id sid tid token lemma pos cord-354664-mzzvmyea 1 1 key key JJ cord-354664-mzzvmyea 1 2 : : : cord-354664-mzzvmyea 1 3 cord-354664-mzzvmyea cord-354664-mzzvmyea JJ cord-354664-mzzvmyea 1 4 authors author NNS cord-354664-mzzvmyea 1 5 : : : cord-354664-mzzvmyea 1 6 Shumilak Shumilak NNP cord-354664-mzzvmyea 1 7 , , , cord-354664-mzzvmyea 1 8 Geoffrey Geoffrey NNP cord-354664-mzzvmyea 1 9 ; ; : cord-354664-mzzvmyea 1 10 Sligl Sligl NNP cord-354664-mzzvmyea 1 11 , , , cord-354664-mzzvmyea 1 12 Wendy Wendy NNP cord-354664-mzzvmyea 1 13 I. I. NNP cord-354664-mzzvmyea 1 14 title title NN cord-354664-mzzvmyea 1 15 : : : cord-354664-mzzvmyea 2 1 Moving move VBG cord-354664-mzzvmyea 2 2 Past past RB cord-354664-mzzvmyea 2 3 the the DT cord-354664-mzzvmyea 2 4 Routine Routine NNP cord-354664-mzzvmyea 2 5 Use Use NNP cord-354664-mzzvmyea 2 6 of of IN cord-354664-mzzvmyea 2 7 Macrolides macrolide NNS cord-354664-mzzvmyea 2 8 — — : cord-354664-mzzvmyea 3 1 Reviewing review VBG cord-354664-mzzvmyea 3 2 the the DT cord-354664-mzzvmyea 3 3 Role role NN cord-354664-mzzvmyea 3 4 of of IN cord-354664-mzzvmyea 3 5 Combination Combination NNP cord-354664-mzzvmyea 3 6 Therapy Therapy NNP cord-354664-mzzvmyea 3 7 in in IN cord-354664-mzzvmyea 3 8 Community Community NNP cord-354664-mzzvmyea 3 9 - - HYPH cord-354664-mzzvmyea 3 10 Acquired Acquired NNP cord-354664-mzzvmyea 3 11 Pneumonia Pneumonia NNP cord-354664-mzzvmyea 3 12 date date NN cord-354664-mzzvmyea 3 13 : : : cord-354664-mzzvmyea 3 14 2018 2018 CD cord-354664-mzzvmyea 3 15 - - HYPH cord-354664-mzzvmyea 3 16 09 09 CD cord-354664-mzzvmyea 3 17 - - HYPH cord-354664-mzzvmyea 3 18 06 06 CD cord-354664-mzzvmyea 3 19 journal journal NN cord-354664-mzzvmyea 3 20 : : : cord-354664-mzzvmyea 4 1 Curr Curr NNP cord-354664-mzzvmyea 4 2 Infect infect VBP cord-354664-mzzvmyea 4 3 Dis Dis NNP cord-354664-mzzvmyea 4 4 Rep Rep NNP cord-354664-mzzvmyea 4 5 DOI doi NN cord-354664-mzzvmyea 4 6 : : : cord-354664-mzzvmyea 5 1 10.1007 10.1007 CD cord-354664-mzzvmyea 5 2 / / SYM cord-354664-mzzvmyea 5 3 s11908 s11908 NN cord-354664-mzzvmyea 5 4 - - HYPH cord-354664-mzzvmyea 5 5 018 018 CD cord-354664-mzzvmyea 5 6 - - HYPH cord-354664-mzzvmyea 5 7 0651 0651 CD cord-354664-mzzvmyea 5 8 - - HYPH cord-354664-mzzvmyea 5 9 8 8 CD cord-354664-mzzvmyea 5 10 sha sha NN cord-354664-mzzvmyea 5 11 : : : cord-354664-mzzvmyea 5 12 332d3e0cd20303c1d98e109645eaef4bfd97a8ee 332d3e0cd20303c1d98e109645eaef4bfd97a8ee CD cord-354664-mzzvmyea 5 13 doc_id doc_id CD cord-354664-mzzvmyea 5 14 : : : cord-354664-mzzvmyea 5 15 354664 354664 CD cord-354664-mzzvmyea 5 16 cord_uid cord_uid NNS cord-354664-mzzvmyea 5 17 : : : cord-354664-mzzvmyea 5 18 mzzvmyea mzzvmyea JJ cord-354664-mzzvmyea 5 19 PURPOSE purpose NN cord-354664-mzzvmyea 5 20 OF of IN cord-354664-mzzvmyea 5 21 REVIEW review NN cord-354664-mzzvmyea 5 22 : : : cord-354664-mzzvmyea 6 1 Despite despite IN cord-354664-mzzvmyea 6 2 advances advance NNS cord-354664-mzzvmyea 6 3 in in IN cord-354664-mzzvmyea 6 4 diagnostic diagnostic JJ cord-354664-mzzvmyea 6 5 microbiology microbiology NN cord-354664-mzzvmyea 6 6 and and CC cord-354664-mzzvmyea 6 7 sepsis sepsis NN cord-354664-mzzvmyea 6 8 management management NN cord-354664-mzzvmyea 6 9 , , , cord-354664-mzzvmyea 6 10 community community NN cord-354664-mzzvmyea 6 11 - - HYPH cord-354664-mzzvmyea 6 12 acquired acquire VBN cord-354664-mzzvmyea 6 13 pneumonia pneumonia NN cord-354664-mzzvmyea 6 14 ( ( -LRB- cord-354664-mzzvmyea 6 15 CAP CAP NNP cord-354664-mzzvmyea 6 16 ) ) -RRB- cord-354664-mzzvmyea 6 17 remains remain VBZ cord-354664-mzzvmyea 6 18 a a DT cord-354664-mzzvmyea 6 19 significant significant JJ cord-354664-mzzvmyea 6 20 cause cause NN cord-354664-mzzvmyea 6 21 of of IN cord-354664-mzzvmyea 6 22 morbidity morbidity NN cord-354664-mzzvmyea 6 23 and and CC cord-354664-mzzvmyea 6 24 mortality mortality NN cord-354664-mzzvmyea 6 25 . . . cord-354664-mzzvmyea 7 1 Current current JJ cord-354664-mzzvmyea 7 2 recommendations recommendation NNS cord-354664-mzzvmyea 7 3 regarding regard VBG cord-354664-mzzvmyea 7 4 the the DT cord-354664-mzzvmyea 7 5 use use NN cord-354664-mzzvmyea 7 6 of of IN cord-354664-mzzvmyea 7 7 beta beta NN cord-354664-mzzvmyea 7 8 - - HYPH cord-354664-mzzvmyea 7 9 lactams lactam NNS cord-354664-mzzvmyea 7 10 in in IN cord-354664-mzzvmyea 7 11 combination combination NN cord-354664-mzzvmyea 7 12 with with IN cord-354664-mzzvmyea 7 13 macrolides macrolide NNS cord-354664-mzzvmyea 7 14 published publish VBN cord-354664-mzzvmyea 7 15 in in IN cord-354664-mzzvmyea 7 16 clinical clinical JJ cord-354664-mzzvmyea 7 17 practice practice NN cord-354664-mzzvmyea 7 18 guidelines guideline NNS cord-354664-mzzvmyea 7 19 are be VBP cord-354664-mzzvmyea 7 20 variable variable JJ cord-354664-mzzvmyea 7 21 and and CC cord-354664-mzzvmyea 7 22 based base VBN cord-354664-mzzvmyea 7 23 on on IN cord-354664-mzzvmyea 7 24 low low JJ cord-354664-mzzvmyea 7 25 - - HYPH cord-354664-mzzvmyea 7 26 quality quality NN cord-354664-mzzvmyea 7 27 evidence evidence NN cord-354664-mzzvmyea 7 28 that that WDT cord-354664-mzzvmyea 7 29 is be VBZ cord-354664-mzzvmyea 7 30 frequently frequently RB cord-354664-mzzvmyea 7 31 retrospective retrospective JJ cord-354664-mzzvmyea 7 32 , , , cord-354664-mzzvmyea 7 33 observational observational JJ cord-354664-mzzvmyea 7 34 , , , cord-354664-mzzvmyea 7 35 and and CC cord-354664-mzzvmyea 7 36 heterogeneous heterogeneous JJ cord-354664-mzzvmyea 7 37 in in IN cord-354664-mzzvmyea 7 38 nature nature NN cord-354664-mzzvmyea 7 39 . . . cord-354664-mzzvmyea 8 1 While while IN cord-354664-mzzvmyea 8 2 population population NN cord-354664-mzzvmyea 8 3 - - HYPH cord-354664-mzzvmyea 8 4 based base VBN cord-354664-mzzvmyea 8 5 studies study NNS cord-354664-mzzvmyea 8 6 have have VBP cord-354664-mzzvmyea 8 7 historically historically RB cord-354664-mzzvmyea 8 8 suggested suggest VBN cord-354664-mzzvmyea 8 9 improved improve VBN cord-354664-mzzvmyea 8 10 clinical clinical JJ cord-354664-mzzvmyea 8 11 outcomes outcome NNS cord-354664-mzzvmyea 8 12 with with IN cord-354664-mzzvmyea 8 13 the the DT cord-354664-mzzvmyea 8 14 routine routine JJ cord-354664-mzzvmyea 8 15 use use NN cord-354664-mzzvmyea 8 16 of of IN cord-354664-mzzvmyea 8 17 macrolide macrolide JJ cord-354664-mzzvmyea 8 18 combination combination NN cord-354664-mzzvmyea 8 19 therapy therapy NN cord-354664-mzzvmyea 8 20 in in IN cord-354664-mzzvmyea 8 21 hospitalized hospitalize VBN cord-354664-mzzvmyea 8 22 patients patient NNS cord-354664-mzzvmyea 8 23 with with IN cord-354664-mzzvmyea 8 24 CAP CAP NNP cord-354664-mzzvmyea 8 25 , , , cord-354664-mzzvmyea 8 26 emerging emerge VBG cord-354664-mzzvmyea 8 27 evidence evidence NN cord-354664-mzzvmyea 8 28 from from IN cord-354664-mzzvmyea 8 29 recent recent JJ cord-354664-mzzvmyea 8 30 randomized randomized JJ cord-354664-mzzvmyea 8 31 controlled control VBN cord-354664-mzzvmyea 8 32 trials trial NNS cord-354664-mzzvmyea 8 33 has have VBZ cord-354664-mzzvmyea 8 34 challenged challenge VBN cord-354664-mzzvmyea 8 35 this this DT cord-354664-mzzvmyea 8 36 practice practice NN cord-354664-mzzvmyea 8 37 . . . cord-354664-mzzvmyea 9 1 In in IN cord-354664-mzzvmyea 9 2 this this DT cord-354664-mzzvmyea 9 3 article article NN cord-354664-mzzvmyea 9 4 , , , cord-354664-mzzvmyea 9 5 we -PRON- PRP cord-354664-mzzvmyea 9 6 discuss discuss VBP cord-354664-mzzvmyea 9 7 the the DT cord-354664-mzzvmyea 9 8 historical historical JJ cord-354664-mzzvmyea 9 9 rationale rationale NN cord-354664-mzzvmyea 9 10 and and CC cord-354664-mzzvmyea 9 11 current current JJ cord-354664-mzzvmyea 9 12 evidence evidence NN cord-354664-mzzvmyea 9 13 for for IN cord-354664-mzzvmyea 9 14 combination combination NN cord-354664-mzzvmyea 9 15 macrolide macrolide NN cord-354664-mzzvmyea 9 16 therapy therapy NN cord-354664-mzzvmyea 9 17 in in IN cord-354664-mzzvmyea 9 18 the the DT cord-354664-mzzvmyea 9 19 management management NN cord-354664-mzzvmyea 9 20 of of IN cord-354664-mzzvmyea 9 21 CAP CAP NNP cord-354664-mzzvmyea 9 22 . . . cord-354664-mzzvmyea 10 1 RECENT recent JJ cord-354664-mzzvmyea 10 2 FINDINGS finding NNS cord-354664-mzzvmyea 10 3 : : : cord-354664-mzzvmyea 11 1 Recent recent JJ cord-354664-mzzvmyea 11 2 randomized randomized JJ cord-354664-mzzvmyea 11 3 controlled control VBN cord-354664-mzzvmyea 11 4 trials trial NNS cord-354664-mzzvmyea 11 5 have have VBP cord-354664-mzzvmyea 11 6 assessed assess VBN cord-354664-mzzvmyea 11 7 the the DT cord-354664-mzzvmyea 11 8 non non JJ cord-354664-mzzvmyea 11 9 - - JJ cord-354664-mzzvmyea 11 10 inferiority inferiority NN cord-354664-mzzvmyea 11 11 of of IN cord-354664-mzzvmyea 11 12 beta beta NN cord-354664-mzzvmyea 11 13 - - HYPH cord-354664-mzzvmyea 11 14 lactam lactam NN cord-354664-mzzvmyea 11 15 monotherapy monotherapy NN cord-354664-mzzvmyea 11 16 compared compare VBN cord-354664-mzzvmyea 11 17 to to IN cord-354664-mzzvmyea 11 18 beta beta NN cord-354664-mzzvmyea 11 19 - - HYPH cord-354664-mzzvmyea 11 20 lactam lactam NNS cord-354664-mzzvmyea 11 21 / / SYM cord-354664-mzzvmyea 11 22 macrolide macrolide NN cord-354664-mzzvmyea 11 23 combination combination NN cord-354664-mzzvmyea 11 24 therapy therapy NN cord-354664-mzzvmyea 11 25 in in IN cord-354664-mzzvmyea 11 26 adult adult NN cord-354664-mzzvmyea 11 27 patients patient NNS cord-354664-mzzvmyea 11 28 hospitalized hospitalize VBN cord-354664-mzzvmyea 11 29 with with IN cord-354664-mzzvmyea 11 30 CAP CAP NNP cord-354664-mzzvmyea 11 31 . . . cord-354664-mzzvmyea 12 1 Beta beta NN cord-354664-mzzvmyea 12 2 - - HYPH cord-354664-mzzvmyea 12 3 lactam lactam NN cord-354664-mzzvmyea 12 4 monotherapy monotherapy NN cord-354664-mzzvmyea 12 5 was be VBD cord-354664-mzzvmyea 12 6 associated associate VBN cord-354664-mzzvmyea 12 7 with with IN cord-354664-mzzvmyea 12 8 equivalent equivalent JJ cord-354664-mzzvmyea 12 9 clinical clinical JJ cord-354664-mzzvmyea 12 10 outcomes outcome NNS cord-354664-mzzvmyea 12 11 in in IN cord-354664-mzzvmyea 12 12 patients patient NNS cord-354664-mzzvmyea 12 13 with with IN cord-354664-mzzvmyea 12 14 mild mild JJ cord-354664-mzzvmyea 12 15 to to IN cord-354664-mzzvmyea 12 16 moderate moderate JJ cord-354664-mzzvmyea 12 17 CAP cap NN cord-354664-mzzvmyea 12 18 . . . cord-354664-mzzvmyea 13 1 Patients patient NNS cord-354664-mzzvmyea 13 2 with with IN cord-354664-mzzvmyea 13 3 severe severe JJ cord-354664-mzzvmyea 13 4 CAP cap NN cord-354664-mzzvmyea 13 5 managed manage VBN cord-354664-mzzvmyea 13 6 with with IN cord-354664-mzzvmyea 13 7 beta beta NN cord-354664-mzzvmyea 13 8 - - HYPH cord-354664-mzzvmyea 13 9 lactam lactam NN cord-354664-mzzvmyea 13 10 monotherapy monotherapy NN cord-354664-mzzvmyea 13 11 have have VBP cord-354664-mzzvmyea 13 12 demonstrated demonstrate VBN cord-354664-mzzvmyea 13 13 worse bad JJR cord-354664-mzzvmyea 13 14 clinical clinical JJ cord-354664-mzzvmyea 13 15 outcomes outcome NNS cord-354664-mzzvmyea 13 16 when when WRB cord-354664-mzzvmyea 13 17 compared compare VBN cord-354664-mzzvmyea 13 18 to to IN cord-354664-mzzvmyea 13 19 patients patient NNS cord-354664-mzzvmyea 13 20 treated treat VBN cord-354664-mzzvmyea 13 21 with with IN cord-354664-mzzvmyea 13 22 combination combination NN cord-354664-mzzvmyea 13 23 therapy therapy NN cord-354664-mzzvmyea 13 24 . . . cord-354664-mzzvmyea 14 1 In in IN cord-354664-mzzvmyea 14 2 addition addition NN cord-354664-mzzvmyea 14 3 , , , cord-354664-mzzvmyea 14 4 previous previous JJ cord-354664-mzzvmyea 14 5 beta beta NN cord-354664-mzzvmyea 14 6 - - HYPH cord-354664-mzzvmyea 14 7 lactam lactam NN cord-354664-mzzvmyea 14 8 exposure exposure NN cord-354664-mzzvmyea 14 9 prior prior RB cord-354664-mzzvmyea 14 10 to to IN cord-354664-mzzvmyea 14 11 hospitalization hospitalization NN cord-354664-mzzvmyea 14 12 has have VBZ cord-354664-mzzvmyea 14 13 not not RB cord-354664-mzzvmyea 14 14 been be VBN cord-354664-mzzvmyea 14 15 shown show VBN cord-354664-mzzvmyea 14 16 to to TO cord-354664-mzzvmyea 14 17 negatively negatively RB cord-354664-mzzvmyea 14 18 impact impact NN cord-354664-mzzvmyea 14 19 outcomes outcome NNS cord-354664-mzzvmyea 14 20 in in IN cord-354664-mzzvmyea 14 21 patients patient NNS cord-354664-mzzvmyea 14 22 managed manage VBN cord-354664-mzzvmyea 14 23 with with IN cord-354664-mzzvmyea 14 24 beta beta NN cord-354664-mzzvmyea 14 25 - - HYPH cord-354664-mzzvmyea 14 26 lactam lactam NN cord-354664-mzzvmyea 14 27 monotherapy monotherapy NN cord-354664-mzzvmyea 14 28 in in IN cord-354664-mzzvmyea 14 29 the the DT cord-354664-mzzvmyea 14 30 hospital hospital NN cord-354664-mzzvmyea 14 31 . . . cord-354664-mzzvmyea 15 1 SUMMARY summary NN cord-354664-mzzvmyea 15 2 : : : cord-354664-mzzvmyea 16 1 Current current JJ cord-354664-mzzvmyea 16 2 evidence evidence NN cord-354664-mzzvmyea 16 3 supports support VBZ cord-354664-mzzvmyea 16 4 the the DT cord-354664-mzzvmyea 16 5 use use NN cord-354664-mzzvmyea 16 6 of of IN cord-354664-mzzvmyea 16 7 beta beta NN cord-354664-mzzvmyea 16 8 - - HYPH cord-354664-mzzvmyea 16 9 lactam lactam NN cord-354664-mzzvmyea 16 10 monotherapy monotherapy NN cord-354664-mzzvmyea 16 11 in in IN cord-354664-mzzvmyea 16 12 adult adult NN cord-354664-mzzvmyea 16 13 patients patient NNS cord-354664-mzzvmyea 16 14 hospitalized hospitalize VBN cord-354664-mzzvmyea 16 15 with with IN cord-354664-mzzvmyea 16 16 mild mild JJ cord-354664-mzzvmyea 16 17 to to IN cord-354664-mzzvmyea 16 18 moderate moderate JJ cord-354664-mzzvmyea 16 19 CAP cap NN cord-354664-mzzvmyea 16 20 . . . cord-354664-mzzvmyea 17 1 While while IN cord-354664-mzzvmyea 17 2 existing exist VBG cord-354664-mzzvmyea 17 3 evidence evidence NN cord-354664-mzzvmyea 17 4 supports support VBZ cord-354664-mzzvmyea 17 5 the the DT cord-354664-mzzvmyea 17 6 use use NN cord-354664-mzzvmyea 17 7 of of IN cord-354664-mzzvmyea 17 8 combination combination NN cord-354664-mzzvmyea 17 9 therapy therapy NN cord-354664-mzzvmyea 17 10 in in IN cord-354664-mzzvmyea 17 11 patients patient NNS cord-354664-mzzvmyea 17 12 with with IN cord-354664-mzzvmyea 17 13 severe severe JJ cord-354664-mzzvmyea 17 14 pneumonia pneumonia NN cord-354664-mzzvmyea 17 15 , , , cord-354664-mzzvmyea 17 16 further further JJ cord-354664-mzzvmyea 17 17 large large JJ cord-354664-mzzvmyea 17 18 - - HYPH cord-354664-mzzvmyea 17 19 scale scale NN cord-354664-mzzvmyea 17 20 randomized randomize VBN cord-354664-mzzvmyea 17 21 controlled control VBN cord-354664-mzzvmyea 17 22 trials trial NNS cord-354664-mzzvmyea 17 23 are be VBP cord-354664-mzzvmyea 17 24 urgently urgently RB cord-354664-mzzvmyea 17 25 needed need VBN cord-354664-mzzvmyea 17 26 to to TO cord-354664-mzzvmyea 17 27 clarify clarify VB cord-354664-mzzvmyea 17 28 the the DT cord-354664-mzzvmyea 17 29 role role NN cord-354664-mzzvmyea 17 30 of of IN cord-354664-mzzvmyea 17 31 combination combination NN cord-354664-mzzvmyea 17 32 therapy therapy NN cord-354664-mzzvmyea 17 33 in in IN cord-354664-mzzvmyea 17 34 this this DT cord-354664-mzzvmyea 17 35 population population NN cord-354664-mzzvmyea 17 36 . . . cord-354664-mzzvmyea 18 1 Community community NN cord-354664-mzzvmyea 18 2 - - HYPH cord-354664-mzzvmyea 18 3 acquired acquire VBN cord-354664-mzzvmyea 18 4 pneumonia pneumonia NN cord-354664-mzzvmyea 18 5 ( ( -LRB- cord-354664-mzzvmyea 18 6 CAP CAP NNP cord-354664-mzzvmyea 18 7 ) ) -RRB- cord-354664-mzzvmyea 18 8 remains remain VBZ cord-354664-mzzvmyea 18 9 a a DT cord-354664-mzzvmyea 18 10 significant significant JJ cord-354664-mzzvmyea 18 11 cause cause NN cord-354664-mzzvmyea 18 12 of of IN cord-354664-mzzvmyea 18 13 morbidity morbidity NN cord-354664-mzzvmyea 18 14 and and CC cord-354664-mzzvmyea 18 15 mortality mortality NN cord-354664-mzzvmyea 18 16 , , , cord-354664-mzzvmyea 18 17 resulting result VBG cord-354664-mzzvmyea 18 18 in in IN cord-354664-mzzvmyea 18 19 an an DT cord-354664-mzzvmyea 18 20 estimated estimate VBN cord-354664-mzzvmyea 18 21 1.5 1.5 CD cord-354664-mzzvmyea 18 22 million million CD cord-354664-mzzvmyea 18 23 adult adult NN cord-354664-mzzvmyea 18 24 hospitalizations hospitalization NNS cord-354664-mzzvmyea 18 25 annually annually RB cord-354664-mzzvmyea 18 26 in in IN cord-354664-mzzvmyea 18 27 the the DT cord-354664-mzzvmyea 18 28 United United NNP cord-354664-mzzvmyea 18 29 States States NNP cord-354664-mzzvmyea 18 30 [ [ -LRB- cord-354664-mzzvmyea 18 31 1• 1• CD cord-354664-mzzvmyea 18 32 , , , cord-354664-mzzvmyea 18 33 2 2 CD cord-354664-mzzvmyea 18 34 ] ] -RRB- cord-354664-mzzvmyea 18 35 . . . cord-354664-mzzvmyea 19 1 Despite despite IN cord-354664-mzzvmyea 19 2 advances advance NNS cord-354664-mzzvmyea 19 3 in in IN cord-354664-mzzvmyea 19 4 sepsis sepsis NN cord-354664-mzzvmyea 19 5 recognition recognition NN cord-354664-mzzvmyea 19 6 and and CC cord-354664-mzzvmyea 19 7 management management NN cord-354664-mzzvmyea 19 8 and and CC cord-354664-mzzvmyea 19 9 being be VBG cord-354664-mzzvmyea 19 10 a a DT cord-354664-mzzvmyea 19 11 core core NN cord-354664-mzzvmyea 19 12 measure measure NN cord-354664-mzzvmyea 19 13 by by IN cord-354664-mzzvmyea 19 14 the the DT cord-354664-mzzvmyea 19 15 Centers Centers NNPS cord-354664-mzzvmyea 19 16 for for IN cord-354664-mzzvmyea 19 17 Medicare Medicare NNP cord-354664-mzzvmyea 19 18 & & CC cord-354664-mzzvmyea 19 19 Medicaid Medicaid NNP cord-354664-mzzvmyea 19 20 Services Services NNP cord-354664-mzzvmyea 19 21 , , , cord-354664-mzzvmyea 19 22 the the DT cord-354664-mzzvmyea 19 23 in in IN cord-354664-mzzvmyea 19 24 - - HYPH cord-354664-mzzvmyea 19 25 hospital hospital NN cord-354664-mzzvmyea 19 26 mortality mortality NN cord-354664-mzzvmyea 19 27 of of IN cord-354664-mzzvmyea 19 28 patients patient NNS cord-354664-mzzvmyea 19 29 admitted admit VBN cord-354664-mzzvmyea 19 30 with with IN cord-354664-mzzvmyea 19 31 CAP CAP NNP cord-354664-mzzvmyea 19 32 remains remain VBZ cord-354664-mzzvmyea 19 33 high high JJ cord-354664-mzzvmyea 19 34 at at IN cord-354664-mzzvmyea 19 35 6.5 6.5 CD cord-354664-mzzvmyea 19 36 % % NN cord-354664-mzzvmyea 19 37 with with IN cord-354664-mzzvmyea 19 38 all all DT cord-354664-mzzvmyea 19 39 - - HYPH cord-354664-mzzvmyea 19 40 cause cause NN cord-354664-mzzvmyea 19 41 mortality mortality NN cord-354664-mzzvmyea 19 42 at at IN cord-354664-mzzvmyea 19 43 30 30 CD cord-354664-mzzvmyea 19 44 days day NNS cord-354664-mzzvmyea 19 45 , , , cord-354664-mzzvmyea 19 46 6 6 CD cord-354664-mzzvmyea 19 47 months month NNS cord-354664-mzzvmyea 19 48 , , , cord-354664-mzzvmyea 19 49 and and CC cord-354664-mzzvmyea 19 50 1 1 CD cord-354664-mzzvmyea 19 51 year year NN cord-354664-mzzvmyea 19 52 estimated estimate VBN cord-354664-mzzvmyea 19 53 to to TO cord-354664-mzzvmyea 19 54 be be VB cord-354664-mzzvmyea 19 55 13 13 CD cord-354664-mzzvmyea 19 56 % % NN cord-354664-mzzvmyea 19 57 , , , cord-354664-mzzvmyea 19 58 23 23 CD cord-354664-mzzvmyea 19 59 % % NN cord-354664-mzzvmyea 19 60 , , , cord-354664-mzzvmyea 19 61 and and CC cord-354664-mzzvmyea 19 62 31 31 CD cord-354664-mzzvmyea 19 63 % % NN cord-354664-mzzvmyea 19 64 , , , cord-354664-mzzvmyea 19 65 respectively respectively RB cord-354664-mzzvmyea 19 66 [ [ -LRB- cord-354664-mzzvmyea 19 67 1• 1• CD cord-354664-mzzvmyea 19 68 , , , cord-354664-mzzvmyea 19 69 3 3 CD cord-354664-mzzvmyea 19 70 ] ] -RRB- cord-354664-mzzvmyea 19 71 . . . cord-354664-mzzvmyea 20 1 The the DT cord-354664-mzzvmyea 20 2 broad