 29 the the DT cord-254852-qr5gdmbc 259 30 returned return VBN cord-254852-qr5gdmbc 259 31 traveler traveler NN cord-254852-qr5gdmbc 259 32 Histoplasmosis Histoplasmosis NNP cord-254852-qr5gdmbc 259 33 and and CC cord-254852-qr5gdmbc 259 34 other other JJ cord-254852-qr5gdmbc 259 35 endemic endemic JJ cord-254852-qr5gdmbc 259 36 fungal fungal JJ cord-254852-qr5gdmbc 259 37 infections infection NNS cord-254852-qr5gdmbc 259 38 Ventilator ventilator NN cord-254852-qr5gdmbc 259 39 - - HYPH cord-254852-qr5gdmbc 259 40 associated associate VBN cord-254852-qr5gdmbc 259 41 pneumonia pneumonia NN cord-254852-qr5gdmbc 259 42 overview overview NN cord-254852-qr5gdmbc 259 43 of of IN cord-254852-qr5gdmbc 259 44 nosocomial nosocomial JJ cord-254852-qr5gdmbc 259 45 pneumonias pneumonia NNS cord-254852-qr5gdmbc 259 46 Treatment Treatment NNP cord-254852-qr5gdmbc 259 47 of of IN cord-254852-qr5gdmbc 259 48 hospital hospital NN cord-254852-qr5gdmbc 259 49 - - HYPH cord-254852-qr5gdmbc 259 50 acquired acquire VBN cord-254852-qr5gdmbc 259 51 and and CC cord-254852-qr5gdmbc 259 52 ventilator ventilator NN cord-254852-qr5gdmbc 259 53 - - HYPH cord-254852-qr5gdmbc 259 54 associated associate VBN cord-254852-qr5gdmbc 259 55 pneumonia pneumonia NN cord-254852-qr5gdmbc 259 56 in in IN cord-254852-qr5gdmbc 259 57 adults adult NNS cord-254852-qr5gdmbc 260 1 Incidence incidence NN cord-254852-qr5gdmbc 260 2 of of IN cord-254852-qr5gdmbc 260 3 and and CC cord-254852-qr5gdmbc 260 4 risk risk NN cord-254852-qr5gdmbc 260 5 factors factor NNS cord-254852-qr5gdmbc 260 6 for for IN cord-254852-qr5gdmbc 260 7 ventilatorassociated ventilatorassociated JJ cord-254852-qr5gdmbc 260 8 pneumonia pneumonia NN cord-254852-qr5gdmbc 260 9 in in IN cord-254852-qr5gdmbc 260 10 critically critically RB cord-254852-qr5gdmbc 260 11 ill ill JJ cord-254852-qr5gdmbc 260 12 patients patient NNS cord-254852-qr5gdmbc 260 13 Clinical clinical JJ cord-254852-qr5gdmbc 260 14 diagnosis diagnosis NN cord-254852-qr5gdmbc 260 15 of of IN cord-254852-qr5gdmbc 260 16 ventilator ventilator NN cord-254852-qr5gdmbc 260 17 - - HYPH cord-254852-qr5gdmbc 260 18 associated associate VBN cord-254852-qr5gdmbc 260 19 pneumonia pneumonia NN cord-254852-qr5gdmbc 260 20 revisited revisit VBD cord-254852-qr5gdmbc 260 21 : : : cord-254852-qr5gdmbc 260 22 comparative comparative JJ cord-254852-qr5gdmbc 260 23 validation validation NN cord-254852-qr5gdmbc 260 24 using use VBG cord-254852-qr5gdmbc 260 25 immediate immediate JJ cord-254852-qr5gdmbc 260 26 post post JJ cord-254852-qr5gdmbc 260 27 - - JJ cord-254852-qr5gdmbc 260 28 mortem mortem JJ cord-254852-qr5gdmbc 260 29 lung lung NN cord-254852-qr5gdmbc 260 30 biopsies biopsy NNS cord-254852-qr5gdmbc 260 31 Philadelphia Philadelphia NNP cord-254852-qr5gdmbc 260 32 : : : cord-254852-qr5gdmbc 260 33 Lippincott Lippincott NNP cord-254852-qr5gdmbc 260 34 Williams Williams NNP cord-254852-qr5gdmbc 260 35 and and CC cord-254852-qr5gdmbc 260 36 Wilkins Wilkins NNP cord-254852-qr5gdmbc 260 37 Impact Impact NNP cord-254852-qr5gdmbc 260 38 of of IN cord-254852-qr5gdmbc 260 39 inappropriate inappropriate JJ cord-254852-qr5gdmbc 260 40 antibiotic antibiotic JJ cord-254852-qr5gdmbc 260 41 therapy therapy NN cord-254852-qr5gdmbc 260 42 on on IN cord-254852-qr5gdmbc 260 43 mortality mortality NN cord-254852-qr5gdmbc 260 44 in in IN cord-254852-qr5gdmbc 260 45 patients patient NNS cord-254852-qr5gdmbc 260 46 with with IN cord-254852-qr5gdmbc 260 47 ventilator ventilator NN cord-254852-qr5gdmbc 260 48 - - HYPH cord-254852-qr5gdmbc 260 49 associate associate JJ cord-254852-qr5gdmbc 260 50 pneumonia pneumonia NN cord-254852-qr5gdmbc 260 51 and and CC cord-254852-qr5gdmbc 260 52 blood blood NN cord-254852-qr5gdmbc 260 53 stream stream NN cord-254852-qr5gdmbc 260 54 infection infection NN cord-254852-qr5gdmbc 260 55 : : : cord-254852-qr5gdmbc 260 56 a a DT cord-254852-qr5gdmbc 260 57 meta meta JJ cord-254852-qr5gdmbc 260 58 - - HYPH cord-254852-qr5gdmbc 260 59 analysis analysis NN cord-254852-qr5gdmbc 261 1 The the DT cord-254852-qr5gdmbc 261 2 adequacy adequacy NN cord-254852-qr5gdmbc 261 3 of of IN cord-254852-qr5gdmbc 261 4 timely timely RB cord-254852-qr5gdmbc 261 5 empiric empiric JJ cord-254852-qr5gdmbc 261 6 antibiotic antibiotic JJ cord-254852-qr5gdmbc 261 7 therapy therapy NN cord-254852-qr5gdmbc 261 8 for for IN cord-254852-qr5gdmbc 261 9 ventilator ventilator NN cord-254852-qr5gdmbc 261 10 - - HYPH cord-254852-qr5gdmbc 261 11 associate associate JJ cord-254852-qr5gdmbc 261 12 pneumonia pneumonia NN cord-254852-qr5gdmbc 261 13 : : : cord-254852-qr5gdmbc 261 14 an an DT cord-254852-qr5gdmbc 261 15 important important JJ cord-254852-qr5gdmbc 261 16 determinant determinant NN cord-254852-qr5gdmbc 261 17 of of IN cord-254852-qr5gdmbc 261 18 outcome outcome NN cord-254852-qr5gdmbc 261 19 Systematic systematic JJ cord-254852-qr5gdmbc 261 20 review review NN cord-254852-qr5gdmbc 261 21 and and CC cord-254852-qr5gdmbc 261 22 meta meta NN cord-254852-qr5gdmbc 261 23 - - HYPH cord-254852-qr5gdmbc 261 24 analysis analysis NN cord-254852-qr5gdmbc 261 25 of of IN cord-254852-qr5gdmbc 261 26 the the DT cord-254852-qr5gdmbc 261 27 efficacy efficacy NN cord-254852-qr5gdmbc 261 28 of of IN cord-254852-qr5gdmbc 261 29 appropriate appropriate JJ cord-254852-qr5gdmbc 261 30 empiric empiric JJ cord-254852-qr5gdmbc 261 31 antibiotic antibiotic JJ cord-254852-qr5gdmbc 261 32 therapy therapy NN cord-254852-qr5gdmbc 261 33 for for IN cord-254852-qr5gdmbc 261 34 sepsis sepsis NN cord-254852-qr5gdmbc 262 1 Empirical empirical JJ cord-254852-qr5gdmbc 262 2 antibiotic antibiotic JJ cord-254852-qr5gdmbc 262 3 therapy therapy NN cord-254852-qr5gdmbc 262 4 for for IN cord-254852-qr5gdmbc 262 5 ventilator ventilator NN cord-254852-qr5gdmbc 262 6 - - HYPH cord-254852-qr5gdmbc 262 7 associated associate VBN cord-254852-qr5gdmbc 262 8 pneumonia pneumonia NN cord-254852-qr5gdmbc 262 9 Profile Profile NNP cord-254852-qr5gdmbc 262 10 of of IN cord-254852-qr5gdmbc 262 11 infective infective JJ cord-254852-qr5gdmbc 262 12 microorganisms microorganism NNS cord-254852-qr5gdmbc 262 13 causing cause VBG cord-254852-qr5gdmbc 262 14 ventilator ventilator NN cord-254852-qr5gdmbc 262 15 - - HYPH cord-254852-qr5gdmbc 262 16 