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Headline

GPs should use point-of-care test to guide antibiotic use for pneumonia, says NICE

Comment

And where do these point of care CRP tests exist at present? How about home visits -do we take these kits on home visits? CRB65 is useful to guide need for admission versus community treatment but should be taken in context of overall patient context. The draft guidelines state that if the CRB65 score is more than 0 then GP should consider (NOT SHOULD BE SENT) hospital assessment which means anyone with chest symptoms who is aged>65 should be considered for admission. That would change my consideration for acute referral (for chest infections) from few per year to >25/ year. In fact we successfully manage a good few intermediate risk patients in community with IV antibiotics via Community intervention team. Also choice of antibiotic on UK based guidelines are more conservative than international guidelines (CDC) on same which suggest use of Fluroquinolones as first line (for the last decade or so) -Just an observation not criticism or support. P.S Editor can you edit the article as the draft guidelines state -anyone with score more than zero but especially if 2 or more should considered for hospital admission and NOT SHOULD BE SENT TO HOSPITAL as noted in the article. Link to CDC guidelines http://www.thoracic.org/statements/resources/mtpi/idsaats-cap.pdf. page 3 of the 146 pages is the most important.

Posted date

18 Jun 2014

Posted time

9:14pm

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