broad JJ cord-354664-mzzvmyea 20 3 spectrum spectrum NN cord-354664-mzzvmyea 20 4 of of IN cord-354664-mzzvmyea 20 5 pathogens pathogen NNS cord-354664-mzzvmyea 20 6 causing cause VBG cord-354664-mzzvmyea 20 7 CAP CAP NNP cord-354664-mzzvmyea 20 8 remains remain VBZ cord-354664-mzzvmyea 20 9 unchanged unchanged JJ cord-354664-mzzvmyea 20 10 and and CC cord-354664-mzzvmyea 20 11 includes include VBZ cord-354664-mzzvmyea 20 12 typical typical JJ cord-354664-mzzvmyea 20 13 bacteria bacteria NNS cord-354664-mzzvmyea 20 14 ( ( -LRB- cord-354664-mzzvmyea 20 15 Streptococcus streptococcus NN cord-354664-mzzvmyea 20 16 pneumoniae pneumoniae NN cord-354664-mzzvmyea 20 17 , , , cord-354664-mzzvmyea 20 18 Haemophilus haemophilus JJ cord-354664-mzzvmyea 20 19 influenzae influenzae NN cord-354664-mzzvmyea 20 20 , , , cord-354664-mzzvmyea 20 21 Moraxella Moraxella NNP cord-354664-mzzvmyea 20 22 catarrhalis catarrhalis NNP cord-354664-mzzvmyea 20 23 ) ) -RRB- cord-354664-mzzvmyea 20 24 , , , cord-354664-mzzvmyea 20 25 atypical atypical JJ cord-354664-mzzvmyea 20 26 bacteria bacteria NNS cord-354664-mzzvmyea 20 27 ( ( -LRB- cord-354664-mzzvmyea 20 28 Mycoplasma mycoplasma NN cord-354664-mzzvmyea 20 29 pneumoniae pneumoniae NN cord-354664-mzzvmyea 20 30 , , , cord-354664-mzzvmyea 20 31 Chlamydia Chlamydia NNP cord-354664-mzzvmyea 20 32 pneumoniae pneumoniae NN cord-354664-mzzvmyea 20 33 , , , cord-354664-mzzvmyea 20 34 Legionella Legionella NNP cord-354664-mzzvmyea 20 35 spp spp NNP cord-354664-mzzvmyea 20 36 . . . cord-354664-mzzvmyea 20 37 ) ) -RRB- cord-354664-mzzvmyea 20 38 , , , cord-354664-mzzvmyea 20 39 viruses virus NNS cord-354664-mzzvmyea 20 40 ( ( -LRB- cord-354664-mzzvmyea 20 41 such such JJ cord-354664-mzzvmyea 20 42 as as IN cord-354664-mzzvmyea 20 43 rhinovirus rhinovirus NN cord-354664-mzzvmyea 20 44 , , , cord-354664-mzzvmyea 20 45 influenza influenza NN cord-354664-mzzvmyea 20 46 , , , cord-354664-mzzvmyea 20 47 parainfluenza parainfluenza NNP cord-354664-mzzvmyea 20 48 , , , cord-354664-mzzvmyea 20 49 respiratory respiratory JJ cord-354664-mzzvmyea 20 50 syncytial syncytial JJ cord-354664-mzzvmyea 20 51 virus virus NN cord-354664-mzzvmyea 20 52 , , , cord-354664-mzzvmyea 20 53 coronaviruses coronaviruse NNS cord-354664-mzzvmyea 20 54 , , , cord-354664-mzzvmyea 20 55 human human JJ cord-354664-mzzvmyea 20 56 metapneumovirus metapneumovirus NNP cord-354664-mzzvmyea 20 57 ) ) -RRB- cord-354664-mzzvmyea 20 58 and and CC cord-354664-mzzvmyea 20 59 less less RBR cord-354664-mzzvmyea 20 60 frequently frequently RB cord-354664-mzzvmyea 20 61 Staphylococcus Staphylococcus NNP cord-354664-mzzvmyea 20 62 aureus aureus NN cord-354664-mzzvmyea 20 63 , , , cord-354664-mzzvmyea 20 64 gram gram NN cord-354664-mzzvmyea 20 65 - - HYPH cord-354664-mzzvmyea 20 66 negative negative JJ cord-354664-mzzvmyea 20 67 bacilli bacilli NN cord-354664-mzzvmyea 20 68 , , , cord-354664-mzzvmyea 20 69 fungi fungus NNS cord-354664-mzzvmyea 20 70 , , , cord-354664-mzzvmyea 20 71 and and CC cord-354664-mzzvmyea 20 72 mycobacteria mycobacterium NNS cord-354664-mzzvmyea 20 73 [ [ -LRB- cord-354664-mzzvmyea 20 74 4 4 CD cord-354664-mzzvmyea 20 75 ] ] -RRB- cord-354664-mzzvmyea 20 76 . . . cord-354664-mzzvmyea 21 1 While while IN cord-354664-mzzvmyea 21 2 diagnostic diagnostic JJ cord-354664-mzzvmyea 21 3 techniques technique NNS cord-354664-mzzvmyea 21 4 to to TO cord-354664-mzzvmyea 21 5 facilitate facilitate VB cord-354664-mzzvmyea 21 6 the the DT cord-354664-mzzvmyea 21 7 accurate accurate JJ cord-354664-mzzvmyea 21 8 identification identification NN cord-354664-mzzvmyea 21 9 of of IN cord-354664-mzzvmyea 21 10 causative causative JJ cord-354664-mzzvmyea 21 11 agents agent NNS cord-354664-mzzvmyea 21 12 have have VBP cord-354664-mzzvmyea 21 13 improved improve VBN cord-354664-mzzvmyea 21 14 , , , cord-354664-mzzvmyea 21 15 including include VBG cord-354664-mzzvmyea 21 16 the the DT cord-354664-mzzvmyea 21 17 rapid rapid JJ cord-354664-mzzvmyea 21 18 evolution evolution NN cord-354664-mzzvmyea 21 19 of of IN cord-354664-mzzvmyea 21 20 commercial commercial JJ cord-354664-mzzvmyea 21 21 multiplex multiplex NN cord-354664-mzzvmyea 21 22 PCR pcr NN cord-354664-mzzvmyea 21 23 assays assay NNS cord-354664-mzzvmyea 21 24 , , , cord-354664-mzzvmyea 21 25 an an DT cord-354664-mzzvmyea 21 26 etiologic etiologic JJ cord-354664-mzzvmyea 21 27 agent agent NN cord-354664-mzzvmyea 21 28 is be VBZ cord-354664-mzzvmyea 21 29 identified identify VBN cord-354664-mzzvmyea 21 30 in in IN cord-354664-mzzvmyea 21 31 fewer few JJR cord-354664-mzzvmyea 21 32 than than IN cord-354664-mzzvmyea 21 33 half half NN cord-354664-mzzvmyea 21 34 of of IN cord-354664-mzzvmyea 21 35 CAP cap NN cord-354664-mzzvmyea 21 36 cases case NNS cord-354664-mzzvmyea 21 37 and and CC cord-354664-mzzvmyea 21 38 frequently frequently RB cord-354664-mzzvmyea 21 39 leaves leave VBZ cord-354664-mzzvmyea 21 40 clinicians clinician NNS cord-354664-mzzvmyea 21 41 to to TO cord-354664-mzzvmyea 21 42 rely rely VB cord-354664-mzzvmyea 21 43 on on IN cord-354664-mzzvmyea 21 44 empiric empiric JJ cord-354664-mzzvmyea 21 45 antimicrobials antimicrobial NNS cord-354664-mzzvmyea 21 46 for for IN cord-354664-mzzvmyea 21 47 management management NN cord-354664-mzzvmyea 21 48 [ [ -LRB- cord-354664-mzzvmyea 21 49 5 5 CD cord-354664-mzzvmyea 21 50 , , , cord-354664-mzzvmyea 21 51 6• 6• CD cord-354664-mzzvmyea 21 52 ] ] -RRB- cord-354664-mzzvmyea 21 53 . . . cord-354664-mzzvmyea 22 1 Macrolide macrolide JJ cord-354664-mzzvmyea 22 2 antimicrobials antimicrobial NNS cord-354664-mzzvmyea 22 3 are be VBP cord-354664-mzzvmyea 22 4 commonly commonly RB cord-354664-mzzvmyea 22 5 prescribed prescribe VBN cord-354664-mzzvmyea 22 6 agents agent NNS cord-354664-mzzvmyea 22 7 for for IN cord-354664-mzzvmyea 22 8 the the DT cord-354664-mzzvmyea 22 9 management management NN cord-354664-mzzvmyea 22 10 of of IN cord-354664-mzzvmyea 22 11 respiratory respiratory JJ cord-354664-mzzvmyea 22 12 tract tract NN cord-354664-mzzvmyea 22 13 infections infection NNS cord-354664-mzzvmyea 22 14 [ [ -LRB- cord-354664-mzzvmyea 22 15 7 7 CD cord-354664-mzzvmyea 22 16 ] ] -RRB- cord-354664-mzzvmyea 22 17 . . . cord-354664-mzzvmyea 23 1 As as IN cord-354664-mzzvmyea 23 2 a a DT cord-354664-mzzvmyea 23 3 class class NN cord-354664-mzzvmyea 23 4 , , , cord-354664-mzzvmyea 23 5 macrolides macrolide NNS cord-354664-mzzvmyea 23 6 are be VBP cord-354664-mzzvmyea 23 7 bacteriostatic bacteriostatic JJ cord-354664-mzzvmyea 23 8 and and CC cord-354664-mzzvmyea 23 9 function function VB cord-354664-mzzvmyea 23 10 by by IN cord-354664-mzzvmyea 23 11 inhibiting inhibit VBG cord-354664-mzzvmyea 23 12 bacterial bacterial JJ cord-354664-mzzvmyea 23 13 protein protein NN cord-354664-mzzvmyea 23 14 synthesis synthesis NN cord-354664-mzzvmyea 23 15 through through IN cord-354664-mzzvmyea 23 16 reversible reversible JJ cord-354664-mzzvmyea 23 17 binding binding NN cord-354664-mzzvmyea 23 18 to to IN cord-354664-mzzvmyea 23 19 23S 23S NNP cord-354664-mzzvmyea 23 20 ribosomal ribosomal NNP cord-354664-mzzvmyea 23 21 RNA RNA NNP cord-354664-mzzvmyea 23 22 of of IN cord-354664-mzzvmyea 23 23 the the DT cord-354664-mzzvmyea 23 24 50S 50s CD cord-354664-mzzvmyea 23 25 ribosomal ribosomal JJ cord-354664-mzzvmyea 23 26 subunit subunit NN cord-354664-mzzvmyea 23 27 , , , cord-354664-mzzvmyea 23 28 resulting result VBG cord-354664-mzzvmyea 23 29 in in IN cord-354664-mzzvmyea 23 30 inhibition inhibition NN cord-354664-mzzvmyea 23 31 of of IN cord-354664-mzzvmyea 23 32 RNA RNA NNP cord-354664-mzzvmyea 23 33 - - HYPH cord-354664-mzzvmyea 23 34 dependent dependent JJ cord-354664-mzzvmyea 23 35 protein protein NN cord-354664-mzzvmyea 23 36 synthesis synthesis NN cord-354664-mzzvmyea 23 37 [ [ -LRB- cord-354664-mzzvmyea 23 38 8 8 CD cord-354664-mzzvmyea 23 39 ] ] -RRB- cord-354664-mzzvmyea 23 40 . . . cord-354664-mzzvmyea 24 1 However however RB cord-354664-mzzvmyea 24 2 , , , cord-354664-mzzvmyea 24 3 widespread widespread JJ cord-354664-mzzvmyea 24 4 resistance resistance NN cord-354664-mzzvmyea 24 5 to to IN cord-354664-mzzvmyea 24 6 macrolides macrolide NNS cord-354664-mzzvmyea 24 7 due due JJ cord-354664-mzzvmyea 24 8 to to IN cord-354664-mzzvmyea 24 9 point point NN cord-354664-mzzvmyea 24 10 mutations mutation NNS cord-354664-mzzvmyea 24 11 in in IN cord-354664-mzzvmyea 24 12 the the DT cord-354664-mzzvmyea 24 13 23S 23S NNP cord-354664-mzzvmyea 24 14 rRNA rRNA NNP cord-354664-mzzvmyea 24 15 binding bind VBG cord-354664-mzzvmyea 24 16 site site NN cord-354664-mzzvmyea 24 17 has have VBZ cord-354664-mzzvmyea 24 18 significantly significantly RB cord-354664-mzzvmyea 24 19 limited limit VBN cord-354664-mzzvmyea 24 20 their -PRON- PRP$ cord-354664-mzzvmyea 24 21 utility utility NN cord-354664-mzzvmyea 24 22 [ [ -LRB- cord-354664-mzzvmyea 24 23 9 9 CD cord-354664-mzzvmyea 24 24 , , , cord-354664-mzzvmyea 24 25 10 10 CD cord-354664-mzzvmyea 24 26 ] ] -RRB- cord-354664-mzzvmyea 24 27 . . . cord-354664-mzzvmyea 25 1 S. S. NNP cord-354664-mzzvmyea 25 2 pneumoniae pneumoniae NN cord-354664-mzzvmyea 25 3 resistance resistance NN cord-354664-mzzvmyea 25 4 to to IN cord-354664-mzzvmyea 25 5 macrolides macrolide NNS cord-354664-mzzvmyea 25 6 has have VBZ cord-354664-mzzvmyea 25 7 demonstrated demonstrate VBN cord-354664-mzzvmyea 25 8 regional regional JJ cord-354664-mzzvmyea 25 9 variability variability NN cord-354664-mzzvmyea 25 10 with with IN cord-354664-mzzvmyea 25 11 rates rate NNS cord-354664-mzzvmyea 25 12 ranging range VBG cord-354664-mzzvmyea 25 13 from from IN cord-354664-mzzvmyea 25 14 30 30 CD cord-354664-mzzvmyea 25 15 % % NN cord-354664-mzzvmyea 25 16 in in IN cord-354664-mzzvmyea 25 17 North North NNP cord-354664-mzzvmyea 25 18 America America NNP cord-354664-mzzvmyea 25 19 to to IN cord-354664-mzzvmyea 25 20 over over IN cord-354664-mzzvmyea 25 21 90 90 CD cord-354664-mzzvmyea 25 22 % % NN cord-354664-mzzvmyea 25 23 in in IN cord-354664-mzzvmyea 25 24 Vietnam Vietnam NNP cord-354664-mzzvmyea 25 25 while while IN cord-354664-mzzvmyea 25 26 M. M. NNP cord-354664-mzzvmyea 25 27 pneumoniae pneumoniae NN cord-354664-mzzvmyea 25 28 demonstrates demonstrate VBZ cord-354664-mzzvmyea 25 29 similar similar JJ cord-354664-mzzvmyea 25 30 resistance resistance NN cord-354664-mzzvmyea 25 31 ranging range VBG cord-354664-mzzvmyea 25 32 from from IN cord-354664-mzzvmyea 25 33 10 10 CD cord-354664-mzzvmyea 25 34 % % NN cord-354664-mzzvmyea 25 35 in in IN cord-354664-mzzvmyea 25 36 the the DT cord-354664-mzzvmyea 25 37 United United NNP cord-354664-mzzvmyea 25 38 States States NNP cord-354664-mzzvmyea 25 39 to to IN cord-354664-mzzvmyea 25 40 over over IN cord-354664-mzzvmyea 25 41 90 90 CD cord-354664-mzzvmyea 25 42 % % NN cord-354664-mzzvmyea 25 43 in in IN cord-354664-mzzvmyea 25 44 regions region NNS cord-354664-mzzvmyea 25 45 of of IN cord-354664-mzzvmyea 25 46 Japan Japan NNP cord-354664-mzzvmyea 25 47 [ [ -LRB- cord-354664-mzzvmyea 25 48 11 11 CD cord-354664-mzzvmyea 25 49 ] ] -RRB- cord-354664-mzzvmyea 25 50 [ [ -LRB- cord-354664-mzzvmyea 25 51 12 12 CD cord-354664-mzzvmyea 25 52 ] ] -RRB- cord-354664-mzzvmyea 25 53 [ [ -LRB- cord-354664-mzzvmyea 25 54 13 13 CD cord-354664-mzzvmyea 25 55 ] ] -RRB- cord-354664-mzzvmyea 25 56 [ [ -LRB- cord-354664-mzzvmyea 25 57 14 14 CD cord-354664-mzzvmyea 25 58 ] ] -RRB- cord-354664-mzzvmyea 25 59 . . . cord-354664-mzzvmyea 26 1 Aside aside RB cord-354664-mzzvmyea 26 2 from from IN cord-354664-mzzvmyea 26 3 antimicrobial antimicrobial JJ cord-354664-mzzvmyea 26 4 properties property NNS cord-354664-mzzvmyea 26 5 , , , cord-354664-mzzvmyea 26 6 macrolides macrolide NNS cord-354664-mzzvmyea 26 7 are be VBP cord-354664-mzzvmyea 26 8 also also RB cord-354664-mzzvmyea 26 9 prescribed prescribe VBN cord-354664-mzzvmyea 26 10 for for IN cord-354664-mzzvmyea 26 11 their -PRON- PRP$ cord-354664-mzzvmyea 26 12 immune immune JJ cord-354664-mzzvmyea 26 13 modulating modulate VBG cord-354664-mzzvmyea 26 14 effects effect NNS cord-354664-mzzvmyea 26 15 , , , cord-354664-mzzvmyea 26 16 particularly particularly RB cord-354664-mzzvmyea 26 17 in in IN cord-354664-mzzvmyea 26 18 the the DT cord-354664-mzzvmyea 26 19 setting setting NN cord-354664-mzzvmyea 26 20 of of IN cord-354664-mzzvmyea 26 21 chronic chronic JJ cord-354664-mzzvmyea 26 22 inflammatory inflammatory JJ cord-354664-mzzvmyea 26 23 lung lung NN cord-354664-mzzvmyea 26 24 diseases disease NNS cord-354664-mzzvmyea 26 25 . . . cord-354664-mzzvmyea 27 1 M M NNP cord-354664-mzzvmyea 27 2 a a DT cord-354664-mzzvmyea 27 3 c c NN cord-354664-mzzvmyea 27 4 r r NN cord-354664-mzzvmyea 28 1 o o UH cord-354664-mzzvmyea 28 2 l l NN cord-354664-mzzvmyea 29 1 i i PRP cord-354664-mzzvmyea 30 1 d d NNP cord-354664-mzzvmyea 30 2 e e NN cord-354664-mzzvmyea 30 3 s s NN cord-354664-mzzvmyea 31 1 h h NNP cord-354664-mzzvmyea 31 2 a a NN cord-354664-mzzvmyea 31 3 v v NN cord-354664-mzzvmyea 31 4 e e NN cord-354664-mzzvmyea 31 5 b b NN cord-354664-mzzvmyea 31 6 e e NN cord-354664-mzzvmyea 31 7 e e NN cord-354664-mzzvmyea 31 8 n n NN cord-354664-mzzvmyea 31 9 s s NN cord-354664-mzzvmyea 31 10 h h NN cord-354664-mzzvmyea 31 11 o o NN cord-354664-mzzvmyea 32 1 w w NN cord-354664-mzzvmyea 32 2 n n CC cord-354664-mzzvmyea 32 3 t t NN cord-354664-mzzvmyea 32 4 o o NN cord-354664-mzzvmyea 32 5 s s NN cord-354664-mzzvmyea 33 1 u u NN cord-354664-mzzvmyea 33 2 p p NN cord-354664-mzzvmyea 33 3 p p NN cord-354664-mzzvmyea 33 4 r r NN cord-354664-mzzvmyea 33 5 e e NN cord-354664-mzzvmyea 33 6 s s NN cord-354664-mzzvmyea 33 7 s s NN cord-354664-mzzvmyea 33 8 p p NN cord-354664-mzzvmyea 33 9 r r NNP cord-354664-mzzvmyea 33 10 oinflammatory oinflammatory NNP cord-354664-mzzvmyea 33 11 cytokines cytokine NNS cord-354664-mzzvmyea 33 12 [ [ -LRB- cord-354664-mzzvmyea 33 13 15 15 CD cord-354664-mzzvmyea 33 14 ] ] -RRB- cord-354664-mzzvmyea 33 15 , , , cord-354664-mzzvmyea 33 16 decrease decrease VB cord-354664-mzzvmyea 33 17 polymorphonuclear polymorphonuclear JJ cord-354664-mzzvmyea 33 18 cell cell NN cord-354664-mzzvmyea 33 19 recruitment recruitment NN cord-354664-mzzvmyea 33 20 [ [ -LRB- cord-354664-mzzvmyea 33 21 16 16 CD cord-354664-mzzvmyea 33 22 ] ] -RRB- cord-354664-mzzvmyea 33 23 , , , cord-354664-mzzvmyea 33 24 attenuate attenuate VB cord-354664-mzzvmyea 33 25 reactive reactive JJ cord-354664-mzzvmyea 33 26 oxygen oxygen NN cord-354664-mzzvmyea 33 27 species specie NNS cord-354664-mzzvmyea 33 28 [ [ -LRB- cord-354664-mzzvmyea 33 29 17 17 CD cord-354664-mzzvmyea 33 30 ] ] -RRB- cord-354664-mzzvmyea 33 31 , , , cord-354664-mzzvmyea 33 32 and and CC cord-354664-mzzvmyea 33 33 alter alter VB cord-354664-mzzvmyea 33 34 key key JJ cord-354664-mzzvmyea 33 35 transcription transcription NN cord-354664-mzzvmyea 33 36 factors factor NNS cord-354664-mzzvmyea 33 37 [ [ -LRB- cord-354664-mzzvmyea 33 38 18 18 CD cord-354664-mzzvmyea 33 39 ] ] -RRB- cord-354664-mzzvmyea 33 40 . . . cord-354664-mzzvmyea 34 1 While while IN cord-354664-mzzvmyea 34 2 several several JJ cord-354664-mzzvmyea 34 3 small small JJ cord-354664-mzzvmyea 34 4 studies study NNS cord-354664-mzzvmyea 34 5 have have VBP cord-354664-mzzvmyea 34 6 shown show VBN cord-354664-mzzvmyea 34 7 that that IN cord-354664-mzzvmyea 34 8 immune immune JJ cord-354664-mzzvmyea 34 9 modulation modulation NN cord-354664-mzzvmyea 34 10 from from IN cord-354664-mzzvmyea 34 11 macrolides macrolide NNS cord-354664-mzzvmyea 34 12 may may MD cord-354664-mzzvmyea 34 13 also also RB cord-354664-mzzvmyea 34 14 be be VB cord-354664-mzzvmyea 34 15 beneficial beneficial JJ cord-354664-mzzvmyea 34 16 in in IN cord-354664-mzzvmyea 34 17 acute acute JJ cord-354664-mzzvmyea 34 18 CAP cap NN cord-354664-mzzvmyea 34 19 by by IN cord-354664-mzzvmyea 34 20 reducing reduce VBG cord-354664-mzzvmyea 34 21 inflammatory inflammatory JJ cord-354664-mzzvmyea 34 22 mediators mediator NNS cord-354664-mzzvmyea 34 23 , , , cord-354664-mzzvmyea 34 24 supportive supportive JJ cord-354664-mzzvmyea 34 25 research research NN cord-354664-mzzvmyea 34 26 linked link VBN cord-354664-mzzvmyea 34 27 to to IN cord-354664-mzzvmyea 34 28 clinical clinical JJ cord-354664-mzzvmyea 34 29 outcomes outcome NNS cord-354664-mzzvmyea 34 30 remains remain VBZ cord-354664-mzzvmyea 34 31 limited limited JJ cord-354664-mzzvmyea 34 32 and and CC cord-354664-mzzvmyea 34 33 a a DT cord-354664-mzzvmyea 34 34 clear clear JJ cord-354664-mzzvmyea 34 35 benefit benefit NN cord-354664-mzzvmyea 34 36 has have VBZ cord-354664-mzzvmyea 34 37 not not RB cord-354664-mzzvmyea 34 38 been be VBN cord-354664-mzzvmyea 34 39 established establish VBN cord-354664-mzzvmyea 34 40 [ [ -LRB- cord-354664-mzzvmyea 34 41 19 19 CD cord-354664-mzzvmyea 34 42 , , , cord-354664-mzzvmyea 34 43 20 20 CD cord-354664-mzzvmyea 34 44 ] ] -RRB- cord-354664-mzzvmyea 34 45 . . . cord-354664-mzzvmyea 35 1 A a DT cord-354664-mzzvmyea 35 2 recent recent JJ cord-354664-mzzvmyea 35 3 effort effort NN cord-354664-mzzvmyea 35 4 to to TO cord-354664-mzzvmyea 35 5 characterize characterize VB cord-354664-mzzvmyea 35 6 causative causative JJ cord-354664-mzzvmyea 35 7 CAP cap NN cord-354664-mzzvmyea 35 8 pathogens pathogen NNS cord-354664-mzzvmyea 35 9 through through IN cord-354664-mzzvmyea 35 10 the the DT cord-354664-mzzvmyea 35 11 use use NN cord-354664-mzzvmyea 35 12 of of IN cord-354664-mzzvmyea 35 13 modern modern JJ cord-354664-mzzvmyea 35 14 diagnostic diagnostic JJ cord-354664-mzzvmyea 35 15 tests test NNS cord-354664-mzzvmyea 35 16 has have VBZ cord-354664-mzzvmyea 35 17 been be VBN cord-354664-mzzvmyea 35 18 published publish VBN cord-354664-mzzvmyea 35 19 in in IN cord-354664-mzzvmyea 35 20 the the DT cord-354664-mzzvmyea 35 21 Center Center NNP cord-354664-mzzvmyea 35 22 for for IN cord-354664-mzzvmyea 36 1 Disease Disease NNP cord-354664-mzzvmyea 36 2 Control Control NNP cord-354664-mzzvmyea 36 3 and and CC cord-354664-mzzvmyea 36 4 Prevention Prevention NNP cord-354664-mzzvmyea 36 5 ( ( -LRB- cord-354664-mzzvmyea 36 6 CDC CDC NNP cord-354664-mzzvmyea 36 7 ) ) -RRB- cord-354664-mzzvmyea 36 8 Etiology etiology NN cord-354664-mzzvmyea 36 9 of of IN cord-354664-mzzvmyea 36 10 Pneumonia Pneumonia NNP cord-354664-mzzvmyea 36 11 in in IN cord-354664-mzzvmyea 36 12 the the DT cord-354664-mzzvmyea 36 13 Community Community NNP cord-354664-mzzvmyea 36 14 ( ( -LRB- cord-354664-mzzvmyea 36 15 EPIC EPIC NNP cord-354664-mzzvmyea 36 16 ) ) -RRB- cord-354664-mzzvmyea 36 17 study study VB cord-354664-mzzvmyea 36 18 [ [ -LRB- cord-354664-mzzvmyea 36 19 6• 6• CD cord-354664-mzzvmyea 36 20 ] ] -RRB- cord-354664-mzzvmyea 36 21 . . . cord-354664-mzzvmyea 37 1 The the DT cord-354664-mzzvmyea 37 2 CDC CDC NNP cord-354664-mzzvmyea 37 3 EPIC EPIC NNP cord-354664-mzzvmyea 37 4 study study NN cord-354664-mzzvmyea 37 5 was be VBD cord-354664-mzzvmyea 37 6 a a DT cord-354664-mzzvmyea 37 7 prospective prospective JJ cord-354664-mzzvmyea 37 8 , , , cord-354664-mzzvmyea 37 9 multicenter multicenter JJ cord-354664-mzzvmyea 37 10 , , , cord-354664-mzzvmyea 37 11 population population NN cord-354664-mzzvmyea 37 12 - - HYPH cord-354664-mzzvmyea 37 13 based base VBN cord-354664-mzzvmyea 37 14 active active JJ cord-354664-mzzvmyea 37 15 surveillance surveillance NN cord-354664-mzzvmyea 37 16 study study NN cord-354664-mzzvmyea 37 17 of of IN cord-354664-mzzvmyea 37 18 2320 2320 CD cord-354664-mzzvmyea 37 19 patients patient NNS