associated associate VBN cord-254852-qr5gdmbc 262 17 pneumonia pneumonia NN cord-254852-qr5gdmbc 262 18 : : : cord-254852-qr5gdmbc 263 1 A a DT cord-254852-qr5gdmbc 263 2 clinical clinical JJ cord-254852-qr5gdmbc 263 3 study study NN cord-254852-qr5gdmbc 263 4 from from IN cord-254852-qr5gdmbc 263 5 resource resource NN cord-254852-qr5gdmbc 263 6 limited limited JJ cord-254852-qr5gdmbc 263 7 intensive intensive JJ cord-254852-qr5gdmbc 263 8 care care NN cord-254852-qr5gdmbc 263 9 unit unit NN cord-254852-qr5gdmbc 263 10 Microbial microbial JJ cord-254852-qr5gdmbc 263 11 causes cause NNS cord-254852-qr5gdmbc 263 12 of of IN cord-254852-qr5gdmbc 263 13 ventilator ventilator NN cord-254852-qr5gdmbc 263 14 - - HYPH cord-254852-qr5gdmbc 263 15 associated associate VBN cord-254852-qr5gdmbc 263 16 pneumonia pneumonia NN cord-254852-qr5gdmbc 263 17 Management Management NNP cord-254852-qr5gdmbc 263 18 of of IN cord-254852-qr5gdmbc 263 19 adults adult NNS cord-254852-qr5gdmbc 263 20 with with IN cord-254852-qr5gdmbc 263 21 hospitalacquired hospitalacquired NNP cord-254852-qr5gdmbc 263 22 and and CC cord-254852-qr5gdmbc 263 23 ventilator ventilator NN cord-254852-qr5gdmbc 263 24 - - HYPH cord-254852-qr5gdmbc 263 25 associated associate VBN cord-254852-qr5gdmbc 263 26 pneumonia pneumonia NN cord-254852-qr5gdmbc 263 27 : : : cord-254852-qr5gdmbc 263 28 2016 2016 CD cord-254852-qr5gdmbc 263 29 clinical clinical JJ cord-254852-qr5gdmbc 263 30 practice practice NN cord-254852-qr5gdmbc 263 31 guidelines guideline NNS cord-254852-qr5gdmbc 263 32 by by IN cord-254852-qr5gdmbc 263 33 the the DT cord-254852-qr5gdmbc 263 34 Infectious Infectious NNP cord-254852-qr5gdmbc 263 35 Diseases Diseases NNPS cord-254852-qr5gdmbc 263 36 Society Society NNP cord-254852-qr5gdmbc 263 37 of of IN cord-254852-qr5gdmbc 263 38 America America NNP cord-254852-qr5gdmbc 263 39 and and CC cord-254852-qr5gdmbc 263 40 the the DT cord-254852-qr5gdmbc 263 41 American American NNP cord-254852-qr5gdmbc 263 42 Thoracic Thoracic NNP cord-254852-qr5gdmbc 263 43 Society Society NNP cord-254852-qr5gdmbc 263 44 Using use VBG cord-254852-qr5gdmbc 263 45 local local JJ cord-254852-qr5gdmbc 263 46 microbiologic microbiologic JJ cord-254852-qr5gdmbc 263 47 data datum NNS cord-254852-qr5gdmbc 263 48 to to TO cord-254852-qr5gdmbc 263 49 develop develop VB cord-254852-qr5gdmbc 263 50 institution institution NN cord-254852-qr5gdmbc 263 51 - - HYPH cord-254852-qr5gdmbc 263 52 specific specific JJ cord-254852-qr5gdmbc 263 53 guidelines guideline NNS cord-254852-qr5gdmbc 263 54 for for IN cord-254852-qr5gdmbc 263 55 the the DT cord-254852-qr5gdmbc 263 56 treatment treatment NN cord-254852-qr5gdmbc 263 57 of of IN cord-254852-qr5gdmbc 263 58 hospital hospital NN cord-254852-qr5gdmbc 263 59 - - HYPH cord-254852-qr5gdmbc 263 60 acquired acquire VBN cord-254852-qr5gdmbc 263 61 pneumonia pneumonia NN cord-254852-qr5gdmbc 263 62 Pediatric Pediatric NNP cord-254852-qr5gdmbc 263 63 pneumonia pneumonia NN cord-254852-qr5gdmbc 263 64 Child Child NNP cord-254852-qr5gdmbc 263 65 Health Health NNP cord-254852-qr5gdmbc 263 66 Epidemiology Epidemiology