cord-354664-mzzvmyea 37 20 with with IN cord-354664-mzzvmyea 37 21 radiographically radiographically RB cord-354664-mzzvmyea 37 22 confirmed confirm VBN cord-354664-mzzvmyea 37 23 pneumonia pneumonia NN cord-354664-mzzvmyea 37 24 at at IN cord-354664-mzzvmyea 37 25 five five CD cord-354664-mzzvmyea 37 26 US US NNP cord-354664-mzzvmyea 37 27 hospitals hospital NNS cord-354664-mzzvmyea 37 28 between between IN cord-354664-mzzvmyea 37 29 2010 2010 CD cord-354664-mzzvmyea 37 30 and and CC cord-354664-mzzvmyea 37 31 2012 2012 CD cord-354664-mzzvmyea 37 32 . . . cord-354664-mzzvmyea 38 1 In in IN cord-354664-mzzvmyea 38 2 addition addition NN cord-354664-mzzvmyea 38 3 to to IN cord-354664-mzzvmyea 38 4 conventional conventional JJ cord-354664-mzzvmyea 38 5 diagnostic diagnostic JJ cord-354664-mzzvmyea 38 6 tests test NNS cord-354664-mzzvmyea 38 7 , , , cord-354664-mzzvmyea 38 8 extensive extensive JJ cord-354664-mzzvmyea 38 9 molecular molecular JJ cord-354664-mzzvmyea 38 10 and and CC cord-354664-mzzvmyea 38 11 serologic serologic NN cord-354664-mzzvmyea 38 12 testing testing NN cord-354664-mzzvmyea 38 13 was be VBD cord-354664-mzzvmyea 38 14 employed employ VBN cord-354664-mzzvmyea 38 15 to to TO cord-354664-mzzvmyea 38 16 characterize characterize VB cord-354664-mzzvmyea 38 17 causative causative JJ cord-354664-mzzvmyea 38 18 pathogens pathogen NNS cord-354664-mzzvmyea 38 19 . . . cord-354664-mzzvmyea 39 1 In in IN cord-354664-mzzvmyea 39 2 this this DT cord-354664-mzzvmyea 39 3 cohort cohort NN cord-354664-mzzvmyea 39 4 , , , cord-354664-mzzvmyea 39 5 human human JJ cord-354664-mzzvmyea 39 6 rhinovirus rhinovirus NN cord-354664-mzzvmyea 39 7 , , , cord-354664-mzzvmyea 39 8 influenza influenza NN cord-354664-mzzvmyea 39 9 , , , cord-354664-mzzvmyea 39 10 and and CC cord-354664-mzzvmyea 39 11 S. S. NNP cord-354664-mzzvmyea 39 12 pneumoniae pneumoniae NNS cord-354664-mzzvmyea 39 13 were be VBD cord-354664-mzzvmyea 39 14 the the DT cord-354664-mzzvmyea 39 15 most most RBS cord-354664-mzzvmyea 39 16 common common JJ cord-354664-mzzvmyea 39 17 etiologic etiologic JJ cord-354664-mzzvmyea 39 18 agents agent NNS cord-354664-mzzvmyea 39 19 . . . cord-354664-mzzvmyea 40 1 Atypical atypical JJ cord-354664-mzzvmyea 40 2 pathogens pathogen NNS cord-354664-mzzvmyea 40 3 were be VBD cord-354664-mzzvmyea 40 4 infrequently infrequently RB cord-354664-mzzvmyea 40 5 identifiedwith identifiedwith VB cord-354664-mzzvmyea 40 6 the the DT cord-354664-mzzvmyea 40 7 incidence incidence NN cord-354664-mzzvmyea 40 8 of of IN cord-354664-mzzvmyea 40 9 M. M. NNP cord-354664-mzzvmyea 40 10 pneumoniae pneumoniae NN cord-354664-mzzvmyea 40 11 , , , cord-354664-mzzvmyea 40 12 C. C. NNP cord-354664-mzzvmyea 40 13 pneumoniae pneumoniae NN cord-354664-mzzvmyea 40 14 , , , cord-354664-mzzvmyea 40 15 and and CC cord-354664-mzzvmyea 40 16 L. L. NNP cord-354664-mzzvmyea 40 17 pneumophila pneumophila NN cord-354664-mzzvmyea 40 18 each each DT cord-354664-mzzvmyea 40 19 representing represent VBG cord-354664-mzzvmyea 40 20 less less JJR cord-354664-mzzvmyea 40 21 than than IN cord-354664-mzzvmyea 40 22 0.5 0.5 CD cord-354664-mzzvmyea 40 23 cases case NNS cord-354664-mzzvmyea 40 24 per per IN cord-354664-mzzvmyea 40 25 10,000 10,000 CD cord-354664-mzzvmyea 40 26 adults adult NNS cord-354664-mzzvmyea 40 27 in in IN cord-354664-mzzvmyea 40 28 the the DT cord-354664-mzzvmyea 40 29 community community NN cord-354664-mzzvmyea 40 30 . . . cord-354664-mzzvmyea 41 1 This this DT cord-354664-mzzvmyea 41 2 study study NN cord-354664-mzzvmyea 41 3 provides provide VBZ cord-354664-mzzvmyea 41 4 contemporary contemporary JJ cord-354664-mzzvmyea 41 5 , , , cord-354664-mzzvmyea 41 6 comprehensive comprehensive JJ cord-354664-mzzvmyea 41 7 microbiologic microbiologic JJ cord-354664-mzzvmyea 41 8 CAP CAP NNP cord-354664-mzzvmyea 41 9 data datum NNS cord-354664-mzzvmyea 41 10 that that WDT cord-354664-mzzvmyea 41 11 is be VBZ cord-354664-mzzvmyea 41 12 essential essential JJ cord-354664-mzzvmyea 41 13 in in IN cord-354664-mzzvmyea 41 14 informing inform VBG cord-354664-mzzvmyea 41 15 guidelines guideline NNS cord-354664-mzzvmyea 41 16 and and CC cord-354664-mzzvmyea 41 17 choosing choose VBG cord-354664-mzzvmyea 41 18 empiric empiric JJ cord-354664-mzzvmyea 41 19 therapies therapy NNS cord-354664-mzzvmyea 41 20 wisely wisely RB cord-354664-mzzvmyea 41 21 . . . cord-354664-mzzvmyea 42 1 The the DT cord-354664-mzzvmyea 42 2 low low JJ cord-354664-mzzvmyea 42 3 incidence incidence NN cord-354664-mzzvmyea 42 4 of of IN cord-354664-mzzvmyea 42 5 atypical atypical JJ cord-354664-mzzvmyea 42 6 pathogens pathogen NNS cord-354664-mzzvmyea 42 7 is be VBZ cord-354664-mzzvmyea 42 8 of of IN cord-354664-mzzvmyea 42 9 particular particular JJ cord-354664-mzzvmyea 42 10 interest interest NN cord-354664-mzzvmyea 42 11 . . . cord-354664-mzzvmyea 43 1 Published publish VBN cord-354664-mzzvmyea 43 2 recommendations recommendation NNS cord-354664-mzzvmyea 43 3 regarding regard VBG cord-354664-mzzvmyea 43 4 the the DT cord-354664-mzzvmyea 43 5 use use NN cord-354664-mzzvmyea 43 6 of of IN cord-354664-mzzvmyea 43 7 beta beta NN cord-354664-mzzvmyea 43 8 - - HYPH cord-354664-mzzvmyea 43 9 lactams lactam NNS cord-354664-mzzvmyea 43 10 in in IN cord-354664-mzzvmyea 43 11 combination combination NN cord-354664-mzzvmyea 43 12 with with IN cord-354664-mzzvmyea 43 13 macrolides macrolide NNS cord-354664-mzzvmyea 43 14 in in IN cord-354664-mzzvmyea 43 15 current current JJ cord-354664-mzzvmyea 43 16 clinical clinical JJ cord-354664-mzzvmyea 43 17 practice practice NN cord-354664-mzzvmyea 43 18 guidelines guideline NNS cord-354664-mzzvmyea 43 19 are be VBP cord-354664-mzzvmyea 43 20 variable variable JJ cord-354664-mzzvmyea 43 21 and and CC cord-354664-mzzvmyea 43 22 based base VBN cord-354664-mzzvmyea 43 23 on on IN cord-354664-mzzvmyea 43 24 relatively relatively RB cord-354664-mzzvmyea 43 25 low low JJ cord-354664-mzzvmyea 43 26 quality quality NN cord-354664-mzzvmyea 43 27 evidence evidence NN cord-354664-mzzvmyea 43 28 that that WDT cord-354664-mzzvmyea 43 29 is be VBZ cord-354664-mzzvmyea 43 30 frequently frequently RB cord-354664-mzzvmyea 43 31 retrospective retrospective JJ cord-354664-mzzvmyea 43 32 , , , cord-354664-mzzvmyea 43 33 observational observational JJ cord-354664-mzzvmyea 43 34 , , , cord-354664-mzzvmyea 43 35 and and CC cord-354664-mzzvmyea 43 36 heterogeneous heterogeneous JJ cord-354664-mzzvmyea 43 37 in in IN cord-354664-mzzvmyea 43 38 nature nature NN cord-354664-mzzvmyea 43 39 . . . cord-354664-mzzvmyea 44 1 Last last JJ cord-354664-mzzvmyea 44 2 updated update VBN cord-354664-mzzvmyea 44 3 in in IN cord-354664-mzzvmyea 44 4 2007 2007 CD cord-354664-mzzvmyea 44 5 , , , cord-354664-mzzvmyea 44 6 the the DT cord-354664-mzzvmyea 44 7 joint joint JJ cord-354664-mzzvmyea 44 8 Infectious Infectious NNP cord-354664-mzzvmyea 44 9 Disease Disease NNP cord-354664-mzzvmyea 44 10 Society Society NNP cord-354664-mzzvmyea 44 11 of of IN cord-354664-mzzvmyea 44 12 America America NNP cord-354664-mzzvmyea 44 13 ( ( -LRB- cord-354664-mzzvmyea 44 14 IDSA)/American IDSA)/American NNP cord-354664-mzzvmyea 44 15 Thoracic Thoracic NNP cord-354664-mzzvmyea 44 16 Society Society NNP cord-354664-mzzvmyea 44 17 ( ( -LRB- cord-354664-mzzvmyea 44 18 ATS ATS NNP cord-354664-mzzvmyea 44 19 ) ) -RRB- cord-354664-mzzvmyea 44 20 guidelines guideline NNS cord-354664-mzzvmyea 44 21 for for IN cord-354664-mzzvmyea 44 22 CAP cap NN cord-354664-mzzvmyea 44 23 recommend recommend VBP cord-354664-mzzvmyea 44 24 empiric empiric JJ cord-354664-mzzvmyea 44 25 combination combination NN cord-354664-mzzvmyea 44 26 therapy therapy NN cord-354664-mzzvmyea 44 27 with with IN cord-354664-mzzvmyea 44 28 a a DT cord-354664-mzzvmyea 44 29 beta beta NN cord-354664-mzzvmyea 44 30 - - HYPH cord-354664-mzzvmyea 44 31 lactam lactam NNS cord-354664-mzzvmyea 44 32 plus plus CC cord-354664-mzzvmyea 44 33 macrolide macrolide NN cord-354664-mzzvmyea 44 34 or or CC cord-354664-mzzvmyea 44 35 monotherapy monotherapy NN cord-354664-mzzvmyea 44 36 with with IN cord-354664-mzzvmyea 44 37 a a DT cord-354664-mzzvmyea 44 38 respiratory respiratory JJ cord-354664-mzzvmyea 44 39 fluoroquinolone fluoroquinolone NN cord-354664-mzzvmyea 44 40 ( ( -LRB- cord-354664-mzzvmyea 44 41 e.g. e.g. RB cord-354664-mzzvmyea 44 42 , , , cord-354664-mzzvmyea 44 43 moxifloxacin moxifloxacin NNS cord-354664-mzzvmyea 44 44 ) ) -RRB- cord-354664-mzzvmyea 44 45 for for IN cord-354664-mzzvmyea 44 46 adult adult NN cord-354664-mzzvmyea 44 47 patients patient NNS cord-354664-mzzvmyea 44 48 hospitalized hospitalize VBN cord-354664-mzzvmyea 44 49 with with IN cord-354664-mzzvmyea 44 50 CAP CAP NNP cord-354664-mzzvmyea 44 51 in in IN cord-354664-mzzvmyea 44 52 a a DT cord-354664-mzzvmyea 44 53 non non JJ cord-354664-mzzvmyea 44 54 - - JJ cord-354664-mzzvmyea 44 55 ICU icu JJ cord-354664-mzzvmyea 44 56 setting set VBG cord-354664-mzzvmyea 44 57 [ [ -LRB- cord-354664-mzzvmyea 44 58 21 21 CD cord-354664-mzzvmyea 44 59 ] ] -RRB- cord-354664-mzzvmyea 44 60 . . . cord-354664-mzzvmyea 45 1 Combination combination NN cord-354664-mzzvmyea 45 2 therapy therapy NN cord-354664-mzzvmyea 45 3 is be VBZ cord-354664-mzzvmyea 45 4 recommended recommend VBN cord-354664-mzzvmyea 45 5 for for IN cord-354664-mzzvmyea 45 6 all all DT cord-354664-mzzvmyea 45 7 patients patient NNS cord-354664-mzzvmyea 45 8 with with IN cord-354664-mzzvmyea 45 9 severe severe JJ cord-354664-mzzvmyea 45 10 CAP cap NN cord-354664-mzzvmyea 45 11 ( ( -LRB- cord-354664-mzzvmyea 45 12 inpatient inpatient JJ cord-354664-mzzvmyea 45 13 ICU ICU NNP cord-354664-mzzvmyea 45 14 ) ) -RRB- cord-354664-mzzvmyea 45 15 . . . cord-354664-mzzvmyea 46 1 In in IN cord-354664-mzzvmyea 46 2 contrast contrast NN cord-354664-mzzvmyea 46 3 , , , cord-354664-mzzvmyea 46 4 guidelines guideline NNS cord-354664-mzzvmyea 46 5 published publish VBN cord-354664-mzzvmyea 46 6 by by IN cord-354664-mzzvmyea 46 7 the the DT cord-354664-mzzvmyea 46 8 British British NNP cord-354664-mzzvmyea 46 9 Thoracic Thoracic NNP cord-354664-mzzvmyea 46 10 Society Society NNP cord-354664-mzzvmyea 46 11 ( ( -LRB- cord-354664-mzzvmyea 46 12 BTS BTS NNP cord-354664-mzzvmyea 46 13 , , , cord-354664-mzzvmyea 46 14 2009 2009 CD cord-354664-mzzvmyea 46 15 ) ) -RRB- cord-354664-mzzvmyea 46 16 and and CC cord-354664-mzzvmyea 46 17 National National NNP cord-354664-mzzvmyea 46 18 Institute Institute NNP cord-354664-mzzvmyea 46 19 for for IN cord-354664-mzzvmyea 46 20 Health Health NNP cord-354664-mzzvmyea 46 21 and and CC cord-354664-mzzvmyea 46 22 Care Care NNP cord-354664-mzzvmyea 46 23 Excellence Excellence NNP cord-354664-mzzvmyea 46 24 ( ( -LRB- cord-354664-mzzvmyea 46 25 NICE nice JJ cord-354664-mzzvmyea 46 26 , , , cord-354664-mzzvmyea 46 27 2014 2014 CD cord-354664-mzzvmyea 46 28 ) ) -RRB- cord-354664-mzzvmyea 46 29 recommend recommend VB cord-354664-mzzvmyea 46 30 beta beta NN cord-354664-mzzvmyea 46 31 - - HYPH cord-354664-mzzvmyea 46 32 lactam lactam NN cord-354664-mzzvmyea 46 33 monotherapy monotherapy NN cord-354664-mzzvmyea 46 34 for for IN cord-354664-mzzvmyea 46 35 lowseverity lowseverity NNP cord-354664-mzzvmyea 46 36 CAP CAP NNP cord-354664-mzzvmyea 46 37 with with IN cord-354664-mzzvmyea 46 38 consideration consideration NN cord-354664-mzzvmyea 46 39 of of IN cord-354664-mzzvmyea 46 40 combination combination NN cord-354664-mzzvmyea 46 41 therapy therapy NN cord-354664-mzzvmyea 46 42 only only RB cord-354664-mzzvmyea 46 43 in in IN cord-354664-mzzvmyea 46 44 moderate moderate JJ cord-354664-mzzvmyea 46 45 to to IN cord-354664-mzzvmyea 46 46 severe severe JJ cord-354664-mzzvmyea 46 47 CAP cap NN cord-354664-mzzvmyea 46 48 [ [ -LRB- cord-354664-mzzvmyea 46 49 22 22 CD cord-354664-mzzvmyea 46 50 , , , cord-354664-mzzvmyea 46 51 23 23 CD cord-354664-mzzvmyea 46 52 ] ] -RRB- cord-354664-mzzvmyea 46 53 . . . cord-354664-mzzvmyea 47 1 The the DT cord-354664-mzzvmyea 47 2 body body NN cord-354664-mzzvmyea 47 3 of of IN cord-354664-mzzvmyea 47 4 evidence evidence NN cord-354664-mzzvmyea 47 5 used use VBN cord-354664-mzzvmyea 47 6 to to TO cord-354664-mzzvmyea 47 7 support support VB cord-354664-mzzvmyea 47 8 current current JJ cord-354664-mzzvmyea 47 9 IDSA IDSA NNP cord-354664-mzzvmyea 47 10 / / SYM cord-354664-mzzvmyea 47 11 ATS ATS NNP cord-354664-mzzvmyea 47 12 guideline guideline NN cord-354664-mzzvmyea 47 13 recommendations recommendation NNS cord-354664-mzzvmyea 47 14 that that WDT cord-354664-mzzvmyea 47 15 advocate advocate VBP cord-354664-mzzvmyea 47 16 for for IN cord-354664-mzzvmyea 47 17 combination combination NN cord-354664-mzzvmyea 47 18 therapy therapy NN cord-354664-mzzvmyea 47 19 with with IN cord-354664-mzzvmyea 47 20 a a DT cord-354664-mzzvmyea 47 21 beta beta NN cord-354664-mzzvmyea 47 22 - - HYPH cord-354664-mzzvmyea 47 23 lactam lactam NNS cord-354664-mzzvmyea 47 24 plus plus CC cord-354664-mzzvmyea 47 25 macrolide macrolide NN cord-354664-mzzvmyea 47 26 in in IN cord-354664-mzzvmyea 47 27 the the DT cord-354664-mzzvmyea 47 28 management management NN cord-354664-mzzvmyea 47 29 of of IN cord-354664-mzzvmyea 47 30 hospitalized hospitalize VBN cord-354664-mzzvmyea 47 31 adult adult NN cord-354664-mzzvmyea 47 32 patients patient NNS cord-354664-mzzvmyea 47 33 with with IN cord-354664-mzzvmyea 47 34 CAP cap NN cord-354664-mzzvmyea 47 35 originates originate VBZ cord-354664-mzzvmyea 47 36 from from IN cord-354664-mzzvmyea 47 37 a a DT cord-354664-mzzvmyea 47 38 series series NN cord-354664-mzzvmyea 47 39 of of IN cord-354664-mzzvmyea 47 40 large large JJ cord-354664-mzzvmyea 47 41 , , , cord-354664-mzzvmyea 47 42 retrospective retrospective JJ cord-354664-mzzvmyea 47 43 cohort cohort NN cord-354664-mzzvmyea 47 44 studies study NNS cord-354664-mzzvmyea 47 45 that that WDT cord-354664-mzzvmyea 47 46 showed show VBD cord-354664-mzzvmyea 47 47 improved improved JJ cord-354664-mzzvmyea 47 48 clinical clinical JJ cord-354664-mzzvmyea 47 49 outcomes outcome NNS cord-354664-mzzvmyea 47 50 in in IN cord-354664-mzzvmyea 47 51 patients patient NNS cord-354664-mzzvmyea 47 52 treated treat VBN cord-354664-mzzvmyea 47 53 with with IN cord-354664-mzzvmyea 47 54 combination combination NN cord-354664-mzzvmyea 47 55 therapy therapy NN cord-354664-mzzvmyea 47 56 . . . cord-354664-mzzvmyea 48 1 Gleason Gleason NNP cord-354664-mzzvmyea 48 2 et et NNP cord-354664-mzzvmyea 48 3 al al NNP cord-354664-mzzvmyea 48 4 . . NNP cord-354664-mzzvmyea 48 5 evaluated evaluate VBD cord-354664-mzzvmyea 48 6 the the DT cord-354664-mzzvmyea 48 7 relationship relationship NN cord-354664-mzzvmyea 48 8 between between IN cord-354664-mzzvmyea 48 9 initial initial JJ cord-354664-mzzvmyea 48 10 antimicrobial antimicrobial JJ cord-354664-mzzvmyea 48 11 therapy therapy NN cord-354664-mzzvmyea 48 12 and and CC cord-354664-mzzvmyea 48 13 clinical clinical JJ cord-354664-mzzvmyea 48 14 outcomes outcome NNS cord-354664-mzzvmyea 48 15 in in IN cord-354664-mzzvmyea 48 16 a a DT cord-354664-mzzvmyea 48 17 retrospective retrospective JJ cord-354664-mzzvmyea 48 18 cohort cohort NN cord-354664-mzzvmyea 48 19 of of IN cord-354664-mzzvmyea 48 20 12,945 12,945 CD cord-354664-mzzvmyea 48 21 Medicare Medicare NNP cord-354664-mzzvmyea 48 22 patients patient NNS cord-354664-mzzvmyea 48 23 hospitalized hospitalize VBN cord-354664-mzzvmyea 48 24 with with IN cord-354664-mzzvmyea 48 25 pneumonia pneumonia NN cord-354664-mzzvmyea 48 26 [ [ -LRB- cord-354664-mzzvmyea 48 27 24 24 CD cord-354664-mzzvmyea 48 28 ] ] -RRB- cord-354664-mzzvmyea 48 29 . . . cord-354664-mzzvmyea 49 1 Thirty thirty CD cord-354664-mzzvmyea 49 2 - - HYPH cord-354664-mzzvmyea 49 3 day day NN cord-354664-mzzvmyea 49 4 mortality mortality NN cord-354664-mzzvmyea 49 5 was be VBD cord-354664-mzzvmyea 49 6 lower low JJR cord-354664-mzzvmyea 49 7 when when WRB cord-354664-mzzvmyea 49 8 a a DT cord-354664-mzzvmyea 49 9 macrolide macrolide NN cord-354664-mzzvmyea 49 10 was be VBD cord-354664-mzzvmyea 49 11 combined combine VBN cord-354664-mzzvmyea 49 12 with with IN cord-354664-mzzvmyea 49 13 a a DT cord-354664-mzzvmyea 49 14 second second JJ cord-354664-mzzvmyea 49 15 - - HYPH cord-354664-mzzvmyea 49 16 generation generation NN cord-354664-mzzvmyea 49 17 cephalosporin cephalosporin NN cord-354664-mzzvmyea 49 18 ( ( -LRB- cord-354664-mzzvmyea 49 19 HR HR NNP cord-354664-mzzvmyea 49 20 , , , cord-354664-mzzvmyea 49 21 0.71 0.71 CD cord-354664-mzzvmyea 49 22 ; ; : cord-354664-mzzvmyea 49 23 95 95 CD cord-354664-mzzvmyea 49 24 % % NN cord-354664-mzzvmyea 49 25 CI CI NNP cord-354664-mzzvmyea 49 26 , , , cord-354664-mzzvmyea 49 27 0.52 0.52 CD cord-354664-mzzvmyea 49 28 - - SYM cord-354664-mzzvmyea 49 29 0.96 0.96 CD cord-354664-mzzvmyea 49 30 ) ) -RRB- cord-354664-mzzvmyea 49 31 or or CC cord-354664-mzzvmyea 49 32 third third JJ cord-354664-mzzvmyea 49 33 - - HYPH cord-354664-mzzvmyea 49 34 generation generation NN cord-354664-mzzvmyea 49 35 cephalosporin cephalosporin NN cord-354664-mzzvmyea 49 36 ( ( -LRB- cord-354664-mzzvmyea 49 37 HR hr NN cord-354664-mzzvmyea 49 38 , , , cord-354664-mzzvmyea 49 39 0.74 0.74 CD cord-354664-mzzvmyea 49 40 ; ; : cord-354664-mzzvmyea 49 41 95 95 CD cord-354664-mzzvmyea 49 42 % % NN cord-354664-mzzvmyea 49 43 CI CI NNP cord-354664-mzzvmyea 49 44 , , , cord-354664-mzzvmyea 49 45 0.60 0.60 CD cord-354664-mzzvmyea 49 46 - - HYPH cord-354664-mzzvmyea 49 47 0.92 0.92 CD cord-354664-mzzvmyea 49 48 ) ) -RRB- cord-354664-mzzvmyea 49 49 compared compare VBN cord-354664-mzzvmyea 49 50 to to IN cord-354664-mzzvmyea 49 51 conventional conventional JJ cord-354664-mzzvmyea 49 52 beta beta NN cord-354664-mzzvmyea 49 53 - - HYPH cord-354664-mzzvmyea 49 54 lactam lactam NN cord-354664-mzzvmyea 49 55 monotherapy monotherapy NN cord-354664-mzzvmyea 49 56 . . . cord-354664-mzzvmyea 50 1 Houck Houck NNP cord-354664-mzzvmyea 50 2 et et NNP cord-354664-mzzvmyea 50 3 al al NNP cord-354664-mzzvmyea 50 4 . . . cord-354664-mzzvmyea 51 1 similarly similarly RB cord-354664-mzzvmyea 51 2 evaluated evaluate VBD cord-354664-mzzvmyea 51 3 a a DT cord-354664-mzzvmyea 51 4 retrospective retrospective JJ cord-354664-mzzvmyea 51 5 cohort cohort NN cord-354664-mzzvmyea 51 6 of of IN cord-354664-mzzvmyea 51 7 Medicare Medicare NNP cord-354664-mzzvmyea 51 8 patients patient NNS cord-354664-mzzvmyea 51 9 hospitalized hospitalize VBN cord-354664-mzzvmyea 51 10 with with IN cord-354664-mzzvmyea 51 11 pneumonia pneumonia NN cord-354664-mzzvmyea 51 12 in in IN cord-354664-mzzvmyea 51 13 10 10 CD cord-354664-mzzvmyea 51 14 western western JJ cord-354664-mzzvmyea 51 15 states state NNS cord-354664-mzzvmyea 51 16 during during IN cord-354664-mzzvmyea 51 17 the the DT cord-354664-mzzvmyea 51 18 years year NNS cord-354664-mzzvmyea 51 19 1993 1993 CD cord-354664-mzzvmyea 51 20 , , , cord-354664-mzzvmyea 51 21 1995 1995 CD cord-354664-mzzvmyea 51 22 , , , cord-354664-mzzvmyea 51 23 and and CC cord-354664-mzzvmyea 51 24 1997 1997 CD cord-354664-mzzvmyea 51 25 [ [ -LRB- cord-354664-mzzvmyea 51 26 25 25 CD cord-354664-mzzvmyea 51 27 ] ] -RRB- cord-354664-mzzvmyea 51 28 . . . cord-354664-mzzvmyea 52 1 Therapy therapy NN cord-354664-mzzvmyea 52 2 with with IN cord-354664-mzzvmyea 52 3 a a DT cord-354664-mzzvmyea 52 4 macrolide macrolide NN cord-354664-mzzvmyea 52 5 in in IN cord-354664-mzzvmyea 52 6 combination combination NN cord-354664-mzzvmyea 52 7 with with IN cord-354664-mzzvmyea 