NNP cord-254852-qr5gdmbc 263 67 Reference Reference NNP cord-254852-qr5gdmbc 263 68 Group Group NNP cord-254852-qr5gdmbc 263 69 of of IN cord-254852-qr5gdmbc 263 70 WHO WHO NNP cord-254852-qr5gdmbc 263 71 and and CC cord-254852-qr5gdmbc 263 72 UNICEF UNICEF NNP cord-254852-qr5gdmbc 263 73 . . . cord-254852-qr5gdmbc 264 1 Global global JJ cord-254852-qr5gdmbc 264 2 , , , cord-254852-qr5gdmbc 264 3 regional regional JJ cord-254852-qr5gdmbc 264 4 , , , cord-254852-qr5gdmbc 264 5 and and CC cord-254852-qr5gdmbc 264 6 national national JJ cord-254852-qr5gdmbc 264 7 causes cause NNS cord-254852-qr5gdmbc 264 8 of of IN cord-254852-qr5gdmbc 264 9 child child NN cord-254852-qr5gdmbc 264 10 mortality mortality NN cord-254852-qr5gdmbc 264 11 in in IN cord-254852-qr5gdmbc 264 12 2008 2008 CD cord-254852-qr5gdmbc 264 13 : : : cord-254852-qr5gdmbc 264 14 a a DT cord-254852-qr5gdmbc 264 15 systematic systematic JJ cord-254852-qr5gdmbc 264 16 analysis analysis NN cord-254852-qr5gdmbc 264 17 World World NNP cord-254852-qr5gdmbc 264 18 Health Health NNP cord-254852-qr5gdmbc 264 19 Organization Organization NNP cord-254852-qr5gdmbc 265 1 Pneumonia Pneumonia NNP cord-254852-qr5gdmbc 265 2 National National NNP cord-254852-qr5gdmbc 265 3 hospitalization hospitalization NN cord-254852-qr5gdmbc 265 4 trends trend NNS cord-254852-qr5gdmbc 265 5 for for IN cord-254852-qr5gdmbc 265 6 pediatric pediatric JJ cord-254852-qr5gdmbc 265 7 pneumonia pneumonia NN cord-254852-qr5gdmbc 265 8 and and CC cord-254852-qr5gdmbc 265 9 associated associate VBD cord-254852-qr5gdmbc 265 10 complications complication NNS cord-254852-qr5gdmbc 265 11 Community Community NNP cord-254852-qr5gdmbc 265 12 - - HYPH cord-254852-qr5gdmbc 265 13 acquired acquire VBN cord-254852-qr5gdmbc 265 14 pneumonia pneumonia NN cord-254852-qr5gdmbc 265 15 in in IN cord-254852-qr5gdmbc 265 16 children child NNS cord-254852-qr5gdmbc 266 1 The the DT cord-254852-qr5gdmbc 266 2 rational rational JJ cord-254852-qr5gdmbc 266 3 clinical clinical JJ cord-254852-qr5gdmbc 266 4 examination examination NN cord-254852-qr5gdmbc 266 5 . . . cord-254852-qr5gdmbc 267 1 Does do VBZ cord-254852-qr5gdmbc 267 2 this this DT cord-254852-qr5gdmbc 267 3 infant infant NN cord-254852-qr5gdmbc 267 4 have have VB cord-254852-qr5gdmbc 267 5 pneumonia pneumonia NN cord-254852-qr5gdmbc 267 6 ? ? . cord-254852-qr5gdmbc 268 1 Utility utility NN cord-254852-qr5gdmbc 268 2 of of IN cord-254852-qr5gdmbc 268 3 blood blood NN cord-254852-qr5gdmbc 268 4 culture culture NN cord-254852-qr5gdmbc 268 5 among among IN cord-254852-qr5gdmbc 268 6 children child NNS cord-254852-qr5gdmbc 268 7 hospitalized hospitalize VBN cord-254852-qr5gdmbc 268 8 with with IN cord-254852-qr5gdmbc 268 9 community community NN cord-254852-qr5gdmbc 268 10 - - HYPH cord-254852-qr5gdmbc 268 11 acquired acquire VBN cord-254852-qr5gdmbc 268 12 pneumonia pneumonia NN cord-254852-qr5gdmbc 269 1 The the DT cord-254852-qr5gdmbc 269 2 management management NN cord-254852-qr5gdmbc 269 3 of of IN cord-254852-qr5gdmbc 269 4 communityacquired communityacquired JJ cord-254852-qr5gdmbc 269 5 pneumonia pneumonia