52 8 a a DT cord-354664-mzzvmyea 52 9 beta beta NN cord-354664-mzzvmyea 52 10 - - HYPH cord-354664-mzzvmyea 52 11 lactam lactam NN cord-354664-mzzvmyea 52 12 was be VBD cord-354664-mzzvmyea 52 13 associated associate VBN cord-354664-mzzvmyea 52 14 with with IN cord-354664-mzzvmyea 52 15 a a DT cord-354664-mzzvmyea 52 16 significant significant JJ cord-354664-mzzvmyea 52 17 reduction reduction NN cord-354664-mzzvmyea 52 18 in in IN cord-354664-mzzvmyea 52 19 mortality mortality NN cord-354664-mzzvmyea 52 20 ( ( -LRB- cord-354664-mzzvmyea 52 21 aOR aor NN cord-354664-mzzvmyea 52 22 , , , cord-354664-mzzvmyea 52 23 0.42 0.42 CD cord-354664-mzzvmyea 52 24 ; ; : cord-354664-mzzvmyea 52 25 95 95 CD cord-354664-mzzvmyea 52 26 % % NN cord-354664-mzzvmyea 52 27 CI ci NN cord-354664-mzzvmyea 52 28 , , , cord-354664-mzzvmyea 52 29 0.25 0.25 CD cord-354664-mzzvmyea 52 30 - - SYM cord-354664-mzzvmyea 52 31 0.69 0.69 CD cord-354664-mzzvmyea 52 32 ) ) -RRB- cord-354664-mzzvmyea 52 33 in in IN cord-354664-mzzvmyea 52 34 1993 1993 CD cord-354664-mzzvmyea 52 35 but but CC cord-354664-mzzvmyea 52 36 this this DT cord-354664-mzzvmyea 52 37 effect effect NN cord-354664-mzzvmyea 52 38 was be VBD cord-354664-mzzvmyea 52 39 not not RB cord-354664-mzzvmyea 52 40 observed observe VBN cord-354664-mzzvmyea 52 41 during during IN cord-354664-mzzvmyea 52 42 the the DT cord-354664-mzzvmyea 52 43 other other JJ cord-354664-mzzvmyea 52 44 years year NNS cord-354664-mzzvmyea 52 45 of of IN cord-354664-mzzvmyea 52 46 study study NN cord-354664-mzzvmyea 52 47 . . . cord-354664-mzzvmyea 53 1 Dudas Dudas NNP cord-354664-mzzvmyea 53 2 et et NNP cord-354664-mzzvmyea 53 3 al al NNP cord-354664-mzzvmyea 53 4 . . . cord-354664-mzzvmyea 54 1 subsequently subsequently RB cord-354664-mzzvmyea 54 2 performed perform VBD cord-354664-mzzvmyea 54 3 a a DT cord-354664-mzzvmyea 54 4 prospective prospective JJ cord-354664-mzzvmyea 54 5 , , , cord-354664-mzzvmyea 54 6 observational observational JJ cord-354664-mzzvmyea 54 7 cohort cohort NN cord-354664-mzzvmyea 54 8 study study NN cord-354664-mzzvmyea 54 9 at at IN cord-354664-mzzvmyea 54 10 72 72 CD cord-354664-mzzvmyea 54 11 community community NN cord-354664-mzzvmyea 54 12 hospitals hospital NNS cord-354664-mzzvmyea 54 13 to to TO cord-354664-mzzvmyea 54 14 evaluate evaluate VB cord-354664-mzzvmyea 54 15 compliance compliance NN cord-354664-mzzvmyea 54 16 with with IN cord-354664-mzzvmyea 54 17 ATS ATS NNP cord-354664-mzzvmyea 54 18 guidelines guideline NNS cord-354664-mzzvmyea 54 19 in in IN cord-354664-mzzvmyea 54 20 patients patient NNS cord-354664-mzzvmyea 54 21 with with IN cord-354664-mzzvmyea 54 22 non non JJ cord-354664-mzzvmyea 54 23 - - JJ cord-354664-mzzvmyea 54 24 severe severe JJ cord-354664-mzzvmyea 54 25 community community NN cord-354664-mzzvmyea 54 26 - - HYPH cord-354664-mzzvmyea 54 27 acquired acquire VBN cord-354664-mzzvmyea 54 28 pneumonia pneumonia NN cord-354664-mzzvmyea 54 29 and and CC cord-354664-mzzvmyea 54 30 compared compare VBN cord-354664-mzzvmyea 54 31 outcomes outcome NNS cord-354664-mzzvmyea 54 32 between between IN cord-354664-mzzvmyea 54 33 patients patient NNS cord-354664-mzzvmyea 54 34 administered administer VBD cord-354664-mzzvmyea 54 35 varying vary VBG cord-354664-mzzvmyea 54 36 combinations combination NNS cord-354664-mzzvmyea 54 37 of of IN cord-354664-mzzvmyea 54 38 antimicrobials antimicrobial NNS cord-354664-mzzvmyea 54 39 [ [ -LRB- cord-354664-mzzvmyea 54 40 26 26 CD cord-354664-mzzvmyea 54 41 ] ] -RRB- cord-354664-mzzvmyea 54 42 . . . cord-354664-mzzvmyea 55 1 Compliance compliance NN cord-354664-mzzvmyea 55 2 with with IN cord-354664-mzzvmyea 55 3 ATS ATS NNP cord-354664-mzzvmyea 55 4 guidelines guideline NNS cord-354664-mzzvmyea 55 5 was be VBD cord-354664-mzzvmyea 55 6 found find VBN cord-354664-mzzvmyea 55 7 to to TO cord-354664-mzzvmyea 55 8 be be VB cord-354664-mzzvmyea 55 9 81 81 CD cord-354664-mzzvmyea 55 10 % % NN cord-354664-mzzvmyea 55 11 and and CC cord-354664-mzzvmyea 55 12 the the DT cord-354664-mzzvmyea 55 13 addition addition NN cord-354664-mzzvmyea 55 14 of of IN cord-354664-mzzvmyea 55 15 a a DT cord-354664-mzzvmyea 55 16 macrolide macrolide NN cord-354664-mzzvmyea 55 17 to to IN cord-354664-mzzvmyea 55 18 a a DT cord-354664-mzzvmyea 55 19 beta beta NN cord-354664-mzzvmyea 55 20 - - HYPH cord-354664-mzzvmyea 55 21 lactam lactam NN cord-354664-mzzvmyea 55 22 was be VBD cord-354664-mzzvmyea 55 23 associated associate VBN cord-354664-mzzvmyea 55 24 with with IN cord-354664-mzzvmyea 55 25 decreased decrease VBN cord-354664-mzzvmyea 55 26 mortality mortality NN cord-354664-mzzvmyea 55 27 and and CC cord-354664-mzzvmyea 55 28 reduced reduce VBN cord-354664-mzzvmyea 55 29 length length NN cord-354664-mzzvmyea 55 30 of of IN cord-354664-mzzvmyea 55 31 hospital hospital NN cord-354664-mzzvmyea 55 32 stay stay NN cord-354664-mzzvmyea 55 33 . . . cord-354664-mzzvmyea 56 1 Brown Brown NNP cord-354664-mzzvmyea 56 2 et et NNP cord-354664-mzzvmyea 56 3 al al NNP cord-354664-mzzvmyea 56 4 . . . cord-354664-mzzvmyea 57 1 further further RB cord-354664-mzzvmyea 57 2 reinforced reinforce VBD cord-354664-mzzvmyea 57 3 these these DT cord-354664-mzzvmyea 57 4 findings finding NNS cord-354664-mzzvmyea 57 5 by by IN cord-354664-mzzvmyea 57 6 evaluating evaluate VBG cord-354664-mzzvmyea 57 7 a a DT cord-354664-mzzvmyea 57 8 retrospective retrospective JJ cord-354664-mzzvmyea 57 9 cohort cohort NN cord-354664-mzzvmyea 57 10 of of IN cord-354664-mzzvmyea 57 11 44,814 44,814 CD cord-354664-mzzvmyea 57 12 patients patient NNS cord-354664-mzzvmyea 57 13 in in IN cord-354664-mzzvmyea 57 14 a a DT cord-354664-mzzvmyea 57 15 hospital hospital NN cord-354664-mzzvmyea 57 16 claims claim NNS cord-354664-mzzvmyea 57 17 database database NN cord-354664-mzzvmyea 57 18 [ [ -LRB- cord-354664-mzzvmyea 57 19 27 27 CD cord-354664-mzzvmyea 57 20 ] ] -RRB- cord-354664-mzzvmyea 57 21 . . . cord-354664-mzzvmyea 58 1 In in IN cord-354664-mzzvmyea 58 2 this this DT cord-354664-mzzvmyea 58 3 cohort cohort NN cord-354664-mzzvmyea 58 4 , , , cord-354664-mzzvmyea 58 5 macrolide macrolide NN cord-354664-mzzvmyea 58 6 combination combination NN cord-354664-mzzvmyea 58 7 therapy therapy NN cord-354664-mzzvmyea 58 8 was be VBD cord-354664-mzzvmyea 58 9 associated associate VBN cord-354664-mzzvmyea 58 10 with with IN cord-354664-mzzvmyea 58 11 decreased decrease VBN cord-354664-mzzvmyea 58 12 mortality mortality NN cord-354664-mzzvmyea 58 13 , , , cord-354664-mzzvmyea 58 14 length length NN cord-354664-mzzvmyea 58 15 of of IN cord-354664-mzzvmyea 58 16 hospital hospital NN cord-354664-mzzvmyea 58 17 stay stay NN cord-354664-mzzvmyea 58 18 , , , cord-354664-mzzvmyea 58 19 and and CC cord-354664-mzzvmyea 58 20 healthcare healthcare NN cord-354664-mzzvmyea 58 21 - - HYPH cord-354664-mzzvmyea 58 22 associated associate VBN cord-354664-mzzvmyea 58 23 costs cost NNS cord-354664-mzzvmyea 58 24 overall overall RB cord-354664-mzzvmyea 58 25 . . . cord-354664-mzzvmyea 59 1 Based base VBN cord-354664-mzzvmyea 59 2 on on IN cord-354664-mzzvmyea 59 3 the the DT cord-354664-mzzvmyea 59 4 findings finding NNS cord-354664-mzzvmyea 59 5 of of IN cord-354664-mzzvmyea 59 6 these these DT cord-354664-mzzvmyea 59 7 large large JJ cord-354664-mzzvmyea 59 8 observational observational JJ cord-354664-mzzvmyea 59 9 studies study NNS cord-354664-mzzvmyea 59 10 , , , cord-354664-mzzvmyea 59 11 many many JJ cord-354664-mzzvmyea 59 12 clinical clinical JJ cord-354664-mzzvmyea 59 13 practice practice NN cord-354664-mzzvmyea 59 14 guidelines guideline NNS cord-354664-mzzvmyea 59 15 recommend recommend VBP cord-354664-mzzvmyea 59 16 combination combination NN cord-354664-mzzvmyea 59 17 therapy therapy NN cord-354664-mzzvmyea 59 18 with with IN cord-354664-mzzvmyea 59 19 a a DT cord-354664-mzzvmyea 59 20 beta beta NN cord-354664-mzzvmyea 59 21 - - HYPH cord-354664-mzzvmyea 59 22 lactam lactam NNS cord-354664-mzzvmyea 59 23 plus plus CC cord-354664-mzzvmyea 59 24 macrolide macrolide NN cord-354664-mzzvmyea 59 25 or or CC cord-354664-mzzvmyea 59 26 monotherapy monotherapy NN cord-354664-mzzvmyea 59 27 with with IN cord-354664-mzzvmyea 59 28 a a DT cord-354664-mzzvmyea 59 29 respiratory respiratory JJ cord-354664-mzzvmyea 59 30 fluoroquinolone fluoroquinolone NN cord-354664-mzzvmyea 59 31 as as IN cord-354664-mzzvmyea 59 32 first first JJ cord-354664-mzzvmyea 59 33 - - HYPH cord-354664-mzzvmyea 59 34 line line NN cord-354664-mzzvmyea 59 35 therapy therapy NN cord-354664-mzzvmyea 59 36 for for IN cord-354664-mzzvmyea 59 37 hospitalized hospitalize VBN cord-354664-mzzvmyea 59 38 adult adult NN cord-354664-mzzvmyea 59 39 patients patient NNS cord-354664-mzzvmyea 59 40 with with IN cord-354664-mzzvmyea 59 41 CAP CAP NNP cord-354664-mzzvmyea 59 42 . . . cord-354664-mzzvmyea 60 1 However however RB cord-354664-mzzvmyea 60 2 , , , cord-354664-mzzvmyea 60 3 this this DT cord-354664-mzzvmyea 60 4 recommendation recommendation NN cord-354664-mzzvmyea 60 5 for for IN cord-354664-mzzvmyea 60 6 routine routine JJ cord-354664-mzzvmyea 60 7 combination combination NN cord-354664-mzzvmyea 60 8 therapy therapy NN cord-354664-mzzvmyea 60 9 for for IN cord-354664-mzzvmyea 60 10 the the DT cord-354664-mzzvmyea 60 11 management management NN cord-354664-mzzvmyea 60 12 of of IN cord-354664-mzzvmyea 60 13 CAP CAP NNP cord-354664-mzzvmyea 60 14 has have VBZ cord-354664-mzzvmyea 60 15 remained remain VBN cord-354664-mzzvmyea 60 16 a a DT cord-354664-mzzvmyea 60 17 contentious contentious JJ cord-354664-mzzvmyea 60 18 issue issue NN cord-354664-mzzvmyea 60 19 . . . cord-354664-mzzvmyea 61 1 Despite despite IN cord-354664-mzzvmyea 61 2 the the DT cord-354664-mzzvmyea 61 3 body body NN cord-354664-mzzvmyea 61 4 of of IN cord-354664-mzzvmyea 61 5 ( ( -LRB- cord-354664-mzzvmyea 61 6 predominantly predominantly RB cord-354664-mzzvmyea 61 7 retrospective retrospective JJ cord-354664-mzzvmyea 61 8 , , , cord-354664-mzzvmyea 61 9 observational observational JJ cord-354664-mzzvmyea 61 10 ) ) -RRB- cord-354664-mzzvmyea 61 11 evidence evidence NN cord-354664-mzzvmyea 61 12 that that WDT cord-354664-mzzvmyea 61 13 demonstrates demonstrate VBZ cord-354664-mzzvmyea 61 14 improved improve VBN cord-354664-mzzvmyea 61 15 clinical clinical JJ cord-354664-mzzvmyea 61 16 outcomes outcome NNS cord-354664-mzzvmyea 61 17 , , , cord-354664-mzzvmyea 61 18 many many JJ cord-354664-mzzvmyea 61 19 clinicians clinician NNS cord-354664-mzzvmyea 61 20 regard regard VBP cord-354664-mzzvmyea 61 21 this this DT cord-354664-mzzvmyea 61 22 evidence evidence NN cord-354664-mzzvmyea 61 23 ( ( -LRB- cord-354664-mzzvmyea 61 24 which which WDT cord-354664-mzzvmyea 61 25 grounds ground VBZ cord-354664-mzzvmyea 61 26 guideline guideline NN cord-354664-mzzvmyea 61 27 recommendations recommendation NNS cord-354664-mzzvmyea 61 28 ) ) -RRB- cord-354664-mzzvmyea 61 29 to to TO cord-354664-mzzvmyea 61 30 be be VB cord-354664-mzzvmyea 61 31 low low JJ cord-354664-mzzvmyea 61 32 quality quality NN cord-354664-mzzvmyea 61 33 and and CC cord-354664-mzzvmyea 61 34 have have VBP cord-354664-mzzvmyea 61 35 called call VBN cord-354664-mzzvmyea 61 36 for for IN cord-354664-mzzvmyea 61 37 further further JJ cord-354664-mzzvmyea 61 38 prospective prospective JJ cord-354664-mzzvmyea 61 39 , , , cord-354664-mzzvmyea 61 40 randomized randomized JJ cord-354664-mzzvmyea 61 41 - - HYPH cord-354664-mzzvmyea 61 42 controlled control VBN cord-354664-mzzvmyea 61 43 trials trial NNS cord-354664-mzzvmyea 61 44 to to TO cord-354664-mzzvmyea 61 45 address address VB cord-354664-mzzvmyea 61 46 this this DT cord-354664-mzzvmyea 61 47 question question NN cord-354664-mzzvmyea 61 48 . . . cord-354664-mzzvmyea 62 1 The the DT cord-354664-mzzvmyea 62 2 routine routine JJ cord-354664-mzzvmyea 62 3 use use NN cord-354664-mzzvmyea 62 4 of of IN cord-354664-mzzvmyea 62 5 macrolides macrolide NNS cord-354664-mzzvmyea 62 6 in in IN cord-354664-mzzvmyea 62 7 hospitalized hospitalize VBN cord-354664-mzzvmyea 62 8 adults adult NNS cord-354664-mzzvmyea 62 9 to to TO cord-354664-mzzvmyea 62 10 augment augment VB cord-354664-mzzvmyea 62 11 the the DT cord-354664-mzzvmyea 62 12 spectrum spectrum NN cord-354664-mzzvmyea 62 13 of of IN cord-354664-mzzvmyea 62 14 antimicrobial antimicrobial JJ cord-354664-mzzvmyea 62 15 coverage coverage NN cord-354664-mzzvmyea 62 16 in in IN cord-354664-mzzvmyea 62 17 mild mild JJ cord-354664-mzzvmyea 62 18 to to IN cord-354664-mzzvmyea 62 19 moderate moderate JJ cord-354664-mzzvmyea 62 20 CAP cap NN cord-354664-mzzvmyea 62 21 patients patient NNS cord-354664-mzzvmyea 62 22 to to TO cord-354664-mzzvmyea 62 23 include include VB cord-354664-mzzvmyea 62 24 atypical atypical JJ cord-354664-mzzvmyea 62 25 pathogens pathogen NNS cord-354664-mzzvmyea 62 26 has have VBZ cord-354664-mzzvmyea 62 27 been be VBN cord-354664-mzzvmyea 62 28 questioned question VBN cord-354664-mzzvmyea 62 29 owing owe VBG cord-354664-mzzvmyea 62 30 to to IN cord-354664-mzzvmyea 62 31 the the DT cord-354664-mzzvmyea 62 32 infrequent infrequent JJ cord-354664-mzzvmyea 62 33 identification identification NN cord-354664-mzzvmyea 62 34 of of IN cord-354664-mzzvmyea 62 35 these these DT cord-354664-mzzvmyea 62 36 pathogens pathogen NNS cord-354664-mzzvmyea 62 37 . . . cord-354664-mzzvmyea 63 1 M. M. NNP cord-354664-mzzvmyea 63 2 pneumoniae pneumoniae NN cord-354664-mzzvmyea 63 3 and and CC cord-354664-mzzvmyea 63 4 C. C. NNP cord-354664-mzzvmyea 63 5 pneumoniae pneumoniae NNS cord-354664-mzzvmyea 63 6 are be VBP cord-354664-mzzvmyea 63 7 also also RB cord-354664-mzzvmyea 63 8 specifically specifically RB cord-354664-mzzvmyea 63 9 known know VBN cord-354664-mzzvmyea 63 10 for for IN cord-354664-mzzvmyea 63 11 producing produce VBG cord-354664-mzzvmyea 63 12 relatively relatively RB cord-354664-mzzvmyea 63 13 mild mild JJ cord-354664-mzzvmyea 63 14 illness illness NN cord-354664-mzzvmyea 63 15 with with IN cord-354664-mzzvmyea 63 16 minimal minimal JJ cord-354664-mzzvmyea 63 17 existing exist VBG cord-354664-mzzvmyea 63 18 literature literature NN cord-354664-mzzvmyea 63 19 that that WDT cord-354664-mzzvmyea 63 20 targeted target VBD cord-354664-mzzvmyea 63 21 antibiotic antibiotic JJ cord-354664-mzzvmyea 63 22 therapy therapy NN cord-354664-mzzvmyea 63 23 impacts impact NNS cord-354664-mzzvmyea 63 24 patient patient JJ cord-354664-mzzvmyea 63 25 mortality mortality NN cord-354664-mzzvmyea 63 26 [ [ -LRB- cord-354664-mzzvmyea 63 27 28 28 CD cord-354664-mzzvmyea 63 28 ] ] -RRB- cord-354664-mzzvmyea 63 29 . . . cord-354664-mzzvmyea 64 1 Additionally additionally RB cord-354664-mzzvmyea 64 2 , , , cord-354664-mzzvmyea 64 3 any any DT cord-354664-mzzvmyea 64 4 adjunctive adjunctive JJ cord-354664-mzzvmyea 64 5 benefit benefit NN cord-354664-mzzvmyea 64 6 from from IN cord-354664-mzzvmyea 64 7 the the DT cord-354664-mzzvmyea 64 8 postulated postulate VBN cord-354664-mzzvmyea 64 9 anti anti JJ cord-354664-mzzvmyea 64 10 - - JJ cord-354664-mzzvmyea 64 11 inflammatory inflammatory JJ cord-354664-mzzvmyea 64 12 effect effect NN cord-354664-mzzvmyea 64 13 of of IN cord-354664-mzzvmyea 64 14 macrolides macrolide NNS cord-354664-mzzvmyea 64 15 in in IN cord-354664-mzzvmyea 64 16 the the DT cord-354664-mzzvmyea 64 17 treatment treatment NN cord-354664-mzzvmyea 64 18 of of IN cord-354664-mzzvmyea 64 19 CAP CAP NNP cord-354664-mzzvmyea 64 20 remains remain VBZ cord-354664-mzzvmyea 64 21 unproven unproven JJ cord-354664-mzzvmyea 64 22 . . . cord-354664-mzzvmyea 65 1 Given give VBN cord-354664-mzzvmyea 65 2 the the DT cord-354664-mzzvmyea 65 3 increasing increase VBG cord-354664-mzzvmyea 65 4 resistance resistance NN cord-354664-mzzvmyea 65 5 of of IN cord-354664-mzzvmyea 65 6 S. S. NNP cord-354664-mzzvmyea 65 7 pneumoniae pneumoniae NN cord-354664-mzzvmyea 65 8 and and CC cord-354664-mzzvmyea 65 9 M. M. NNP cord-354664-mzzvmyea 65 10 pneumoniae pneumoniae NN cord-354664-mzzvmyea 65 11 isolates isolate VBZ cord-354664-mzzvmyea 65 12 to to IN cord-354664-mzzvmyea 65 13 macrolide macrolide NN cord-354664-mzzvmyea 65 14 antibiotics antibiotic NNS cord-354664-mzzvmyea 65 15 , , , cord-354664-mzzvmyea 65 16 unnecessary unnecessary JJ cord-354664-mzzvmyea 65 17 exposure exposure NN cord-354664-mzzvmyea 65 18 to to IN cord-354664-mzzvmyea 65 19 potential potential JJ cord-354664-mzzvmyea 65 20 harms harm NNS cord-354664-mzzvmyea 65 21 associated associate VBN cord-354664-mzzvmyea 65 22 with with IN cord-354664-mzzvmyea 65 23 macrolide macrolide JJ cord-354664-mzzvmyea 65 24 use use NN cord-354664-mzzvmyea 65 25 ( ( -LRB- cord-354664-mzzvmyea 65 26 potential potential JJ cord-354664-mzzvmyea 65 27 cardiotoxicity cardiotoxicity NN cord-354664-mzzvmyea 65 28 , , , cord-354664-mzzvmyea 65 29 Clostridium clostridium NN cord-354664-mzzvmyea 65 30 difficile difficile NN cord-354664-mzzvmyea 65 31 infection infection NN cord-354664-mzzvmyea 65 32 , , , cord-354664-mzzvmyea 65 33 etc etc FW cord-354664-mzzvmyea 65 34 . . . cord-354664-mzzvmyea 65 35 ) ) -RRB- cord-354664-mzzvmyea 65 36 , , , cord-354664-mzzvmyea 65 37 and and CC cord-354664-mzzvmyea 65 38 the the DT cord-354664-mzzvmyea 65 39 economic economic JJ cord-354664-mzzvmyea 65 40 costs cost NNS cord-354664-mzzvmyea 65 41 of of IN cord-354664-mzzvmyea 65 42 unnecessary unnecessary JJ cord-354664-mzzvmyea 65 43 combination combination NN cord-354664-mzzvmyea 65 44 therapy therapy NN cord-354664-mzzvmyea 65 45 , , , cord-354664-mzzvmyea 65 46 many many JJ cord-354664-mzzvmyea 65 47 have have VBP cord-354664-mzzvmyea 65 48 called call VBN cord-354664-mzzvmyea 65 49 the the DT cord-354664-mzzvmyea 65 50 routine routine JJ cord-354664-mzzvmyea 65 51 use use NN cord-354664-mzzvmyea 65 52 of of IN cord-354664-mzzvmyea 65 53 combination combination NN cord-354664-mzzvmyea 65 54 beta beta NN cord-354664-mzzvmyea 65 55 - - HYPH cord-354664-mzzvmyea 65 56 lactams lactam NNS cord-354664-mzzvmyea 65 57 plus plus CC cord-354664-mzzvmyea 65 58 macrolides macrolide NNS cord-354664-mzzvmyea 65 59 into into IN cord-354664-mzzvmyea 65 60 question question NN cord-354664-mzzvmyea 65 61 [ [ -LRB- cord-354664-mzzvmyea 65 62 29 29 CD cord-354664-mzzvmyea 65 63 ] ] -RRB- cord-354664-mzzvmyea 65 64 [ [ -LRB- cord-354664-mzzvmyea 65 65 30 30 CD cord-354664-mzzvmyea 65 66 ] ] -RRB- cord-354664-mzzvmyea 65 67 [ [ -LRB- cord-354664-mzzvmyea 65 68 31 31 CD cord-354664-mzzvmyea 65 69 ] ] -RRB- cord-354664-mzzvmyea 65 70 [ [ -LRB- cord-354664-mzzvmyea 65 71 32 32 CD cord-354664-mzzvmyea 65 72 ] ] -RRB- cord-354664-mzzvmyea 65 73 [ [ -LRB- cord-354664-mzzvmyea 65 74 33 33 CD cord-354664-mzzvmyea 65 75 ] ] -RRB- cord-354664-mzzvmyea 65 76 . . . cord-354664-mzzvmyea 66 1 Additional additional JJ cord-354664-mzzvmyea 66 2 studies study NNS cord-354664-mzzvmyea 66 3 have have VBP cord-354664-mzzvmyea 66 4 attempted attempt VBN cord-354664-mzzvmyea 66 5 to to TO cord-354664-mzzvmyea 66 6 bring bring VB cord-354664-mzzvmyea 66 7 clarity clarity NN cord-354664-mzzvmyea 66 8 to to IN cord-354664-mzzvmyea 66 9 this this DT cord-354664-mzzvmyea 66 10 controversy controversy NN cord-354664-mzzvmyea 66 11 . . . cord-354664-mzzvmyea 67 1 A a DT cord-354664-mzzvmyea 67 2 systematic systematic JJ cord-354664-mzzvmyea 67 3 review review NN cord-354664-mzzvmyea 67 4 and and CC cord-354664-mzzvmyea 67 5 meta meta NNP cord-354664-mzzvmyea 67 6 - - HYPH cord-354664-mzzvmyea 67 7 analysis