NN cord-254852-qr5gdmbc 269 6 in in IN cord-254852-qr5gdmbc 269 7 infants infant NNS cord-254852-qr5gdmbc 269 8 and and CC cord-254852-qr5gdmbc 269 9 children child NNS cord-254852-qr5gdmbc 269 10 older old JJR cord-254852-qr5gdmbc 269 11 than than IN cord-254852-qr5gdmbc 269 12 3 3 CD cord-254852-qr5gdmbc 269 13 months month NNS cord-254852-qr5gdmbc 269 14 of of IN cord-254852-qr5gdmbc 269 15 age age NN cord-254852-qr5gdmbc 269 16 : : : cord-254852-qr5gdmbc 269 17 clinical clinical JJ cord-254852-qr5gdmbc 269 18 practice practice NN cord-254852-qr5gdmbc 269 19 guidelines guideline NNS cord-254852-qr5gdmbc 269 20 by by IN cord-254852-qr5gdmbc 269 21 the the DT cord-254852-qr5gdmbc 269 22 Pediatric Pediatric NNP cord-254852-qr5gdmbc 269 23 Infectious Infectious NNP cord-254852-qr5gdmbc 269 24 Diseases Diseases NNPS cord-254852-qr5gdmbc 269 25 Society Society NNP cord-254852-qr5gdmbc 269 26 and and CC cord-254852-qr5gdmbc 269 27 the the DT cord-254852-qr5gdmbc 269 28 Infectious Infectious NNP cord-254852-qr5gdmbc 269 29 Diseases Diseases NNPS cord-254852-qr5gdmbc 269 30 Society Society NNP cord-254852-qr5gdmbc 269 31 of of IN cord-254852-qr5gdmbc 269 32 America America NNP cord-254852-qr5gdmbc 269 33 Pneumonia Pneumonia NNP cord-254852-qr5gdmbc 269 34 in in IN cord-254852-qr5gdmbc 269 35 children child NNS cord-254852-qr5gdmbc 269 36 : : : cord-254852-qr5gdmbc 269 37 inpatient inpatient JJ cord-254852-qr5gdmbc 269 38 treatment treatment NN cord-254852-qr5gdmbc 269 39 Evidence evidence NN cord-254852-qr5gdmbc 269 40 - - HYPH cord-254852-qr5gdmbc 269 41 based base VBN cord-254852-qr5gdmbc 269 42 care care NN cord-254852-qr5gdmbc 269 43 guideline guideline NN cord-254852-qr5gdmbc 269 44 . . . cord-254852-qr5gdmbc 270 1 Community community NN cord-254852-qr5gdmbc 270 2 acquired acquire VBD cord-254852-qr5gdmbc 270 3 pneumonia pneumonia NN cord-254852-qr5gdmbc 270 4 in in IN cord-254852-qr5gdmbc 270 5 children child NNS cord-254852-qr5gdmbc 270 6 60 60 CD cord-254852-qr5gdmbc 270 7 days day NNS cord-254852-qr5gdmbc 270 8 through through IN cord-254852-qr5gdmbc 270 9 17years 17years CD cord-254852-qr5gdmbc 270 10 of of IN cord-254852-qr5gdmbc 270 11 age age NN cord-254852-qr5gdmbc 270 12 Factors factor NNS cord-254852-qr5gdmbc 270 13 associated associate VBN cord-254852-qr5gdmbc 270 14 with with IN cord-254852-qr5gdmbc 270 15 antimicrobial antimicrobial JJ cord-254852-qr5gdmbc 270 16 resistance resistance NN cord-254852-qr5gdmbc 270 17 and and CC cord-254852-qr5gdmbc 270 18 mortality mortality NN cord-254852-qr5gdmbc 270 19 in in IN cord-254852-qr5gdmbc 270 20 pneumococcal pneumococcal JJ cord-254852-qr5gdmbc 270 21 bacteremia bacteremia NN cord-254852-qr5gdmbc 270 22 Parenteral parenteral NN cord-254852-qr5gdmbc 270 23 - - HYPH cord-254852-qr5gdmbc 270 24 oral oral JJ cord-254852-qr5gdmbc 270 25 switch switch NN cord-254852-qr5gdmbc 270 26 in in IN cord-254852-qr5gdmbc 270 27 the the DT cord-254852-qr5gdmbc 270 28 management management NN cord-254852-qr5gdmbc 270 29 of of IN cord-254852-qr5gdmbc 270 30 pediatric pediatric JJ cord-254852-qr5gdmbc 270 31 pneumonia pneumonia NN