analysis NN cord-354664-mzzvmyea 67 8 performed perform VBN cord-354664-mzzvmyea 67 9 by by IN cord-354664-mzzvmyea 67 10 the the DT cord-354664-mzzvmyea 67 11 Cochrane Cochrane NNP cord-354664-mzzvmyea 67 12 Acute Acute NNP cord-354664-mzzvmyea 67 13 Respiratory Respiratory NNP cord-354664-mzzvmyea 67 14 Infections Infections NNPS cord-354664-mzzvmyea 67 15 Group Group NNP cord-354664-mzzvmyea 67 16 explored explore VBD cord-354664-mzzvmyea 67 17 if if IN cord-354664-mzzvmyea 67 18 the the DT cord-354664-mzzvmyea 67 19 addition addition NN cord-354664-mzzvmyea 67 20 of of IN cord-354664-mzzvmyea 67 21 atypical atypical JJ cord-354664-mzzvmyea 67 22 coverage coverage NN cord-354664-mzzvmyea 67 23 to to IN cord-354664-mzzvmyea 67 24 an an DT cord-354664-mzzvmyea 67 25 antimicrobial antimicrobial JJ cord-354664-mzzvmyea 67 26 regimen regimen NN cord-354664-mzzvmyea 67 27 would would MD cord-354664-mzzvmyea 67 28 improve improve VB cord-354664-mzzvmyea 67 29 patient patient JJ cord-354664-mzzvmyea 67 30 outcomes outcome NNS cord-354664-mzzvmyea 67 31 [ [ -LRB- cord-354664-mzzvmyea 67 32 34 34 CD cord-354664-mzzvmyea 67 33 ] ] -RRB- cord-354664-mzzvmyea 67 34 . . . cord-354664-mzzvmyea 68 1 In in IN cord-354664-mzzvmyea 68 2 28 28 CD cord-354664-mzzvmyea 68 3 trials trial NNS cord-354664-mzzvmyea 68 4 , , , cord-354664-mzzvmyea 68 5 including include VBG cord-354664-mzzvmyea 68 6 5939 5939 CD cord-354664-mzzvmyea 68 7 patients patient NNS cord-354664-mzzvmyea 68 8 hospitalized hospitalize VBN cord-354664-mzzvmyea 68 9 with with IN cord-354664-mzzvmyea 68 10 CAP CAP NNP cord-354664-mzzvmyea 68 11 , , , cord-354664-mzzvmyea 68 12 there there EX cord-354664-mzzvmyea 68 13 was be VBD cord-354664-mzzvmyea 68 14 no no DT cord-354664-mzzvmyea 68 15 overall overall JJ cord-354664-mzzvmyea 68 16 difference difference NN cord-354664-mzzvmyea 68 17 in in IN cord-354664-mzzvmyea 68 18 mortality mortality NN cord-354664-mzzvmyea 68 19 ( ( -LRB- cord-354664-mzzvmyea 68 20 RR RR NNP cord-354664-mzzvmyea 68 21 1.14 1.14 CD cord-354664-mzzvmyea 68 22 , , , cord-354664-mzzvmyea 68 23 95 95 CD cord-354664-mzzvmyea 68 24 % % NN cord-354664-mzzvmyea 68 25 CI ci NN cord-354664-mzzvmyea 68 26 : : : cord-354664-mzzvmyea 68 27 0.84 0.84 CD cord-354664-mzzvmyea 68 28 - - HYPH cord-354664-mzzvmyea 68 29 1.55 1.55 CD cord-354664-mzzvmyea 68 30 ) ) -RRB- cord-354664-mzzvmyea 68 31 between between IN cord-354664-mzzvmyea 68 32 the the DT cord-354664-mzzvmyea 68 33 atypical atypical JJ cord-354664-mzzvmyea 68 34 and and CC cord-354664-mzzvmyea 68 35 the the DT cord-354664-mzzvmyea 68 36 typical typical JJ cord-354664-mzzvmyea 68 37 coverage coverage NN cord-354664-mzzvmyea 68 38 arms arm NNS cord-354664-mzzvmyea 68 39 . . . cord-354664-mzzvmyea 69 1 A a DT cord-354664-mzzvmyea 69 2 trend trend NN cord-354664-mzzvmyea 69 3 towards towards IN cord-354664-mzzvmyea 69 4 fewer few JJR cord-354664-mzzvmyea 69 5 clinical clinical JJ cord-354664-mzzvmyea 69 6 failures failure NNS cord-354664-mzzvmyea 69 7 was be VBD cord-354664-mzzvmyea 69 8 observed observe VBN cord-354664-mzzvmyea 69 9 in in IN cord-354664-mzzvmyea 69 10 the the DT cord-354664-mzzvmyea 69 11 atypical atypical JJ cord-354664-mzzvmyea 69 12 therapy therapy NN cord-354664-mzzvmyea 69 13 arm arm NN cord-354664-mzzvmyea 69 14 , , , cord-354664-mzzvmyea 69 15 but but CC cord-354664-mzzvmyea 69 16 this this DT cord-354664-mzzvmyea 69 17 did do VBD cord-354664-mzzvmyea 69 18 not not RB cord-354664-mzzvmyea 69 19 achieve achieve VB cord-354664-mzzvmyea 69 20 statistical statistical JJ cord-354664-mzzvmyea 69 21 significance significance NN cord-354664-mzzvmyea 69 22 ( ( -LRB- cord-354664-mzzvmyea 69 23 RR rr NN cord-354664-mzzvmyea 69 24 0.93 0.93 CD cord-354664-mzzvmyea 69 25 ; ; : cord-354664-mzzvmyea 69 26 95 95 CD cord-354664-mzzvmyea 69 27 % % NN cord-354664-mzzvmyea 69 28 CI ci NN cord-354664-mzzvmyea 69 29 : : : cord-354664-mzzvmyea 69 30 0.84 0.84 CD cord-354664-mzzvmyea 69 31 - - HYPH cord-354664-mzzvmyea 69 32 1.04 1.04 CD cord-354664-mzzvmyea 69 33 ) ) -RRB- cord-354664-mzzvmyea 69 34 . . . cord-354664-mzzvmyea 70 1 Of of IN cord-354664-mzzvmyea 70 2 note note NN cord-354664-mzzvmyea 70 3 , , , cord-354664-mzzvmyea 70 4 the the DT cord-354664-mzzvmyea 70 5 Cochrane Cochrane NNP cord-354664-mzzvmyea 70 6 Review Review NNP cord-354664-mzzvmyea 70 7 only only RB cord-354664-mzzvmyea 70 8 included include VBD cord-354664-mzzvmyea 70 9 one one CD cord-354664-mzzvmyea 70 10 study study NN cord-354664-mzzvmyea 70 11 that that WDT cord-354664-mzzvmyea 70 12 specifically specifically RB cord-354664-mzzvmyea 70 13 focused focus VBD cord-354664-mzzvmyea 70 14 on on IN cord-354664-mzzvmyea 70 15 the the DT cord-354664-mzzvmyea 70 16 comparison comparison NN cord-354664-mzzvmyea 70 17 of of IN cord-354664-mzzvmyea 70 18 beta beta NN cord-354664-mzzvmyea 70 19 - - HYPH cord-354664-mzzvmyea 70 20 lactam lactam NN cord-354664-mzzvmyea 70 21 monotherapy monotherapy NN cord-354664-mzzvmyea 70 22 to to IN cord-354664-mzzvmyea 70 23 beta beta NN cord-354664-mzzvmyea 70 24 - - HYPH cord-354664-mzzvmyea 70 25 lactam lactam NNS cord-354664-mzzvmyea 70 26 / / SYM cord-354664-mzzvmyea 70 27 macrolide macrolide NN cord-354664-mzzvmyea 70 28 combination combination NN cord-354664-mzzvmyea 70 29 therapy therapy NN cord-354664-mzzvmyea 70 30 . . . cord-354664-mzzvmyea 71 1 Asadi Asadi NNP cord-354664-mzzvmyea 71 2 et et NNP cord-354664-mzzvmyea 71 3 al al NNP cord-354664-mzzvmyea 71 4 . . . cord-354664-mzzvmyea 72 1 also also RB cord-354664-mzzvmyea 72 2 compared compare VBN cord-354664-mzzvmyea 72 3 macrolides macrolide NNS cord-354664-mzzvmyea 72 4 to to IN cord-354664-mzzvmyea 72 5 other other JJ cord-354664-mzzvmyea 72 6 treatment treatment NN cord-354664-mzzvmyea 72 7 regimens regimen NNS cord-354664-mzzvmyea 72 8 in in IN cord-354664-mzzvmyea 72 9 adults adult NNS cord-354664-mzzvmyea 72 10 hospitalized hospitalize VBN cord-354664-mzzvmyea 72 11 with with IN cord-354664-mzzvmyea 72 12 CAP CAP NNP cord-354664-mzzvmyea 72 13 in in IN cord-354664-mzzvmyea 72 14 a a DT cord-354664-mzzvmyea 72 15 systematic systematic JJ cord-354664-mzzvmyea 72 16 review review NN cord-354664-mzzvmyea 72 17 and and CC cord-354664-mzzvmyea 72 18 metaanalysis metaanalysis NN cord-354664-mzzvmyea 72 19 including include VBG cord-354664-mzzvmyea 72 20 23 23 CD cord-354664-mzzvmyea 72 21 studies study NNS cord-354664-mzzvmyea 72 22 and and CC cord-354664-mzzvmyea 72 23 137,574 137,574 CD cord-354664-mzzvmyea 72 24 patients patient NNS cord-354664-mzzvmyea 72 25 [ [ -LRB- cord-354664-mzzvmyea 72 26 35 35 CD cord-354664-mzzvmyea 72 27 ] ] -RRB- cord-354664-mzzvmyea 72 28 . . . cord-354664-mzzvmyea 73 1 While while IN cord-354664-mzzvmyea 73 2 overall overall JJ cord-354664-mzzvmyea 73 3 macrolide macrolide NN cord-354664-mzzvmyea 73 4 use use NN cord-354664-mzzvmyea 73 5 was be VBD cord-354664-mzzvmyea 73 6 associated associate VBN cord-354664-mzzvmyea 73 7 with with IN cord-354664-mzzvmyea 73 8 a a DT cord-354664-mzzvmyea 73 9 statistically statistically RB cord-354664-mzzvmyea 73 10 significant significant JJ cord-354664-mzzvmyea 73 11 reduction reduction NN cord-354664-mzzvmyea 73 12 in in IN cord-354664-mzzvmyea 73 13 mortality mortality NN cord-354664-mzzvmyea 73 14 when when WRB cord-354664-mzzvmyea 73 15 compared compare VBN cord-354664-mzzvmyea 73 16 to to IN cord-354664-mzzvmyea 73 17 nonmacrolide nonmacrolide NNP cord-354664-mzzvmyea 73 18 use use NN cord-354664-mzzvmyea 73 19 , , , cord-354664-mzzvmyea 73 20 the the DT cord-354664-mzzvmyea 73 21 survival survival NN cord-354664-mzzvmyea 73 22 advantage advantage NN cord-354664-mzzvmyea 73 23 disappeared disappear VBD cord-354664-mzzvmyea 73 24 ( ( -LRB- cord-354664-mzzvmyea 73 25 4.6 4.6 CD cord-354664-mzzvmyea 73 26 vs vs IN cord-354664-mzzvmyea 73 27 4.1 4.1 CD cord-354664-mzzvmyea 73 28 % % NN cord-354664-mzzvmyea 73 29 ; ; : cord-354664-mzzvmyea 73 30 RR RR NNP cord-354664-mzzvmyea 73 31 1.13 1.13 CD cord-354664-mzzvmyea 73 32 ; ; : cord-354664-mzzvmyea 73 33 95 95 CD cord-354664-mzzvmyea 73 34 % % NN cord-354664-mzzvmyea 73 35 CI ci NN cord-354664-mzzvmyea 73 36 : : : cord-354664-mzzvmyea 73 37 0.65 0.65 CD cord-354664-mzzvmyea 73 38 - - SYM cord-354664-mzzvmyea 73 39 1.98 1.98 CD cord-354664-mzzvmyea 73 40 ) ) -RRB- cord-354664-mzzvmyea 73 41 when when WRB cord-354664-mzzvmyea 73 42 analyses analysis NNS cord-354664-mzzvmyea 73 43 were be VBD cord-354664-mzzvmyea 73 44 restricted restrict VBN cord-354664-mzzvmyea 73 45 to to IN cord-354664-mzzvmyea 73 46 RCTs rct NNS cord-354664-mzzvmyea 73 47 . . . cord-354664-mzzvmyea 74 1 In in IN cord-354664-mzzvmyea 74 2 recent recent JJ cord-354664-mzzvmyea 74 3 years year NNS cord-354664-mzzvmyea 74 4 , , , cord-354664-mzzvmyea 74 5 researchers researcher NNS cord-354664-mzzvmyea 74 6 have have VBP cord-354664-mzzvmyea 74 7 attempted attempt VBN cord-354664-mzzvmyea 74 8 to to TO cord-354664-mzzvmyea 74 9 address address VB cord-354664-mzzvmyea 74 10 the the DT cord-354664-mzzvmyea 74 11 paucity paucity NN cord-354664-mzzvmyea 74 12 of of IN cord-354664-mzzvmyea 74 13 high high JJ cord-354664-mzzvmyea 74 14 - - HYPH cord-354664-mzzvmyea 74 15 quality quality NN cord-354664-mzzvmyea 74 16 evidence evidence NN cord-354664-mzzvmyea 74 17 with with IN cord-354664-mzzvmyea 74 18 several several JJ cord-354664-mzzvmyea 74 19 prospective prospective JJ cord-354664-mzzvmyea 74 20 , , , cord-354664-mzzvmyea 74 21 randomized randomize VBN cord-354664-mzzvmyea 74 22 - - HYPH cord-354664-mzzvmyea 74 23 controlled control VBN cord-354664-mzzvmyea 74 24 trials trial NNS cord-354664-mzzvmyea 74 25 aimed aim VBN cord-354664-mzzvmyea 74 26 at at IN cord-354664-mzzvmyea 74 27 evaluating evaluate VBG cord-354664-mzzvmyea 74 28 the the DT cord-354664-mzzvmyea 74 29 utility utility NN cord-354664-mzzvmyea 74 30 of of IN cord-354664-mzzvmyea 74 31 combination combination NN cord-354664-mzzvmyea 74 32 antimicrobial antimicrobial JJ cord-354664-mzzvmyea 74 33 therapy therapy NN cord-354664-mzzvmyea 74 34 in in IN cord-354664-mzzvmyea 74 35 hospitalized hospitalize VBN cord-354664-mzzvmyea 74 36 adults adult NNS cord-354664-mzzvmyea 74 37 with with IN cord-354664-mzzvmyea 74 38 CAP CAP NNP cord-354664-mzzvmyea 74 39 . . . cord-354664-mzzvmyea 75 1 Garin Garin NNP cord-354664-mzzvmyea 75 2 et et NNP cord-354664-mzzvmyea 75 3 al al NNP cord-354664-mzzvmyea 75 4 . . . cord-354664-mzzvmyea 76 1 tested test VBD cord-354664-mzzvmyea 76 2 the the DT cord-354664-mzzvmyea 76 3 non non JJ cord-354664-mzzvmyea 76 4 - - JJ cord-354664-mzzvmyea 76 5 inferiority inferiority NN cord-354664-mzzvmyea 76 6 of of IN cord-354664-mzzvmyea 76 7 beta beta NN cord-354664-mzzvmyea 76 8 - - HYPH cord-354664-mzzvmyea 76 9 lactam lactam NN cord-354664-mzzvmyea 76 10 monotherapy monotherapy NN cord-354664-mzzvmyea 76 11 compared compare VBN cord-354664-mzzvmyea 76 12 with with IN cord-354664-mzzvmyea 76 13 beta beta NN cord-354664-mzzvmyea 76 14 - - HYPH cord-354664-mzzvmyea 76 15 lactam lactam NNS cord-354664-mzzvmyea 76 16 / / SYM cord-354664-mzzvmyea 76 17 macrolide macrolide NN cord-354664-mzzvmyea 76 18 combination combination NN cord-354664-mzzvmyea 76 19 therapy therapy NN cord-354664-mzzvmyea 76 20 in in IN cord-354664-mzzvmyea 76 21 moderately moderately RB cord-354664-mzzvmyea 76 22 severe severe JJ cord-354664-mzzvmyea 76 23 patients patient NNS cord-354664-mzzvmyea 76 24 with with IN cord-354664-mzzvmyea 76 25 CAP CAP NNP cord-354664-mzzvmyea 76 26 in in IN cord-354664-mzzvmyea 76 27 an an DT cord-354664-mzzvmyea 76 28 openlabel openlabel NN cord-354664-mzzvmyea 76 29 , , , cord-354664-mzzvmyea 76 30 multicenter multicenter JJ cord-354664-mzzvmyea 76 31 , , , cord-354664-mzzvmyea 76 32 non non JJ cord-354664-mzzvmyea 76 33 - - JJ cord-354664-mzzvmyea 76 34 inferiority inferiority JJ cord-354664-mzzvmyea 76 35 randomized randomized JJ cord-354664-mzzvmyea 76 36 control control NN cord-354664-mzzvmyea 76 37 trial trial NN cord-354664-mzzvmyea 76 38 [ [ -LRB- cord-354664-mzzvmyea 76 39 36•• 36•• CD cord-354664-mzzvmyea 76 40 ] ] -RRB- cord-354664-mzzvmyea 76 41 . . . cord-354664-mzzvmyea 77 1 The the DT cord-354664-mzzvmyea 77 2 study study NN cord-354664-mzzvmyea 77 3 was be VBD cord-354664-mzzvmyea 77 4 conducted conduct VBN cord-354664-mzzvmyea 77 5 in in IN cord-354664-mzzvmyea 77 6 six six CD cord-354664-mzzvmyea 77 7 acute acute JJ cord-354664-mzzvmyea 77 8 care care NN cord-354664-mzzvmyea 77 9 hospitals hospital NNS cord-354664-mzzvmyea 77 10 in in IN cord-354664-mzzvmyea 77 11 Switzerland Switzerland NNP cord-354664-mzzvmyea 77 12 from from IN cord-354664-mzzvmyea 77 13 2009 2009 CD cord-354664-mzzvmyea 77 14 to to IN cord-354664-mzzvmyea 77 15 2013 2013 CD cord-354664-mzzvmyea 77 16 . . . cord-354664-mzzvmyea 78 1 The the DT cord-354664-mzzvmyea 78 2 primary primary JJ cord-354664-mzzvmyea 78 3 endpoint endpoint NN cord-354664-mzzvmyea 78 4 in in IN cord-354664-mzzvmyea 78 5 this this DT cord-354664-mzzvmyea 78 6 trial trial NN cord-354664-mzzvmyea 78 7 was be VBD cord-354664-mzzvmyea 78 8 the the DT cord-354664-mzzvmyea 78 9 proportion proportion NN cord-354664-mzzvmyea 78 10 of of IN cord-354664-mzzvmyea 78 11 patients patient NNS cord-354664-mzzvmyea 78 12 not not RB cord-354664-mzzvmyea 78 13 achieving achieve VBG cord-354664-mzzvmyea 78 14 clinical clinical JJ cord-354664-mzzvmyea 78 15 stability stability NN cord-354664-mzzvmyea 78 16 at at IN cord-354664-mzzvmyea 78 17 day day NN cord-354664-mzzvmyea 78 18 7 7 CD cord-354664-mzzvmyea 78 19 . . . cord-354664-mzzvmyea 79 1 After after IN cord-354664-mzzvmyea 79 2 7 7 CD cord-354664-mzzvmyea 79 3 days day NNS cord-354664-mzzvmyea 79 4 of of IN cord-354664-mzzvmyea 79 5 therapy therapy NN cord-354664-mzzvmyea 79 6 , , , cord-354664-mzzvmyea 79 7 41 41 CD cord-354664-mzzvmyea 79 8 % % NN cord-354664-mzzvmyea 79 9 in in IN cord-354664-mzzvmyea 79 10 the the DT cord-354664-mzzvmyea 79 11 monotherapy monotherapy NNP cord-354664-mzzvmyea 79 12 arm arm NN cord-354664-mzzvmyea 79 13 and and CC cord-354664-mzzvmyea 79 14 33 33 CD cord-354664-mzzvmyea 79 15 % % NN cord-354664-mzzvmyea 79 16 in in IN cord-354664-mzzvmyea 79 17 the the DT cord-354664-mzzvmyea 79 18 combination combination NN cord-354664-mzzvmyea 79 19 arm arm NN cord-354664-mzzvmyea 79 20 had have VBD cord-354664-mzzvmyea 79 21 not not RB cord-354664-mzzvmyea 79 22 reached reach VBN cord-354664-mzzvmyea 79 23 clinical clinical JJ cord-354664-mzzvmyea 79 24 stability stability NN cord-354664-mzzvmyea 79 25 ( ( -LRB- cord-354664-mzzvmyea 79 26 7 7 CD cord-354664-mzzvmyea 79 27 % % NN cord-354664-mzzvmyea 79 28 difference difference NN cord-354664-mzzvmyea 79 29 , , , cord-354664-mzzvmyea 79 30 p p NN cord-354664-mzzvmyea 79 31 = = SYM cord-354664-mzzvmyea 79 32 0.07 0.07 CD cord-354664-mzzvmyea 79 33 ) ) -RRB- cord-354664-mzzvmyea 79 34 , , , cord-354664-mzzvmyea 79 35 exceeding exceed VBG cord-354664-mzzvmyea 79 36 the the DT cord-354664-mzzvmyea 79 37 predefined predefined JJ cord-354664-mzzvmyea 79 38 non non JJ cord-354664-mzzvmyea 79 39 - - JJ cord-354664-mzzvmyea 79 40 inferiority inferiority JJ cord-354664-mzzvmyea 79 41 boundary boundary NN cord-354664-mzzvmyea 79 42 . . . cord-354664-mzzvmyea 80 1 Patients patient NNS cord-354664-mzzvmyea 80 2 identified identify VBN cord-354664-mzzvmyea 80 3 to to TO cord-354664-mzzvmyea 80 4 have have VB cord-354664-mzzvmyea 80 5 atypical atypical JJ cord-354664-mzzvmyea 80 6 pathogens pathogen NNS cord-354664-mzzvmyea 80 7 or or CC cord-354664-mzzvmyea 80 8 severe severe JJ cord-354664-mzzvmyea 80 9 pneumonia pneumonia NN cord-354664-mzzvmyea 81 1 ( ( -LRB- cord-354664-mzzvmyea 81 2 PSI PSI NNP cord-354664-mzzvmyea 81 3 ≥ ≥ CD cord-354664-mzzvmyea 81 4 4 4 CD cord-354664-mzzvmyea 81 5 ) ) -RRB- cord-354664-mzzvmyea 81 6 were be VBD cord-354664-mzzvmyea 81 7 less less RBR cord-354664-mzzvmyea 81 8 likely likely JJ cord-354664-mzzvmyea 81 9 to to TO cord-354664-mzzvmyea 81 10 reach reach VB cord-354664-mzzvmyea 81 11 clinical clinical JJ cord-354664-mzzvmyea 81 12 stability stability NN cord-354664-mzzvmyea 81 13 with with IN cord-354664-mzzvmyea 81 14 monotherapy monotherapy NN cord-354664-mzzvmyea 81 15 while while IN cord-354664-mzzvmyea 81 16 patients patient NNS cord-354664-mzzvmyea 81 17 infected infect VBN cord-354664-mzzvmyea 81 18 with with IN cord-354664-mzzvmyea 81 19 typical typical JJ cord-354664-mzzvmyea 81 20 pathogens pathogen NNS cord-354664-mzzvmyea 81 21 or or CC cord-354664-mzzvmyea 81 22 mild mild JJ cord-354664-mzzvmyea 81 23 to to IN cord-354664-mzzvmyea 81 24 moderate moderate JJ cord-354664-mzzvmyea 81 25 CAP cap NN cord-354664-mzzvmyea 81 26 severity severity NN cord-354664-mzzvmyea 81 27 ( ( -LRB- cord-354664-mzzvmyea 81 28 PSI psi NN cord-354664-mzzvmyea 81 29 1 1 CD cord-354664-mzzvmyea 81 30 to to IN cord-354664-mzzvmyea 81 31 3 3 CD cord-354664-mzzvmyea 81 32 ) ) -RRB- cord-354664-mzzvmyea 81 33 had have VBD cord-354664-mzzvmyea 81 34 equivalent equivalent JJ cord-354664-mzzvmyea 81 35 outcomes outcome NNS cord-354664-mzzvmyea 81 36 . . . cord-354664-mzzvmyea 82 1 Secondary secondary JJ cord-354664-mzzvmyea 82 2 endpoints endpoint NNS cord-354664-mzzvmyea 82 3 that that WDT cord-354664-mzzvmyea 82 4 included include VBD cord-354664-mzzvmyea 82 5 overall overall JJ cord-354664-mzzvmyea 82 6 mortality mortality NN cord-354664-mzzvmyea 82 7 , , , cord-354664-mzzvmyea 82 8 need need VBP cord-354664-mzzvmyea 82 9 for for IN cord-354664-mzzvmyea 82 10 ICU ICU NNP cord-354664-mzzvmyea 82 11 admission admission NN cord-354664-mzzvmyea 82 12 , , , cord-354664-mzzvmyea 82 13 complications complication NNS cord-354664-mzzvmyea 82 14 , , , cord-354664-mzzvmyea 82 15 length length NN cord-354664-mzzvmyea 82 16 of of IN cord-354664-mzzvmyea 82 17 stay stay NN cord-354664-mzzvmyea 82 18 , , , cord-354664-mzzvmyea 82 19 and and CC cord-354664-mzzvmyea 82 20 recurrence recurrence NN cord-354664-mzzvmyea 82 21 of of IN cord-354664-mzzvmyea 82 22 pneumonia pneumonia NN cord-354664-mzzvmyea 82 23 within within IN cord-354664-mzzvmyea 82 24 90 90 CD cord-354664-mzzvmyea 82 25 days day NNS cord-354664-mzzvmyea 82 26 did do VBD cord-354664-mzzvmyea 82 27 not not RB cord-354664-mzzvmyea 82 28 differ differ VB cord-354664-mzzvmyea 82 29 significantly significantly RB cord-354664-mzzvmyea 82 30 between between IN cord-354664-mzzvmyea 82 31 the the DT cord-354664-mzzvmyea 82 32 two two CD cord-354664-mzzvmyea 82 33 groups group NNS cord-354664-mzzvmyea 82 34 . . . cord-354664-mzzvmyea 83 1 Postma Postma NNP cord-354664-mzzvmyea 83 2 et et FW cord-354664-mzzvmyea 83 3 al al NNP cord-354664-mzzvmyea 83 4 . . . cord-354664-mzzvmyea 84 1 designed design VBN cord-354664-mzzvmyea 84 2 the the DT cord-354664-mzzvmyea 84 3 CAP CAP NNP cord-354664-mzzvmyea 84 4 - - HYPH cord-354664-mzzvmyea 84 5 START START NNP cord-354664-mzzvmyea 84 6 Trial Trial NNP cord-354664-mzzvmyea 84 7 , , , cord-354664-mzzvmyea 84 8 a a DT cord-354664-mzzvmyea 84 9 multicenter multicenter JJ cord-354664-mzzvmyea 84 10 cluster cluster NN cord-354664-mzzvmyea 84 11 - - HYPH cord-354664-mzzvmyea 84 12 randomized randomized JJ cord-354664-mzzvmyea 84 13 , , , cord-354664-mzzvmyea 84 14 crossover crossover NN cord-354664-mzzvmyea 84 15 , , , cord-354664-mzzvmyea 84 16 non non JJ cord-354664-mzzvmyea 84 17 - - JJ cord-354664-mzzvmyea 84 18 inferiority inferiority JJ cord-354664-mzzvmyea 84 19 trial trial NN cord-354664-mzzvmyea 84 20 conducted conduct VBN cord-354664-mzzvmyea 84 21 at at IN cord-354664-mzzvmyea 84 22 7 7 CD cord-354664-mzzvmyea 84 23 hospitals hospital NNS cord-354664-mzzvmyea 84 24 in in IN cord-354664-mzzvmyea 84 25 the the DT cord-354664-mzzvmyea 84 26 Netherlands Netherlands NNP cord-354664-mzzvmyea 84 27 to to TO cord-354664-mzzvmyea 84 28 determine determine VB cord-354664-mzzvmyea 84 29 if if IN cord-354664-mzzvmyea 84 30 empiric empiric JJ cord-354664-mzzvmyea 84 31 therapy therapy NN cord-354664-mzzvmyea 84 32 for for IN cord-354664-mzzvmyea 84 33 CAP cap NN cord-354664-mzzvmyea 84 34 with with IN cord-354664-mzzvmyea 84 35 beta beta NN cord-354664-mzzvmyea 84 36 - - HYPH cord-354664-mzzvmyea 84 37 lactam lactam NN cord-354664-mzzvmyea 84 38 monotherapy monotherapy NN cord-354664-mzzvmyea 84 39 was be VBD cord-354664-mzzvmyea 84 40 noninferior noninferior JJ cord-354664-mzzvmyea 84 41 to to TO cord-354664-mzzvmyea 84 42 combination combination NN cord-354664-mzzvmyea 84 43 beta beta NN cord-354664-mzzvmyea 84 44 - - HYPH cord-354664-mzzvmyea 84 45 lactam lactam NN cord-354664-mzzvmyea 84 46 / / SYM cord-354664-mzzvmyea 84 47 macrolide macrolide NN cord-354664-mzzvmyea 84 48 therapy therapy NN cord-354664-mzzvmyea 84 49 or or CC cord-354664-mzzvmyea 84 50 a a DT cord-354664-mzzvmyea 84 51 respiratory respiratory JJ cord-354664-mzzvmyea 84 52 fluoroquinolone fluoroquinolone NN cord-354664-mzzvmyea 84 53 [ [ -LRB- cord-354664-mzzvmyea 84 54 37•• 37•• CD cord-354664-mzzvmyea 84 55 ] ] -RRB- cord-354664-mzzvmyea 84 56 . . . cord-354664-mzzvmyea 85 1 Adult adult NN cord-354664-mzzvmyea 85 2 patients patient NNS cord-354664-mzzvmyea 85 3 were be VBD cord-354664-mzzvmyea 85 4 included include VBN cord-354664-mzzvmyea 85 5 if if IN cord-354664-mzzvmyea 85 6 they -PRON- PRP cord-354664-mzzvmyea 85 7 demonstrated demonstrate VBD cord-354664-mzzvmyea 85 8 radiographic radiographic JJ cord-354664-mzzvmyea 85 9 evidence evidence NN cord-354664-mzzvmyea 85 10 of of IN cord-354664-mzzvmyea 85 11 pneumonia pneumonia NN cord-354664-mzzvmyea 85 12 and and CC cord-354664-mzzvmyea 85 13 compatible compatible JJ cord-354664-mzzvmyea 85 14 clinical clinical JJ cord-354664-mzzvmyea 85 15 findings finding NNS cord-354664-mzzvmyea 85 16 . . . cord-354664-mzzvmyea 86 1 Patients patient NNS cord-354664-mzzvmyea 86 2 were be VBD cord-354664-mzzvmyea 86 3 excluded exclude VBN cord-354664-mzzvmyea 86 4 if if IN cord-354664-mzzvmyea 86 5 they -PRON- PRP cord-354664-mzzvmyea 86 6 had have VBD cord-354664-mzzvmyea 86 7 cystic cystic JJ cord-354664-mzzvmyea 86 8 fibrosis fibrosis NN cord-354664-mzzvmyea 86 9 , , , cord-354664-mzzvmyea 86 10 positive positive JJ cord-354664-mzzvmyea 86 11 Legionella Legionella NNP cord-354664-mzzvmyea 86 12 antigen antigen NN cord-354664-mzzvmyea 86 13 , , , cord-354664-mzzvmyea 86 14 recent recent JJ cord-354664-mzzvmyea 86 15 hospitalization hospitalization NN cord-354664-mzzvmyea 86 16 , , , cord-354664-mzzvmyea 86 17 or or CC cord-354664-mzzvmyea 86 18 were be VBD cord-354664-mzzvmyea 86 19 from from IN cord-354664-mzzvmyea 86 20 a a DT cord-354664-mzzvmyea 86 21 long long JJ cord-354664-mzzvmyea 86 22 - - HYPH cord-354664-mzzvmyea 86 23 term term NN cord-354664-mzzvmyea 86 24 care care NN cord-354664-mzzvmyea 86 25 facility facility NN cord-354664-mzzvmyea 86 26 . . . cord-354664-mzzvmyea 87 1 The the DT cord-354664-mzzvmyea 87 2 unadjusted unadjusted JJ cord-354664-mzzvmyea 87 3 90-day 90-day CD cord-354664-mzzvmyea 87 4 all all DT cord-354664-mzzvmyea 87 5 - - HYPH cord-354664-mzzvmyea 87 6 cause cause NN cord-354664-mzzvmyea 87 7 mortality mortality NN cord-354664-mzzvmyea 87 8 was be VBD cord-354664-mzzvmyea 87 9 9.0 9.0 CD cord-354664-mzzvmyea 87 10 % % NN cord-354664-mzzvmyea 87 11 ( ( -LRB- cord-354664-mzzvmyea 87 12 betalactam betalactam NNP cord-354664-mzzvmyea 87 13 monotherapy monotherapy NNP cord-354664-mzzvmyea 87 14 ) ) -RRB- cord-354664-mzzvmyea 87 15 , , , cord-354664-mzzvmyea 87 16 8.8 8.8 CD cord-354664-mzzvmyea 87 17 % % NN cord-354664-mzzvmyea 87 18 ( ( -LRB- cord-354664-mzzvmyea 87 19 FQ FQ NNP cord-354664-mzzvmyea 87 20 monotherapy monotherapy NN cord-354664-mzzvmyea 87 21 ) ) -RRB- cord-354664-mzzvmyea 87 22 , , , cord-354664-mzzvmyea 87 23 and and CC cord-354664-mzzvmyea 87 24 11.1 11.1 CD cord-354664-mzzvmyea 87 25 % % NN cord-354664-mzzvmyea 87 26 ( ( -LRB- cord-354664-mzzvmyea 87 27 beta beta NN cord-354664-mzzvmyea 87 28 - - HYPH cord-354664-mzzvmyea 87 29 lactam lactam NNS cord-354664-mzzvmyea 87 30 / / SYM cord-354664-mzzvmyea 87 31 macrolide macrolide NN cord-354664-mzzvmyea 87 32 combination combination NN cord-354664-mzzvmyea 87 33 ) ) -RRB- cord-354664-mzzvmyea 87 34 . . . cord-354664-mzzvmyea 88 1 Adjusted adjusted JJ cord-354664-mzzvmyea 88 2 comparisons comparison NNS cord-354664-mzzvmyea 88 3 for for IN cord-354664-mzzvmyea 88 4 90-day 90-day CD cord-354664-mzzvmyea 88 5 all all DT cord-354664-mzzvmyea 88 6 - - HYPH cord-354664-mzzvmyea 88 7 cause cause NN cord-354664-mzzvmyea 88 8 mortality mortality NN cord-354664-mzzvmyea 88 9 favored favor VBN cord-354664-mzzvmyea 88 10 beta beta NN cord-354664-mzzvmyea 88 11 - - HYPH cord-354664-mzzvmyea 88 12 lactam lactam NN cord-354664-mzzvmyea 88 13 monotherapy monotherapy NN cord-354664-mzzvmyea 88 14 with with IN cord-354664-mzzvmyea 88 15 a a DT cord-354664-mzzvmyea 88 16 1.9 1.9 CD cord-354664-mzzvmyea 88 17 % % NN cord-354664-mzzvmyea 88 18 lower low JJR cord-354664-mzzvmyea 88 19 risk risk NN cord-354664-mzzvmyea 88 20 of of IN cord-354664-mzzvmyea 88 21 death death NN cord-354664-mzzvmyea 88 22 when when WRB cord-354664-mzzvmyea 88 23 compared compare VBN cord-354664-mzzvmyea 88 24 to to IN cord-354664-mzzvmyea 88 25 macrolide macrolide JJ cord-354664-mzzvmyea 88 26 combination combination NN cord-354664-mzzvmyea 88 27 therapy therapy NN cord-354664-mzzvmyea 88 28 ( ( -LRB- cord-354664-mzzvmyea 88 29 90 90 CD cord-354664-mzzvmyea 88 30 % % NN cord-354664-mzzvmyea 88 31 CI ci NN cord-354664-mzzvmyea 88 32 : : : cord-354664-mzzvmyea 88 33 −0.6 −0.6 NN cord-354664-mzzvmyea 88 34 to to IN cord-354664-mzzvmyea 88 35 4.4 4.4 CD cord-354664-mzzvmyea 88 36 ) ) -RRB- cord-354664-mzzvmyea 88 37 . . . cord-354664-mzzvmyea 89 1 Time time NN cord-354664-mzzvmyea 89 2 to to IN cord-354664-mzzvmyea 89 3 oral oral JJ cord-354664-mzzvmyea 89 4 antibiotic antibiotic NN cord-354664-mzzvmyea 89 5 de de NN cord-354664-mzzvmyea 89 6 - - NN cord-354664-mzzvmyea 89 7 escalation escalation NN cord-354664-mzzvmyea 89 8 , , , cord-354664-mzzvmyea 89 9 length length NN cord-354664-mzzvmyea 89 10 of of IN cord-354664-mzzvmyea 89 11 hospital hospital NN cord-354664-mzzvmyea 89 12 stay stay NN cord-354664-mzzvmyea 89 13 , , , cord-354664-mzzvmyea 89 14 and and CC cord-354664-mzzvmyea 89 15 occurrence occurrence NN cord-354664-mzzvmyea 89 16 of of IN cord-354664-mzzvmyea 89 17 complications complication NNS cord-354664-mzzvmyea 89 18 during during IN cord-354664-mzzvmyea 89 19 hospital hospital NN cord-354664-mzzvmyea 89 20 stay stay NN cord-354664-mzzvmyea 89 21 were be VBD cord-354664-mzzvmyea 89 22 not not RB cord-354664-mzzvmyea 89 23 significantly significantly RB cord-354664-mzzvmyea 89 24 different different JJ cord-354664-mzzvmyea 89 25 between between IN cord-354664-mzzvmyea 89 26 the the DT cord-354664-mzzvmyea 89 27 groups group NNS cord-354664-mzzvmyea 89 28 . . . cord-354664-mzzvmyea 90 1 While while IN cord-354664-mzzvmyea 90 2 criticisms criticism NNS cord-354664-mzzvmyea 90 3 of of IN cord-354664-mzzvmyea 90 4 this this DT cord-354664-mzzvmyea 90 5 study study NN cord-354664-mzzvmyea 90 6 included include VBD cord-354664-mzzvmyea 90 7 a a DT cord-354664-mzzvmyea 90 8 high high JJ cord-354664-mzzvmyea 90 9 rate rate NN cord-354664-mzzvmyea 90 10 of of IN cord-354664-mzzvmyea 90 11 protocol protocol NN cord-354664-mzzvmyea 90 12 deviation deviation NN cord-354664-mzzvmyea 90 13 in in IN cord-354664-mzzvmyea 90 14 the the DT cord-354664-mzzvmyea 90 15 beta beta NN cord-354664-mzzvmyea 90 16 - - HYPH cord-354664-mzzvmyea 90 17 lactam lactam NN cord-354664-mzzvmyea 90 18 monotherapy monotherapy IN cord-354664-mzzvmyea 90 19 group group NN cord-354664-mzzvmyea 90 20 to to TO cord-354664-mzzvmyea 90 21 include include VB cord-354664-mzzvmyea 90 22 atypical atypical JJ cord-354664-mzzvmyea 90 23 coverage coverage NN cord-354664-mzzvmyea 90 24 , , , cord-354664-mzzvmyea 90 25 subgroup subgroup NN cord-354664-mzzvmyea 90 26 analyses analysis NNS cord-354664-mzzvmyea 90 27 of of IN cord-354664-mzzvmyea 90 28 strategy strategy NN cord-354664-mzzvmyea 90 29 - - HYPH cord-354664-mzzvmyea 90 30 adherent adherent JJ cord-354664-mzzvmyea 90 31 and and CC cord-354664-mzzvmyea 90 32 antibiotic antibiotic JJ cord-354664-mzzvmyea 90 33 - - HYPH cord-354664-mzzvmyea 90 34 adherent adherent JJ cord-354664-mzzvmyea 90 35 groups group NNS cord-354664-mzzvmyea 90 36 revealed reveal VBD cord-354664-mzzvmyea 90 37 no no DT cord-354664-mzzvmyea 90 38 significant significant JJ cord-354664-mzzvmyea 90 39 difference difference NN cord-354664-mzzvmyea 90 40 in in IN cord-354664-mzzvmyea 90 41 outcomes outcome NNS cord-354664-mzzvmyea 90 42 . . . cord-354664-mzzvmyea 91 1 Van Van NNP cord-354664-mzzvmyea 91 2 Werkhoven Werkhoven NNP cord-354664-mzzvmyea 91 3 et et NNP cord-354664-mzzvmyea 91 4 al al NNP cord-354664-mzzvmyea 91 5 . . . cord-354664-mzzvmyea 92 1 further further RB cord-354664-mzzvmyea 92 2 evaluated evaluate VBN cord-354664-mzzvmyea 92 3 outcomes outcome NNS cord-354664-mzzvmyea 92 4 in in IN cord-354664-mzzvmyea 92 5 a a DT cord-354664-mzzvmyea 92 6 subset subset NN cord-354664-mzzvmyea 92 7 of of IN cord-354664-mzzvmyea 92 8 179 179 CD cord-354664-mzzvmyea 92 9 patients patient NNS cord-354664-mzzvmyea 92 10 from from IN cord-354664-mzzvmyea 92 11 the the DT cord-354664-mzzvmyea 92 12 CAP CAP NNP cord-354664-mzzvmyea 92 13 - - HYPH cord-354664-mzzvmyea 92 14 START START NNP cord-354664-mzzvmyea 92 15 Trial Trial NNP cord-354664-mzzvmyea 92 16 that that WDT cord-354664-mzzvmyea 92 17 had have VBD cord-354664-mzzvmyea 92 18 previous previous JJ cord-354664-mzzvmyea 92 19 beta beta NN cord-354664-mzzvmyea 92 20 - - HYPH cord-354664-mzzvmyea 92 21 lactam lactam NN cord-354664-mzzvmyea 92 22 exposure exposure NN cord-354664-mzzvmyea 92 23 prior prior RB cord-354664-mzzvmyea 92 24 to to IN cord-354664-mzzvmyea 92 25 hospitalization hospitalization NN cord-354664-mzzvmyea 92 26 [ [ -LRB- cord-354664-mzzvmyea 92 27 38•• 38•• CD cord-354664-mzzvmyea 92 28 ] ] -RRB- cord-354664-mzzvmyea 92 29 . . . cord-354664-mzzvmyea 93 1 Thirty thirty CD cord-354664-mzzvmyea 93 2 - - HYPH cord-354664-mzzvmyea 93 3 day day NN cord-354664-mzzvmyea 93 4 mortality mortality NN cord-354664-mzzvmyea 93 5 , , , cord-354664-mzzvmyea 93 6 hospital hospital NN cord-354664-mzzvmyea 93 7 length length NN cord-354664-mzzvmyea 93 8 of of IN cord-354664-mzzvmyea 93 9 stay stay NN cord-354664-mzzvmyea 93 10 , , , cord-354664-mzzvmyea 93 11 and and CC cord-354664-mzzvmyea 93 12 frequency frequency NN cord-354664-mzzvmyea 93 13 of of IN cord-354664-mzzvmyea 93 14 treatment treatment NN cord-354664-mzzvmyea 93 15 escalations escalation NNS cord-354664-mzzvmyea 93 16 were be VBD cord-354664-mzzvmyea 93 17 compared compare VBN cord-354664-mzzvmyea 93 18 between between IN cord-354664-mzzvmyea 93 19 patients patient NNS cord-354664-mzzvmyea 93 20 that that WDT cord-354664-mzzvmyea 93 21 were be VBD cord-354664-mzzvmyea 93 22 continued continue VBN cord-354664-mzzvmyea 93 23 on on IN cord-354664-mzzvmyea 93 24 beta beta NN cord-354664-mzzvmyea 93 25 - - HYPH cord-354664-mzzvmyea 93 26 lactam lactam NN cord-354664-mzzvmyea 93 27 monotherapy monotherapy NN cord-354664-mzzvmyea 93 28 and and CC cord-354664-mzzvmyea 93 29 patients patient NNS cord-354664-mzzvmyea 93 30 that that WDT cord-354664-mzzvmyea 93 31 received receive VBD cord-354664-mzzvmyea 93 32 beta beta NN cord-354664-mzzvmyea 93 33 - - HYPH cord-354664-mzzvmyea 93 34 lactams lactam NNS cord-354664-mzzvmyea 93 35 and and CC cord-354664-mzzvmyea 93 36 atypical atypical JJ cord-354664-mzzvmyea 93 37 coverage coverage NN cord-354664-mzzvmyea 93 38 . . . cord-354664-mzzvmyea 94 1 Despite despite IN cord-354664-mzzvmyea 94 2 the the DT cord-354664-mzzvmyea 94 3 betalactam betalactam NNP cord-354664-mzzvmyea 94 4 monotherapy monotherapy IN cord-354664-mzzvmyea 94 5 group group NN cord-354664-mzzvmyea 94 6 being be VBG cord-354664-mzzvmyea 94 7 older old JJR cord-354664-mzzvmyea 94 8 , , , cord-354664-mzzvmyea 94 9 having have VBG cord-354664-mzzvmyea 94 10 more more JJR cord-354664-mzzvmyea 94 11 medical medical JJ cord-354664-mzzvmyea 94 12 comorbidities comorbiditie NNS cord-354664-mzzvmyea 94 13 , , , cord-354664-mzzvmyea 94 14 and and CC cord-354664-mzzvmyea 94 15 longer long JJR cord-354664-mzzvmyea 94 16 duration duration NN cord-354664-mzzvmyea 94 17 of of IN cord-354664-mzzvmyea 94 18 symptoms symptom NNS cord-354664-mzzvmyea 94 19 prior prior RB cord-354664-mzzvmyea 94 20 to to IN cord-354664-mzzvmyea 94 21 admission admission NN cord-354664-mzzvmyea 94 22 , , , cord-354664-mzzvmyea 94 23 the the DT cord-354664-mzzvmyea 94 24 authors author NNS cord-354664-mzzvmyea 94 25 found find VBD cord-354664-mzzvmyea 94 26 no no DT cord-354664-mzzvmyea 94 27 significant significant JJ cord-354664-mzzvmyea 94 28 differences difference NNS cord-354664-mzzvmyea 94 29 between between IN cord-354664-mzzvmyea 94 30 groups group NNS cord-354664-mzzvmyea 94 31 with with IN cord-354664-mzzvmyea 94 32 respect respect NN cord-354664-mzzvmyea 94 33 to to IN cord-354664-mzzvmyea 94 34 30-day 30-day CD cord-354664-mzzvmyea 94 35 mortality mortality NN cord-354664-mzzvmyea 94 36 and and CC cord-354664-mzzvmyea 94 37 hospital hospital NN cord-354664-mzzvmyea 94 38 length length NN cord-354664-mzzvmyea 94 39 of of IN cord-354664-mzzvmyea 94 40 stay stay NN cord-354664-mzzvmyea 94 41 . . . cord-354664-mzzvmyea 95 1 While while IN cord-354664-mzzvmyea 95 2 these these DT cord-354664-mzzvmyea 95 3 recent recent JJ cord-354664-mzzvmyea 95 4 trials trial NNS cord-354664-mzzvmyea 95 5 performed perform VBN cord-354664-mzzvmyea 95 6 by by IN cord-354664-mzzvmyea 95 7 Garin Garin NNP cord-354664-mzzvmyea 95 8 , , , cord-354664-mzzvmyea 95 9 Postma Postma NNP cord-354664-mzzvmyea 95 10 , , , cord-354664-mzzvmyea 95 11 and and CC cord-354664-mzzvmyea 95 12 van van NNP cord-354664-mzzvmyea 95 13 Werkhoven Werkhoven NNP cord-354664-mzzvmyea 95 14 provide provide VBP cord-354664-mzzvmyea 95 15 evidence evidence NN cord-354664-mzzvmyea 95 16 to to TO cord-354664-mzzvmyea 95 17 support support VB cord-354664-mzzvmyea 95 18 a a DT cord-354664-mzzvmyea 95 19 strategy strategy NN cord-354664-mzzvmyea 95 20 of of IN cord-354664-mzzvmyea 95 21 beta beta NN cord-354664-mzzvmyea 95 22 - - HYPH cord-354664-mzzvmyea 95 23 lactam lactam NN cord-354664-mzzvmyea 95 24 monotherapy monotherapy NN cord-354664-mzzvmyea 95 25 for for IN cord-354664-mzzvmyea 95 26 patients patient NNS cord-354664-mzzvmyea 95 27 presenting present VBG cord-354664-mzzvmyea 95 28 with with IN cord-354664-mzzvmyea 95 29 mild mild JJ cord-354664-mzzvmyea 95 30 to to IN cord-354664-mzzvmyea 95 31 moderate moderate JJ cord-354664-mzzvmyea 95 32 CAP cap NN cord-354664-mzzvmyea 95 33 , , , cord-354664-mzzvmyea 95 34 the the DT cord-354664-mzzvmyea 95 35 role role NN cord-354664-mzzvmyea 95 36 of of IN cord-354664-mzzvmyea 95 37 combination combination NN cord-354664-mzzvmyea 95 38 beta beta NN cord-354664-mzzvmyea 95 39 - - HYPH cord-354664-mzzvmyea 95 40 lactam/ lactam/ CD cord-354664-mzzvmyea 95 41 macrolide macrolide NN cord-354664-mzzvmyea 95 42 therapy therapy NN cord-354664-mzzvmyea 95 43 in in IN cord-354664-mzzvmyea 95 44 critically critically RB cord-354664-mzzvmyea 95 45 ill ill JJ cord-354664-mzzvmyea 95 46 patients patient NNS cord-354664-mzzvmyea 95 47 with with IN cord-354664-mzzvmyea 95 48 severe severe JJ cord-354664-mzzvmyea 95 49 CAP cap NN cord-354664-mzzvmyea 95 50 remains remain VBZ cord-354664-mzzvmyea 95 51 unclear unclear JJ cord-354664-mzzvmyea 95 52 . . . cord-354664-mzzvmyea 96 1 The the DT cord-354664-mzzvmyea 96 2 use use NN cord-354664-mzzvmyea 96 3 of of IN cord-354664-mzzvmyea 96 4 macrolide macrolide JJ cord-354664-mzzvmyea 96 5 combination combination NN cord-354664-mzzvmyea 96 6 therapy therapy NN cord-354664-mzzvmyea 96 7 in in IN cord-354664-mzzvmyea 96 8 severe severe JJ cord-354664-mzzvmyea 96 9 CAP cap NN cord-354664-mzzvmyea 96 10 is be VBZ cord-354664-mzzvmyea 96 11 endorsed endorse VBN cord-354664-mzzvmyea 96 12 in in IN cord-354664-mzzvmyea 96 13 various various JJ cord-354664-mzzvmyea 96 14 clinical clinical JJ cord-354664-mzzvmyea 96 15 guidelines guideline NNS cord-354664-mzzvmyea 96 16 ( ( -LRB- cord-354664-mzzvmyea 96 17 Table Table NNP cord-354664-mzzvmyea 96 18 1 1 CD cord-354664-mzzvmyea 96 19 ) ) -RRB- cord-354664-mzzvmyea 96 20 . . . cord-354664-mzzvmyea 97 1 Again again RB cord-354664-mzzvmyea 97 2 , , , cord-354664-mzzvmyea 97 3 however however RB cord-354664-mzzvmyea 97 4 , , , cord-354664-mzzvmyea 97 5 the the DT cord-354664-mzzvmyea 97 6 data datum NNS cord-354664-mzzvmyea 97 7 to to TO cord-354664-mzzvmyea 97 8 support support VB cord-354664-mzzvmyea 97 9 macrolide macrolide NN cord-354664-mzzvmyea 97 10 use use NN cord-354664-mzzvmyea 97 11 is be VBZ cord-354664-mzzvmyea 97 12 of of IN cord-354664-mzzvmyea 97 13 relatively relatively RB cord-354664-mzzvmyea 97 14 low low JJ cord-354664-mzzvmyea 97 15 quality quality NN cord-354664-mzzvmyea 97 16 and and CC cord-354664-mzzvmyea 97 17 does do VBZ cord-354664-mzzvmyea 97 18 not not RB cord-354664-mzzvmyea 97 19 clearly clearly RB cord-354664-mzzvmyea 97 20 explain explain VB cord-354664-mzzvmyea 97 21 whether whether IN cord-354664-mzzvmyea 97 22 improved improved JJ cord-354664-mzzvmyea 97 23 outcomes outcome NNS cord-354664-mzzvmyea 97 24 in in IN cord-354664-mzzvmyea 97 25 this this DT cord-354664-mzzvmyea 97 26 population population NN cord-354664-mzzvmyea 97 27 are be VBP cord-354664-mzzvmyea 97 28 derived derive VBN cord-354664-mzzvmyea 97 29 from from IN cord-354664-mzzvmyea 97 30 the the DT cord-354664-mzzvmyea 97 31 antimicrobial antimicrobial JJ cord-354664-mzzvmyea 97 32 or or CC cord-354664-mzzvmyea 97 33 immune immune JJ cord-354664-mzzvmyea 97 34 - - HYPH cord-354664-mzzvmyea 97 35 modulatory modulatory JJ cord-354664-mzzvmyea 97 36 properties property NNS cord-354664-mzzvmyea 97 37 of of IN cord-354664-mzzvmyea 97 38 these these DT cord-354664-mzzvmyea 97 39 agents agent NNS cord-354664-mzzvmyea 97 40 . . . cord-354664-mzzvmyea 98 1 Baddour Baddour NNP cord-354664-mzzvmyea 98 2 et et FW cord-354664-mzzvmyea 98 3 al al NNP cord-354664-mzzvmyea 98 4 . . . cord-354664-mzzvmyea 99 1 previously previously RB cord-354664-mzzvmyea 99 2 evaluated evaluate VBD cord-354664-mzzvmyea 99 3 the the DT cord-354664-mzzvmyea 99 4 impact impact NN cord-354664-mzzvmyea 99 5 of of IN cord-354664-mzzvmyea 99 6 combination combination NN cord-354664-mzzvmyea 99 7 antibiotic antibiotic JJ cord-354664-mzzvmyea 99 8 therapy therapy NN cord-354664-mzzvmyea 99 9 on on IN cord-354664-mzzvmyea 99 10 844 844 CD cord-354664-mzzvmyea 99 11 adult adult NN cord-354664-mzzvmyea 99 12 patients patient NNS cord-354664-mzzvmyea 99 13 with with IN cord-354664-mzzvmyea 99 14 severe severe JJ cord-354664-mzzvmyea 99 15 bacteremic bacteremic JJ cord-354664-mzzvmyea 99 16 pneumococcal pneumococcal JJ cord-354664-mzzvmyea 99 17 pneumonia pneumonia NN cord-354664-mzzvmyea 99 18 in in IN cord-354664-mzzvmyea 99 19 a a DT cord-354664-mzzvmyea 99 20 prospective prospective JJ cord-354664-mzzvmyea 99 21 , , , cord-354664-mzzvmyea 99 22 observational observational JJ cord-354664-mzzvmyea 99 23 multicenter multicenter JJ cord-354664-mzzvmyea 99 24 study study NN cord-354664-mzzvmyea 99 25 [ [ -LRB- cord-354664-mzzvmyea 99 26 39 39 CD cord-354664-mzzvmyea 99 27 ] ] -RRB- cord-354664-mzzvmyea 99 28 . . . cord-354664-mzzvmyea 100 1 While while IN cord-354664-mzzvmyea 100 2 overall overall RB cord-354664-mzzvmyea 100 3 14-day 14-day CD cord-354664-mzzvmyea 100 4 mortality mortality NN cord-354664-mzzvmyea 100 5 did do VBD cord-354664-mzzvmyea 100 6 not not RB cord-354664-mzzvmyea 100 7 differ differ VB cord-354664-mzzvmyea 100 8 significantly significantly RB cord-354664-mzzvmyea 100 9 in in IN cord-354664-mzzvmyea 100 10 this this DT cord-354664-mzzvmyea 100 11 cohort cohort NN cord-354664-mzzvmyea 100 12 , , , cord-354664-mzzvmyea 100 13 combination combination NN cord-354664-mzzvmyea 100 14 therapy therapy NN cord-354664-mzzvmyea 100 15 was be VBD cord-354664-mzzvmyea 100 16 associated associate VBN cord-354664-mzzvmyea 100 17 with with IN cord-354664-mzzvmyea 100 18 significantly significantly RB cord-354664-mzzvmyea 100 19 reduced reduce VBN cord-354664-mzzvmyea 100 20 mortality mortality NN cord-354664-mzzvmyea 100 21 among among IN cord-354664-mzzvmyea 100 22 a a DT cord-354664-mzzvmyea 100 23 subset subset NN cord-354664-mzzvmyea 100 24 of of IN cord-354664-mzzvmyea 100 25 critically critically RB cord-354664-mzzvmyea 100 26 ill ill JJ cord-354664-mzzvmyea 100 27 patients patient NNS cord-354664-mzzvmyea 100 28 ( ( -LRB- cord-354664-mzzvmyea 100 29 23.4 23.4 CD cord-354664-mzzvmyea 100 30 vs vs IN cord-354664-mzzvmyea 100 31 55.3 55.3 CD cord-354664-mzzvmyea 100 32 % % NN cord-354664-mzzvmyea 100 33 , , , cord-354664-mzzvmyea 100 34 p p NN cord-354664-mzzvmyea 100 35 < < XX cord-354664-mzzvmyea 100 36 0.01 0.01 CD cord-354664-mzzvmyea 100 37 ) ) -RRB- cord-354664-mzzvmyea 100 38 regardless regardless RB cord-354664-mzzvmyea 100 39 of of IN cord-354664-mzzvmyea 100 40 nationality nationality NN cord-354664-mzzvmyea 100 41 , , , cord-354664-mzzvmyea 100 42 level level NN cord-354664-mzzvmyea 100 43 of of IN cord-354664-mzzvmyea 100 44 ICU ICU NNP cord-354664-mzzvmyea 100 45 support support NN cord-354664-mzzvmyea 100 46 , , , cord-354664-mzzvmyea 100 47 class class NN cord-354664-mzzvmyea 100 48 of of IN cord-354664-mzzvmyea 100 49 antibiotics antibiotic NNS cord-354664-mzzvmyea 100 50 , , , cord-354664-mzzvmyea 100 51 and and CC cord-354664-mzzvmyea 100 52 in in IN cord-354664-mzzvmyea 100 53 vitro vitro FW cord-354664-mzzvmyea 100 54 activity activity NN cord-354664-mzzvmyea 100 55 of of IN cord-354664-mzzvmyea 100 56 the the DT cord-354664-mzzvmyea 100 57 prescribed prescribed JJ cord-354664-mzzvmyea 100 58 antibiotics antibiotic NNS cord-354664-mzzvmyea 100 59 . . . cord-354664-mzzvmyea 101 1 While while IN cord-354664-mzzvmyea 101 2 this this DT cord-354664-mzzvmyea 101 3 study study NN cord-354664-mzzvmyea 101 4 was be VBD cord-354664-mzzvmyea 101 5 not not RB cord-354664-mzzvmyea 101 6 limited limit VBN cord-354664-mzzvmyea 101 7 to to IN cord-354664-mzzvmyea 101 8 combination combination NN cord-354664-mzzvmyea 101 9 macrolide macrolide NN cord-354664-mzzvmyea 101 10 therapy therapy NN cord-354664-mzzvmyea 101 11 , , , cord-354664-mzzvmyea 102 1 beta beta NN cord-354664-mzzvmyea 102 2 - - HYPH cord-354664-mzzvmyea 102 3 lactam lactam NNS cord-354664-mzzvmyea 102 4 / / SYM cord-354664-mzzvmyea 102 5 macrolide macrolide NN cord-354664-mzzvmyea 102 6 therapy therapy NN cord-354664-mzzvmyea 102 7 remained remain VBD cord-354664-mzzvmyea 102 8 the the DT cord-354664-mzzvmyea 102 9 most most RBS cord-354664-mzzvmyea 102 10 common common JJ cord-354664-mzzvmyea 102 11 regimen regimen NN cord-354664-mzzvmyea 102 12 in in IN cord-354664-mzzvmyea 102 13 the the DT cord-354664-mzzvmyea 102 14 study study NN cord-354664-mzzvmyea 102 15 population population NN cord-354664-mzzvmyea 102 16 . . . cord-354664-mzzvmyea 103 1 Multiple multiple JJ cord-354664-mzzvmyea 103 2 retrospective retrospective JJ cord-354664-mzzvmyea 103 3 cohort cohort NN cord-354664-mzzvmyea 103 4 studies study NNS cord-354664-mzzvmyea 103 5 have have VBP cord-354664-mzzvmyea 103 6 shown show VBN cord-354664-mzzvmyea 103 7 a a DT cord-354664-mzzvmyea 103 8 similar similar JJ cord-354664-mzzvmyea 103 9 effect effect NN cord-354664-mzzvmyea 103 10 in in IN cord-354664-mzzvmyea 103 11 critically critically RB cord-354664-mzzvmyea 103 12 ill ill JJ cord-354664-mzzvmyea 103 13 patients patient NNS cord-354664-mzzvmyea 103 14 with with IN cord-354664-mzzvmyea 103 15 severe severe JJ cord-354664-mzzvmyea 103 16 pneumococcal pneumococcal JJ cord-354664-mzzvmyea 103 17 pneumonia pneumonia NN cord-354664-mzzvmyea 103 18 complicated complicate VBN cord-354664-mzzvmyea 103 19 by by IN cord-354664-mzzvmyea 103 20 bacteremia bacteremia NN cord-354664-mzzvmyea 103 21 [ [ -LRB- cord-354664-mzzvmyea 103 22 40 40 CD cord-354664-mzzvmyea 103 23 ] ] -RRB- cord-354664-mzzvmyea 103 24 . . . cord-354664-mzzvmyea 104 1 In in IN cord-354664-mzzvmyea 104 2 addition addition NN cord-354664-mzzvmyea 104 3 , , , cord-354664-mzzvmyea 104 4 Sligl Sligl NNP cord-354664-mzzvmyea 104 5 et et NNP cord-354664-mzzvmyea 104 6 al al NNP cord-354664-mzzvmyea 104 7 . . NNP cord-354664-mzzvmyea 104 8 explored explore VBD cord-354664-mzzvmyea 104 9 the the DT cord-354664-mzzvmyea 104 10 impact impact NN cord-354664-mzzvmyea 104 11 of of IN cord-354664-mzzvmyea 104 12 beta beta NN cord-354664-mzzvmyea 104 13 - - HYPH cord-354664-mzzvmyea 104 14 lactam lactam NNS cord-354664-mzzvmyea 104 15 / / SYM cord-354664-mzzvmyea 104 16 macrolide macrolide NN cord-354664-mzzvmyea 104 17 combination combination NN cord-354664-mzzvmyea 104 18 therapy therapy NN cord-354664-mzzvmyea 104 19 in in IN cord-354664-mzzvmyea 104 20 critically critically RB cord-354664-mzzvmyea 104 21 ill ill JJ cord-354664-mzzvmyea 104 22 patients patient NNS cord-354664-mzzvmyea 104 23 in in IN cord-354664-mzzvmyea 104 24 a a DT cord-354664-mzzvmyea 104 25 systematic systematic JJ cord-354664-mzzvmyea 104 26 review review NN cord-354664-mzzvmyea 104 27 and and CC cord-354664-mzzvmyea 104 28 meta meta NNP cord-354664-mzzvmyea 104 29 - - HYPH cord-354664-mzzvmyea 104 30 analysis analysis NN cord-354664-mzzvmyea 104 31 involving involve VBG cord-354664-mzzvmyea 104 32 nearly nearly RB cord-354664-mzzvmyea 104 33 10,000 10,000 CD cord-354664-mzzvmyea 104 34 critically critically RB cord-354664-mzzvmyea 104 35 ill ill JJ cord-354664-mzzvmyea 104 36 patients patient NNS cord-354664-mzzvmyea 104 37 from from IN cord-354664-mzzvmyea 104 38 28 28 CD cord-354664-mzzvmyea 104 39 observational observational JJ cord-354664-mzzvmyea 104 40 studies study NNS cord-354664-mzzvmyea 104 41 and and CC cord-354664-mzzvmyea 104 42 found find VBD cord-354664-mzzvmyea 104 43 that that IN cord-354664-mzzvmyea 104 44 combination combination NN cord-354664-mzzvmyea 104 45 therapy therapy NN cord-354664-mzzvmyea 104 46 including include VBG cord-354664-mzzvmyea 104 47 macrolides macrolide NNS cord-354664-mzzvmyea 104 48 was be VBD cord-354664-mzzvmyea 104 49 associated associate VBN cord-354664-mzzvmyea 104 50 with with IN cord-354664-mzzvmyea 104 51 a a DT cord-354664-mzzvmyea 104 52 significant significant JJ cord-354664-mzzvmyea 104 53 reduction reduction NN cord-354664-mzzvmyea 104 54 in in IN cord-354664-mzzvmyea 104 55 mortality mortality NN cord-354664-mzzvmyea 104 56 [ [ -LRB- cord-354664-mzzvmyea 104 57 41 41 CD cord-354664-mzzvmyea 104 58 ] ] -RRB- cord-354664-mzzvmyea 104 59 . . . cord-354664-mzzvmyea 105 1 A a DT cord-354664-mzzvmyea 105 2 subgroup subgroup NN cord-354664-mzzvmyea 105 3 analysis analysis NN cord-354664-mzzvmyea 105 4 of of IN cord-354664-mzzvmyea 105 5 the the DT cord-354664-mzzvmyea 105 6 cohort cohort NN cord-354664-mzzvmyea 105 7 evaluated evaluate VBN cord-354664-mzzvmyea 105 8 by by IN cord-354664-mzzvmyea 105 9 Garin Garin NNP cord-354664-mzzvmyea 105 10 et et FW cord-354664-mzzvmyea 105 11 al al NNP cord-354664-mzzvmyea 105 12 . . . cord-354664-mzzvmyea 106 1 also also RB cord-354664-mzzvmyea 106 2 supports support VBZ cord-354664-mzzvmyea 106 3 this this DT cord-354664-mzzvmyea 106 4 literature literature NN cord-354664-mzzvmyea 106 5 - - HYPH cord-354664-mzzvmyea 106 6 demonstrating demonstrate VBG cord-354664-mzzvmyea 106 7 that that IN cord-354664-mzzvmyea 106 8 patients patient NNS cord-354664-mzzvmyea 106 9 with with IN cord-354664-mzzvmyea 106 10 severe severe JJ cord-354664-mzzvmyea 106 11 pneumonia pneumonia NN cord-354664-mzzvmyea 106 12 were be VBD cord-354664-mzzvmyea 106 13 less less RBR cord-354664-mzzvmyea 106 14 likely likely JJ cord-354664-mzzvmyea 106 15 to to TO cord-354664-mzzvmyea 106 16 achieve achieve VB cord-354664-mzzvmyea 106 17 clinical clinical JJ cord-354664-mzzvmyea 106 18 stability stability NN cord-354664-mzzvmyea 106 19 with with IN cord-354664-mzzvmyea 106 20 beta beta NN cord-354664-mzzvmyea 106 21 - - HYPH cord-354664-mzzvmyea 106 22 lactam lactam NN cord-354664-mzzvmyea 106 23 monotherapy monotherapy NN cord-354664-mzzvmyea 106 24 . . . cord-354664-mzzvmyea 107 1 Despite despite IN cord-354664-mzzvmyea 107 2 the the DT cord-354664-mzzvmyea 107 3 lack lack NN cord-354664-mzzvmyea 107 4 of of IN cord-354664-mzzvmyea 107 5 randomized randomized JJ cord-354664-mzzvmyea 107 6 trials trial NNS cord-354664-mzzvmyea 107 7 in in IN cord-354664-mzzvmyea 107 8 severe severe JJ cord-354664-mzzvmyea 107 9 CAP cap NN cord-354664-mzzvmyea 107 10 , , , cord-354664-mzzvmyea 107 11 the the DT cord-354664-mzzvmyea 107 12 available available JJ cord-354664-mzzvmyea 107 13 evidence evidence NN cord-354664-mzzvmyea 107 14 is be VBZ cord-354664-mzzvmyea 107 15 consistent consistent JJ cord-354664-mzzvmyea 107 16 with with IN cord-354664-mzzvmyea 107 17 current current JJ cord-354664-mzzvmyea 107 18 recommendations recommendation NNS cord-354664-mzzvmyea 107 19 published publish VBN cord-354664-mzzvmyea 107 20 in in IN cord-354664-mzzvmyea 107 21 the the DT cord-354664-mzzvmyea 107 22 joint joint JJ cord-354664-mzzvmyea 107 23 IDSA IDSA NNP cord-354664-mzzvmyea 107 24 / / SYM cord-354664-mzzvmyea 107 25 ATS ATS NNP cord-354664-mzzvmyea 107 26 guidelines guideline NNS cord-354664-mzzvmyea 107 27 for for IN cord-354664-mzzvmyea 107 28 management management NN cord-354664-mzzvmyea 107 29 of of IN cord-354664-mzzvmyea 107 30 CAP CAP NNP cord-354664-mzzvmyea 107 31 in in IN cord-354664-mzzvmyea 107 32 patients patient NNS cord-354664-mzzvmyea 107 33 requiring require VBG cord-354664-mzzvmyea 107 34 ICU ICU NNP cord-354664-mzzvmyea 107 35 admission admission NN cord-354664-mzzvmyea 107 36 . . . cord-354664-mzzvmyea 108 1 Further further JJ cord-354664-mzzvmyea 108 2 research research NN cord-354664-mzzvmyea 108 3 to to TO cord-354664-mzzvmyea 108 4 characterize characterize VB cord-354664-mzzvmyea 108 5 the the DT cord-354664-mzzvmyea 108 6 potential potential JJ cord-354664-mzzvmyea 108 7 immune immune JJ cord-354664-mzzvmyea 108 8 - - HYPH cord-354664-mzzvmyea 108 9 modulatory modulatory JJ cord-354664-mzzvmyea 108 10 effects effect NNS cord-354664-mzzvmyea 108 11 of of IN cord-354664-mzzvmyea 108 12 macrolides macrolide NNS cord-354664-mzzvmyea 108 13 in in IN cord-354664-mzzvmyea 108 14 patients patient NNS cord-354664-mzzvmyea 108 15 with with IN cord-354664-mzzvmyea 108 16 severe severe JJ cord-354664-mzzvmyea 108 17 CAP cap NN cord-354664-mzzvmyea 108 18 is be VBZ cord-354664-mzzvmyea 108 19 warranted warrant VBN cord-354664-mzzvmyea 108 20 , , , cord-354664-mzzvmyea 108 21 specifically specifically RB cord-354664-mzzvmyea 108 22 because because IN cord-354664-mzzvmyea 108 23 this this DT cord-354664-mzzvmyea 108 24 population population NN cord-354664-mzzvmyea 108 25 is be VBZ cord-354664-mzzvmyea 108 26 more more RBR cord-354664-mzzvmyea 108 27 likely likely JJ cord-354664-mzzvmyea 108 28 to to TO cord-354664-mzzvmyea 108 29 have have VB cord-354664-mzzvmyea 108 30 concomitant concomitant JJ cord-354664-mzzvmyea 108 31 sepsis sepsis NN cord-354664-mzzvmyea 108 32 and and CC cord-354664-mzzvmyea 108 33 deleterious deleterious JJ cord-354664-mzzvmyea 108 34 systemic systemic JJ cord-354664-mzzvmyea 108 35 inflammation inflammation NN cord-354664-mzzvmyea 108 36 . . . cord-354664-mzzvmyea 109 1 The the DT cord-354664-mzzvmyea 109 2 utility utility NN cord-354664-mzzvmyea 109 3 of of IN cord-354664-mzzvmyea 109 4 macrolide macrolide JJ cord-354664-mzzvmyea 109 5 combination combination NN cord-354664-mzzvmyea 109 6 therapy therapy NN cord-354664-mzzvmyea 109 7 in in IN cord-354664-mzzvmyea 109 8 the the DT cord-354664-mzzvmyea 109 9 management management NN cord-354664-mzzvmyea 109 10 of of IN cord-354664-mzzvmyea 109 11 CAP CAP NNP cord-354664-mzzvmyea 109 12 has have VBZ cord-354664-mzzvmyea 109 13 been be VBN cord-354664-mzzvmyea 109 14 a a DT cord-354664-mzzvmyea 109 15 source source NN cord-354664-mzzvmyea 109 16 of of IN cord-354664-mzzvmyea 109 17 significant significant JJ cord-354664-mzzvmyea 109 18 controversy controversy NN cord-354664-mzzvmyea 109 19 with with IN cord-354664-mzzvmyea 109 20 a a DT cord-354664-mzzvmyea 109 21 large large JJ cord-354664-mzzvmyea 109 22 body body NN cord-354664-mzzvmyea 109 23 of of IN cord-354664-mzzvmyea 109 24 conflicting conflict VBG cord-354664-mzzvmyea 109 25 evidence evidence NN cord-354664-mzzvmyea 109 26 . . . cord-354664-mzzvmyea 110 1 Considering consider VBG cord-354664-mzzvmyea 110 2 the the DT cord-354664-mzzvmyea 110 3 increasing increase VBG cord-354664-mzzvmyea 110 4 resistance resistance NN cord-354664-mzzvmyea 110 5 of of IN cord-354664-mzzvmyea 110 6 typical typical JJ cord-354664-mzzvmyea 110 7 bacterial bacterial JJ cord-354664-mzzvmyea 110 8 isolates isolate NNS cord-354664-mzzvmyea 110 9 ( ( -LRB- cord-354664-mzzvmyea 110 10 specifically specifically RB cord-354664-mzzvmyea 110 11 S. S. NNP cord-354664-mzzvmyea 110 12 pneumoniae pneumoniae NN cord-354664-mzzvmyea 110 13 ) ) -RRB- cord-354664-mzzvmyea 110 14 to to IN cord-354664-mzzvmyea 110 15 macrolides macrolide NNS cord-354664-mzzvmyea 110 16 and and CC cord-354664-mzzvmyea 110 17 the the DT cord-354664-mzzvmyea 110 18 infrequent infrequent JJ cord-354664-mzzvmyea 110 19 identification identification NN cord-354664-mzzvmyea 110 20 of of IN cord-354664-mzzvmyea 110 21 atypical atypical JJ cord-354664-mzzvmyea 110 22 pathogens pathogen NNS cord-354664-mzzvmyea 110 23 as as IN cord-354664-mzzvmyea 110 24 causative causative JJ cord-354664-mzzvmyea 110 25 agents agent NNS cord-354664-mzzvmyea 110 26 of of IN cord-354664-mzzvmyea 110 27 pneumonia pneumonia NN cord-354664-mzzvmyea 110 28 , , , cord-354664-mzzvmyea 110 29 clinicians clinician NNS cord-354664-mzzvmyea 110 30 need need VBP cord-354664-mzzvmyea 110 31 to to TO cord-354664-mzzvmyea 110 32 carefully carefully RB cord-354664-mzzvmyea 110 33 consider consider VB cord-354664-mzzvmyea 110 34 the the DT cord-354664-mzzvmyea 110 35 utility utility NN cord-354664-mzzvmyea 110 36 of of IN cord-354664-mzzvmyea 110 37 macrolides macrolide NNS cord-354664-mzzvmyea 110 38 in in IN cord-354664-mzzvmyea 110 39 the the DT cord-354664-mzzvmyea 110 40 treatment treatment NN cord-354664-mzzvmyea 110 41 of of IN cord-354664-mzzvmyea 110 42 CAP CAP NNP cord-354664-mzzvmyea 110 43 . . . cord-354664-mzzvmyea 111 1 In in IN cord-354664-mzzvmyea 111 2 addition addition NN cord-354664-mzzvmyea 111 3 , , , cord-354664-mzzvmyea 111 4 clinicians clinician NNS cord-354664-mzzvmyea 111 5 need need VBP cord-354664-mzzvmyea 111 6 to to TO cord-354664-mzzvmyea 111 7 balance balance VB cord-354664-mzzvmyea 111 8 any any DT cord-354664-mzzvmyea 111 9 potential potential JJ cord-354664-mzzvmyea 111 10 incremental incremental JJ cord-354664-mzzvmyea 111 11 benefit benefit NN cord-354664-mzzvmyea 111 12 from from IN cord-354664-mzzvmyea 111 13 the the DT cord-354664-mzzvmyea 111 14 anti anti JJ cord-354664-mzzvmyea 111 15 - - JJ cord-354664-mzzvmyea 111 16 inflammatory inflammatory JJ cord-354664-mzzvmyea 111 17 effect effect NN cord-354664-mzzvmyea 111 18 that that WDT cord-354664-mzzvmyea 111 19 macrolides macrolide NNS cord-354664-mzzvmyea 111 20 may may MD cord-354664-mzzvmyea 111 21 possess possess VB cord-354664-mzzvmyea 111 22 against against IN cord-354664-mzzvmyea 111 23 the the DT cord-354664-mzzvmyea 111 24 urgent urgent JJ cord-354664-mzzvmyea 111 25 need need NN cord-354664-mzzvmyea 111 26 for for IN cord-354664-mzzvmyea 111 27 antimicrobial antimicrobial JJ cord-354664-mzzvmyea 111 28 stewardship stewardship NN cord-354664-mzzvmyea 111 29 and and CC cord-354664-mzzvmyea 111 30 responsible responsible JJ cord-354664-mzzvmyea 111 31 antibiotic antibiotic JJ cord-354664-mzzvmyea 111 32 use use NN cord-354664-mzzvmyea 111 33 . . . cord-354664-mzzvmyea 112 1 While while IN cord-354664-mzzvmyea 112 2 population population NN cord-354664-mzzvmyea 112 3 - - HYPH cord-354664-mzzvmyea 112 4 based base VBN cord-354664-mzzvmyea 112 5 epidemiologic epidemiologic JJ cord-354664-mzzvmyea 112 6 studies study NNS cord-354664-mzzvmyea 112 7 have have VBP cord-354664-mzzvmyea 112 8 historically historically RB cord-354664-mzzvmyea 112 9 suggested suggest VBN cord-354664-mzzvmyea 112 10 a a DT cord-354664-mzzvmyea 112 11 benefit benefit NN cord-354664-mzzvmyea 112 12 of of IN cord-354664-mzzvmyea 112 13 adjunctive adjunctive JJ cord-354664-mzzvmyea 112 14 macrolides macrolide NNS cord-354664-mzzvmyea 112 15 in in IN cord-354664-mzzvmyea 112 16 the the DT cord-354664-mzzvmyea 112 17 management management NN cord-354664-mzzvmyea 112 18 of of IN cord-354664-mzzvmyea 112 19 CAP CAP NNP cord-354664-mzzvmyea 112 20 , , , cord-354664-mzzvmyea 112 21 most most JJS cord-354664-mzzvmyea 112 22 of of IN cord-354664-mzzvmyea 112 23 these these DT cord-354664-mzzvmyea 112 24 studies study NNS cord-354664-mzzvmyea 112 25 are be VBP cord-354664-mzzvmyea 112 26 of of IN cord-354664-mzzvmyea 112 27 relatively relatively RB cord-354664-mzzvmyea 112 28 low low JJ cord-354664-mzzvmyea 112 29 quality quality NN cord-354664-mzzvmyea 112 30 . . . cord-354664-mzzvmyea 113 1 Emerging emerge VBG cord-354664-mzzvmyea 113 2 evidence evidence NN cord-354664-mzzvmyea 113 3 from from IN cord-354664-mzzvmyea 113 4 several several JJ cord-354664-mzzvmyea 113 5 prospective prospective JJ cord-354664-mzzvmyea 113 6 studies study NNS cord-354664-mzzvmyea 113 7 has have VBZ cord-354664-mzzvmyea 113 8 challenged challenge VBN cord-354664-mzzvmyea 113 9 this this DT cord-354664-mzzvmyea 113 10 practice practice NN cord-354664-mzzvmyea 113 11 by by IN cord-354664-mzzvmyea 113 12 failing fail VBG cord-354664-mzzvmyea 113 13 to to TO cord-354664-mzzvmyea 113 14 show show VB cord-354664-mzzvmyea 113 15 a a DT cord-354664-mzzvmyea 113 16 significant significant JJ cord-354664-mzzvmyea 113 17 improvement improvement NN cord-354664-mzzvmyea 113 18 in in IN cord-354664-mzzvmyea 113 19 relevant relevant JJ cord-354664-mzzvmyea 113 20 clinical clinical JJ cord-354664-mzzvmyea 113 21 outcomes outcome NNS cord-354664-mzzvmyea 113 22 in in IN cord-354664-mzzvmyea 113 23 patients patient NNS cord-354664-mzzvmyea 113 24 hospitalized hospitalize VBN cord-354664-mzzvmyea 113 25 with with IN cord-354664-mzzvmyea 113 26 mild mild JJ cord-354664-mzzvmyea 113 27 to to IN cord-354664-mzzvmyea 113 28 moderate moderate JJ cord-354664-mzzvmyea 113 29 CAP cap NN cord-354664-mzzvmyea 113 30 . . . cord-354664-mzzvmyea 114 1 While while IN cord-354664-mzzvmyea 114 2 existing exist VBG cord-354664-mzzvmyea 114 3 evidence evidence NN cord-354664-mzzvmyea 114 4 still still RB cord-354664-mzzvmyea 114 5 supports support VBZ cord-354664-mzzvmyea 114 6 the the DT cord-354664-mzzvmyea 114 7 use use NN cord-354664-mzzvmyea 114 8 of of IN cord-354664-mzzvmyea 114 9 combination combination NN cord-354664-mzzvmyea 114 10 therapy therapy NN cord-354664-mzzvmyea 114 11 in in IN cord-354664-mzzvmyea 114 12 critically critically RB cord-354664-mzzvmyea 114 13 ill ill JJ cord-354664-mzzvmyea 114 14 patients patient NNS cord-354664-mzzvmyea 114 15 with with IN cord-354664-mzzvmyea 114 16 severe severe JJ cord-354664-mzzvmyea 114 17 CAP cap NN cord-354664-mzzvmyea 114 18 , , , cord-354664-mzzvmyea 114 19 further further RB cord-354664-mzzvmyea 114 20 randomized randomize VBN cord-354664-mzzvmyea 114 21 - - HYPH cord-354664-mzzvmyea 114 22 controlled control VBN cord-354664-mzzvmyea 114 23 trials trial NNS cord-354664-mzzvmyea 114 24 are be VBP cord-354664-mzzvmyea 114 25 urgently urgently RB cord-354664-mzzvmyea 114 26 needed need VBN cord-354664-mzzvmyea 114 27 to to TO cord-354664-mzzvmyea 114 28 clarify clarify VB cord-354664-mzzvmyea 114 29 the the DT cord-354664-mzzvmyea 114 30 role role NN cord-354664-mzzvmyea 114 31 of of IN cord-354664-mzzvmyea 114 32 combination combination NN cord-354664-mzzvmyea 114 33 therapy therapy NN cord-354664-mzzvmyea 114 34 in in IN cord-354664-mzzvmyea 114 35 this this DT cord-354664-mzzvmyea 114 36 population population NN cord-354664-mzzvmyea 114 37 . . . cord-354664-mzzvmyea 115 1 In in IN cord-354664-mzzvmyea 115 2 particular particular JJ cord-354664-mzzvmyea 115 3 , , , cord-354664-mzzvmyea 115 4 the the DT cord-354664-mzzvmyea 115 5 potential potential JJ cord-354664-mzzvmyea 115 6 immune immune JJ cord-354664-mzzvmyea 115 7 modulatory modulatory JJ cord-354664-mzzvmyea 115 8 effect effect NN cord-354664-mzzvmyea 115 9 of of IN cord-354664-mzzvmyea 115 10 macrolides macrolide NNS cord-354664-mzzvmyea 115 11 in in IN cord-354664-mzzvmyea 115 12 sepsis sepsis NN cord-354664-mzzvmyea 115 13 remains remain VBZ cord-354664-mzzvmyea 115 14 an an DT cord-354664-mzzvmyea 115 15 area area NN cord-354664-mzzvmyea 115 16 of of IN cord-354664-mzzvmyea 115 17 uncertainty uncertainty NN cord-354664-mzzvmyea 115 18 . . . cord-354664-mzzvmyea 116 1 Based base VBN cord-354664-mzzvmyea 116 2 on on IN cord-354664-mzzvmyea 116 3 the the DT cord-354664-mzzvmyea 116 4 current current JJ cord-354664-mzzvmyea 116 5 literature literature NN cord-354664-mzzvmyea 116 6 , , , cord-354664-mzzvmyea 116 7 we -PRON- PRP cord-354664-mzzvmyea 116 8 suggest suggest VBP cord-354664-mzzvmyea 116 9 a a DT cord-354664-mzzvmyea 116 10 pragmatic pragmatic JJ cord-354664-mzzvmyea 116 11 approach approach NN cord-354664-mzzvmyea 116 12 pending pende VBG cord-354664-mzzvmyea 116 13 further further JJ cord-354664-mzzvmyea 116 14 high high JJ cord-354664-mzzvmyea 116 15 quality quality NN cord-354664-mzzvmyea 116 16 evidence evidence NN cord-354664-mzzvmyea 116 17 to to TO cord-354664-mzzvmyea 116 18 guide guide VB cord-354664-mzzvmyea 116 19 therapy therapy NN cord-354664-mzzvmyea 116 20 . . . cord-354664-mzzvmyea 117 1 For for IN cord-354664-mzzvmyea 117 2 patients patient NNS cord-354664-mzzvmyea 117 3 with with IN cord-354664-mzzvmyea 117 4 mild mild JJ cord-354664-mzzvmyea 117 5 - - HYPH cord-354664-mzzvmyea 117 6 moderate moderate JJ cord-354664-mzzvmyea 117 7 CAP cap NN cord-354664-mzzvmyea 117 8 requiring require VBG cord-354664-mzzvmyea 117 9 hospitalization hospitalization NN cord-354664-mzzvmyea 117 10 , , , cord-354664-mzzvmyea 117 11 we -PRON- PRP cord-354664-mzzvmyea 117 12 suggest suggest VBP cord-354664-mzzvmyea 117 13 treatment treatment NN cord-354664-mzzvmyea 117 14 with with IN cord-354664-mzzvmyea 117 15 beta beta NN cord-354664-mzzvmyea 117 16 - - HYPH cord-354664-mzzvmyea 117 17 lactam lactam NN cord-354664-mzzvmyea 117 18 monotherapy monotherapy NN cord-354664-mzzvmyea 117 19 ( ( -LRB- cord-354664-mzzvmyea 117 20 e.g. e.g. RB cord-354664-mzzvmyea 117 21 , , , cord-354664-mzzvmyea 117 22 ceftriaxone ceftriaxone NN cord-354664-mzzvmyea 117 23 ) ) -RRB- cord-354664-mzzvmyea 117 24 or or CC cord-354664-mzzvmyea 117 25 a a DT cord-354664-mzzvmyea 117 26 respiratory respiratory JJ cord-354664-mzzvmyea 117 27 fluoroquinolone fluoroquinolone NN cord-354664-mzzvmyea 117 28 ( ( -LRB- cord-354664-mzzvmyea 117 29 e.g. e.g. RB cord-354664-mzzvmyea 117 30 , , , cord-354664-mzzvmyea 117 31 moxifloxacin moxifloxacin NNS cord-354664-mzzvmyea 117 32 ) ) -RRB- cord-354664-mzzvmyea 117 33 . . . cord-354664-mzzvmyea 118 1 For for IN cord-354664-mzzvmyea 118 2 patients patient NNS cord-354664-mzzvmyea 118 3 with with IN cord-354664-mzzvmyea 118 4 severe severe JJ cord-354664-mzzvmyea 118 5 pneumonia pneumonia NN cord-354664-mzzvmyea 118 6 or or CC cord-354664-mzzvmyea 118 7 those those DT cord-354664-mzzvmyea 118 8 requiring require VBG cord-354664-mzzvmyea 118 9 ICU ICU NNP cord-354664-mzzvmyea 118 10 - - HYPH cord-354664-mzzvmyea 118 11 level level NN cord-354664-mzzvmyea 118 12 care care NN cord-354664-mzzvmyea 118 13 , , , cord-354664-mzzvmyea 118 14 we -PRON- PRP cord-354664-mzzvmyea 118 15 suggest suggest VBP cord-354664-mzzvmyea 118 16 beta beta NN cord-354664-mzzvmyea 118 17 - - HYPH cord-354664-mzzvmyea 118 18 lactam lactam NN cord-354664-mzzvmyea 118 19 / / SYM cord-354664-mzzvmyea 118 20 macrolide macrolide NN cord-354664-mzzvmyea 118 21 ( ( -LRB- cord-354664-mzzvmyea 118 22 e.g. e.g. RB cord-354664-mzzvmyea 118 23 , , , cord-354664-mzzvmyea 118 24 ceftriaxone ceftriaxone NN cord-354664-mzzvmyea 118 25 / / SYM cord-354664-mzzvmyea 118 26 azithromycin azithromycin NNP cord-354664-mzzvmyea 118 27 ) ) -RRB- cord-354664-mzzvmyea 118 28 combination combination NN cord-354664-mzzvmyea 118 29 therapy therapy NN cord-354664-mzzvmyea 118 30 . . . cord-354664-mzzvmyea 119 1 Empiric empiric NN cord-354664-mzzvmyea 119 2 therapies therapy NNS cord-354664-mzzvmyea 119 3 , , , cord-354664-mzzvmyea 119 4 however however RB cord-354664-mzzvmyea 119 5 , , , cord-354664-mzzvmyea 119 6 may may MD cord-354664-mzzvmyea 119 7 differ differ VB cord-354664-mzzvmyea 119 8 based base VBN cord-354664-mzzvmyea 119 9 on on IN cord-354664-mzzvmyea 119 10 local local JJ cord-354664-mzzvmyea 119 11 epidemiology epidemiology NN cord-354664-mzzvmyea 119 12 and and CC cord-354664-mzzvmyea 119 13 antimicrobial antimicrobial JJ cord-354664-mzzvmyea 119 14 susceptibility susceptibility NN cord-354664-mzzvmyea 119 15 patterns pattern NNS cord-354664-mzzvmyea 119 16 in in IN cord-354664-mzzvmyea 119 17 each each DT cord-354664-mzzvmyea 119 18 individual individual JJ cord-354664-mzzvmyea 119 19 health health NN cord-354664-mzzvmyea 119 20 region region NN cord-354664-mzzvmyea 119 21 or or CC cord-354664-mzzvmyea 119 22 institution institution NN cord-354664-mzzvmyea 119 23 . . . cord-354664-mzzvmyea 120 1 Conflict conflict NN cord-354664-mzzvmyea 120 2 of of IN cord-354664-mzzvmyea 120 3 Interest Interest NNP cord-354664-mzzvmyea 120 4 Geoffrey Geoffrey NNP cord-354664-mzzvmyea 120 5 Shumilak Shumilak NNP cord-354664-mzzvmyea 120 6 and and CC cord-354664-mzzvmyea 120 7 Wendy Wendy NNP cord-354664-mzzvmyea 120 8 Sligl Sligl NNP cord-354664-mzzvmyea 120 9 declare declare VBP cord-354664-mzzvmyea 120 10 that that IN cord-354664-mzzvmyea 120 11 they -PRON- PRP cord-354664-mzzvmyea 120 12 have have VBP cord-354664-mzzvmyea 120 13 no no DT cord-354664-mzzvmyea 120 14 conflicts conflict NNS cord-354664-mzzvmyea 120 15 of of IN cord-354664-mzzvmyea 120 16 interest interest NN cord-354664-mzzvmyea 120 17 . . . cord-354664-mzzvmyea 121 1 Human human JJ cord-354664-mzzvmyea 121 2 and and CC cord-354664-mzzvmyea 121 3 Animal Animal NNP cord-354664-mzzvmyea 121 4 Rights Rights NNPS cord-354664-mzzvmyea 121 5 and and CC cord-354664-mzzvmyea 121 6 Informed Informed NNP cord-354664-mzzvmyea 121 7 Consent Consent NNP cord-354664-mzzvmyea 122 1 This this DT cord-354664-mzzvmyea 122 2 article article NN cord-354664-mzzvmyea 122 3 does do VBZ cord-354664-mzzvmyea 122 4 not not RB cord-354664-mzzvmyea 122 5 contain contain VB cord-354664-mzzvmyea 122 6 any any DT cord-354664-mzzvmyea 122 7 studies study NNS cord-354664-mzzvmyea 122 8 with with IN cord-354664-mzzvmyea 122 9 human human JJ cord-354664-mzzvmyea 122 10 or or CC cord-354664-mzzvmyea 122 11 animal animal NN cord-354664-mzzvmyea 122 12 subjects subject NNS cord-354664-mzzvmyea 122 13 performed perform VBN cord-354664-mzzvmyea 122 14 by by IN cord-354664-mzzvmyea 122 15 any any DT cord-354664-mzzvmyea 122 16 of of IN cord-354664-mzzvmyea 122 17 the the DT cord-354664-mzzvmyea 122 18 authors author NNS cord-354664-mzzvmyea 122 19 . . . cord-354664-mzzvmyea 123 1 Prospective prospective JJ cord-354664-mzzvmyea 123 2 population population NN cord-354664-mzzvmyea 123 3 - - HYPH cord-354664-mzzvmyea 123 4 based base VBN cord-354664-mzzvmyea 123 5 cohort cohort NN cord-354664-mzzvmyea 123 6 study study NN cord-354664-mzzvmyea 123 7 evaluating evaluate VBG cord-354664-mzzvmyea 123 8 incidence incidence NN cord-354664-mzzvmyea 123 9 of of IN cord-354664-mzzvmyea 123 10 CAP cap NN cord-354664-mzzvmyea 123 11 in in IN cord-354664-mzzvmyea 123 12 consecutive consecutive JJ cord-354664-mzzvmyea 123 13 hospitalized hospitalize VBN cord-354664-mzzvmyea 123 14 patients patient NNS cord-354664-mzzvmyea 123 15 at at IN cord-354664-mzzvmyea 123 16 all all DT cord-354664-mzzvmyea 123 17 adult adult NN cord-354664-mzzvmyea 123 18 hospitals hospital NNS cord-354664-mzzvmyea 123 19 in in IN cord-354664-mzzvmyea 123 20 Louisville Louisville NNP cord-354664-mzzvmyea 123 21 , , , cord-354664-mzzvmyea 123 22 Kentucky Kentucky NNP cord-354664-mzzvmyea 123 23 . . . cord-354664-mzzvmyea 124 1 Calculation calculation NN cord-354664-mzzvmyea 124 2 of of IN cord-354664-mzzvmyea 124 3 annual annual JJ cord-354664-mzzvmyea 124 4 population population NN cord-354664-mzzvmyea 124 5 - - HYPH cord-354664-mzzvmyea 124 6 based base VBN cord-354664-mzzvmyea 124 7 incidence incidence NN cord-354664-mzzvmyea 124 8 of of IN cord-354664-mzzvmyea 124 9 CAP cap NN cord-354664-mzzvmyea 124 10 , , , cord-354664-mzzvmyea 124 11 mortality mortality NN cord-354664-mzzvmyea 124 12 at at IN cord-354664-mzzvmyea 124 13 1 1 CD cord-354664-mzzvmyea 124 14 , , , cord-354664-mzzvmyea 124 15 6 6 CD cord-354664-mzzvmyea 124 16 , , , cord-354664-mzzvmyea 124 17 and and CC cord-354664-mzzvmyea 124 18 12 12 CD cord-354664-mzzvmyea 124 19 months month NNS cord-354664-mzzvmyea 124 20 following follow VBG cord-354664-mzzvmyea 124 21 hospitalization hospitalization NN cord-354664-mzzvmyea 124 22 National National NNP cord-354664-mzzvmyea 124 23 Hospital Hospital NNP cord-354664-mzzvmyea 124 24 Ambulatory Ambulatory NNP cord-354664-mzzvmyea 124 25 Medical Medical NNP cord-354664-mzzvmyea 124 26 Care Care NNP cord-354664-mzzvmyea 124 27 Survey Survey NNP cord-354664-mzzvmyea 124 28 : : : cord-354664-mzzvmyea 124 29 2014 2014 CD cord-354664-mzzvmyea 124 30 Emergency Emergency NNP cord-354664-mzzvmyea 124 31 department department NN cord-354664-mzzvmyea 124 32 summary summary NN cord-354664-mzzvmyea 124 33 tables table NNS cord-354664-mzzvmyea 125 1 Deaths death NNS cord-354664-mzzvmyea 125 2 : : : cord-354664-mzzvmyea 125 3 final final JJ cord-354664-mzzvmyea 125 4 for for IN cord-354664-mzzvmyea 125 5 Douglas Douglas NNP cord-354664-mzzvmyea 125 6 and and CC cord-354664-mzzvmyea 125 7 Bennett Bennett NNP cord-354664-mzzvmyea 125 8 's 's POS cord-354664-mzzvmyea 125 9 Principles Principles NNPS cord-354664-mzzvmyea 125 10 and and CC cord-354664-mzzvmyea 125 11 Practice practice NN cord-354664-mzzvmyea 125 12 of of IN cord-354664-mzzvmyea 125 13 Infectious Infectious NNP cord-354664-mzzvmyea 125 14 Diseases Diseases NNPS cord-354664-mzzvmyea 125 15 . . . cord-354664-mzzvmyea 126 1 Chapter chapter NN cord-354664-mzzvmyea 126 2 68 68 CD cord-354664-mzzvmyea 126 3 : : : cord-354664-mzzvmyea 127 1 Acute acute JJ cord-354664-mzzvmyea 127 2 Pneumonia Pneumonia NNP cord-354664-mzzvmyea 128 1 The the DT cord-354664-mzzvmyea 128 2 Canadian canadian JJ cord-354664-mzzvmyea 128 3 CAP CAP NNP cord-354664-mzzvmyea 128 4 Working Working NNP cord-354664-mzzvmyea 128 5 Group Group NNP cord-354664-mzzvmyea 128 6 . . . cord-354664-mzzvmyea 129 1 Summary summary NN cord-354664-mzzvmyea 129 2 of of IN cord-354664-mzzvmyea 129 3 Canadian Canadian NNP cord-354664-mzzvmyea 129 4 Guidelines Guidelines NNPS cord-354664-mzzvmyea 129 5 for for IN cord-354664-mzzvmyea 129 6 the the DT cord-354664-mzzvmyea 129 7 Initial Initial NNP cord-354664-mzzvmyea 129 8 Management Management NNP cord-354664-mzzvmyea 129 9 of of IN cord-354664-mzzvmyea 129 10 Community Community NNP cord-354664-mzzvmyea 129 11 - - HYPH cord-354664-mzzvmyea 129 12 acquired acquire VBN cord-354664-mzzvmyea 129 13 Pneumonia pneumonia NN cord-354664-mzzvmyea 129 14 : : : cord-354664-mzzvmyea 129 15 an an DT cord-354664-mzzvmyea 129 16 evidence evidence NN cord-354664-mzzvmyea 129 17 - - HYPH cord-354664-mzzvmyea 129 18 based base VBN cord-354664-mzzvmyea 129 19 update update NN cord-354664-mzzvmyea 129 20 by by IN cord-354664-mzzvmyea 129 21 the the DT cord-354664-mzzvmyea 129 22 Canadian Canadian NNP cord-354664-mzzvmyea 129 23 Infectious Infectious NNP cord-354664-mzzvmyea 129 24 Disease Disease NNP cord-354664-mzzvmyea 129 25 Society Society NNP cord-354664-mzzvmyea 129 26 and and CC cord-354664-mzzvmyea 129 27 the the DT cord-354664-mzzvmyea 129 28 Canadian canadian JJ cord-354664-mzzvmyea 129 29 Thoracic Thoracic NNP cord-354664-mzzvmyea 129 30 Society Society NNP cord-354664-mzzvmyea 129 31 Active Active NNP cord-354664-mzzvmyea 129 32 population population NN cord-354664-mzzvmyea 129 33 - - HYPH cord-354664-mzzvmyea 129 34 based base VBN cord-354664-mzzvmyea 129 35 surveillance surveillance NN cord-354664-mzzvmyea 129 36 study study NN cord-354664-mzzvmyea 129 37 of of IN cord-354664-mzzvmyea 129 38 immunocompetent immunocompetent JJ cord-354664-mzzvmyea 129 39 adults adult NNS cord-354664-mzzvmyea 129 40 hospitalized hospitalize VBN cord-354664-mzzvmyea 129 41 with with IN cord-354664-mzzvmyea 129 42 community community NN cord-354664-mzzvmyea 129 43 - - HYPH cord-354664-mzzvmyea 129 44 acquired acquire VBN cord-354664-mzzvmyea 129 45 pneumonia pneumonia NN cord-354664-mzzvmyea 129 46 . . . cord-354664-mzzvmyea 130 1 In in IN cord-354664-mzzvmyea 130 2 addition addition NN cord-354664-mzzvmyea 130 3 to to IN cord-354664-mzzvmyea 130 4 conventional conventional JJ cord-354664-mzzvmyea 130 5 diagnostic diagnostic JJ cord-354664-mzzvmyea 130 6 testing testing NN cord-354664-mzzvmyea 130 7 , , , cord-354664-mzzvmyea 130 8 extensive extensive JJ cord-354664-mzzvmyea 130 9 molecular molecular JJ cord-354664-mzzvmyea 130 10 and and CC cord-354664-mzzvmyea 130 11 serologic serologic NN cord-354664-mzzvmyea 130 12 testing testing NN cord-354664-mzzvmyea 130 13 was be VBD cord-354664-mzzvmyea 130 14 employed employ VBN cord-354664-mzzvmyea 130 15 to to TO cord-354664-mzzvmyea 130 16 characterize characterize VB cord-354664-mzzvmyea 130 17 causative causative JJ cord-354664-mzzvmyea 130 18 pathogens pathogen NNS cord-354664-mzzvmyea 130 19 and and CC cord-354664-mzzvmyea 130 20 provide provide VB cord-354664-mzzvmyea 130 21 contemporary contemporary JJ cord-354664-mzzvmyea 130 22 data datum NNS cord-354664-mzzvmyea 130 23 on on IN cord-354664-mzzvmyea 130 24 the the DT cord-354664-mzzvmyea 130 25 causative causative JJ cord-354664-mzzvmyea 130 26 agents agent NNS cord-354664-mzzvmyea 130 27 of of IN cord-354664-mzzvmyea 130 28 CAP CAP NNP cord-354664-mzzvmyea 130 29 . . . cord-354664-mzzvmyea 131 1 Despite despite IN cord-354664-mzzvmyea 131 2 extensive extensive JJ cord-354664-mzzvmyea 131 3 testing testing NN cord-354664-mzzvmyea 131 4 The the DT cord-354664-mzzvmyea 131 5 value value NN cord-354664-mzzvmyea 131 6 of of IN cord-354664-mzzvmyea 131 7 macrolide macrolide NN cord-354664-mzzvmyea 131 8 - - HYPH cord-354664-mzzvmyea 131 9 based base VBN cord-354664-mzzvmyea 131 10 regimens regimen NNS cord-354664-mzzvmyea 131 11 for for IN cord-354664-mzzvmyea 131 12 community community NN cord-354664-mzzvmyea 131 13 - - HYPH cord-354664-mzzvmyea 131 14 acquired acquire VBN cord-354664-mzzvmyea 131 15 pneumonia pneumonia NN cord-354664-mzzvmyea 131 16 Structural structural JJ cord-354664-mzzvmyea 131 17 basis basis NN cord-354664-mzzvmyea 131 18 for for IN cord-354664-mzzvmyea 131 19 the the DT cord-354664-mzzvmyea 131 20 interaction interaction NN cord-354664-mzzvmyea 131 21 of of IN cord-354664-mzzvmyea 131 22 antibiotics antibiotic NNS cord-354664-mzzvmyea 131 23 with with IN cord-354664-mzzvmyea 131 24 the the DT cord-354664-mzzvmyea 131 25 peptidyl peptidyl JJ cord-354664-mzzvmyea 131 26 - - HYPH cord-354664-mzzvmyea 131 27 transferase transferase NN cord-354664-mzzvmyea 131 28 centre centre NN cord-354664-mzzvmyea 131 29 in in IN cord-354664-mzzvmyea 131 30 eubacteria eubacteria NNP cord-354664-mzzvmyea 132 1 The the DT cord-354664-mzzvmyea 132 2 mechanism mechanism NN cord-354664-mzzvmyea 132 3 of of IN cord-354664-mzzvmyea 132 4 action action NN cord-354664-mzzvmyea 132 5 of of IN cord-354664-mzzvmyea 132 6 macrolides macrolide NNS cord-354664-mzzvmyea 132 7 , , , cord-354664-mzzvmyea 132 8 lincosamides lincosamides NNP cord-354664-mzzvmyea 132 9 and and CC cord-354664-mzzvmyea 132 10 streptogramin streptogramin NNP cord-354664-mzzvmyea 132 11 B B NNP cord-354664-mzzvmyea 132 12 reveals reveal VBZ cord-354664-mzzvmyea 132 13 the the DT cord-354664-mzzvmyea 132 14 nascent nascent JJ cord-354664-mzzvmyea 132 15 peptide peptide JJ cord-354664-mzzvmyea 132 16 exit exit NN cord-354664-mzzvmyea 132 17 path path NN cord-354664-mzzvmyea 132 18 in in IN cord-354664-mzzvmyea 132 19 the the DT cord-354664-mzzvmyea 132 20 ribosome ribosome NN cord-354664-mzzvmyea 132 21 Antimicrobial Antimicrobial NNP cord-354664-mzzvmyea 132 22 resistance resistance NN cord-354664-mzzvmyea 132 23 among among IN cord-354664-mzzvmyea 132 24 Streptococcus streptococcus NN cord-354664-mzzvmyea 132 25 pneumoniae pneumoniae NN cord-354664-mzzvmyea 132 26 in in IN cord-354664-mzzvmyea 132 27 the the DT cord-354664-mzzvmyea 132 28 United United NNP cord-354664-mzzvmyea 132 29 States States NNP cord-354664-mzzvmyea 132 30 : : : cord-354664-mzzvmyea 132 31 have have VBP cord-354664-mzzvmyea 132 32 we -PRON- PRP cord-354664-mzzvmyea 132 33 begun begin VBN cord-354664-mzzvmyea 132 34 to to TO cord-354664-mzzvmyea 132 35 turn turn VB cord-354664-mzzvmyea 132 36 the the DT cord-354664-mzzvmyea 132 37 corner corner NN cord-354664-mzzvmyea 132 38 on on IN cord-354664-mzzvmyea 132 39 resistance resistance NN cord-354664-mzzvmyea 132 40 to to IN cord-354664-mzzvmyea 132 41 certain certain JJ cord-354664-mzzvmyea 132 42 antimicrobial antimicrobial JJ cord-354664-mzzvmyea 132 43 classes class NNS cord-354664-mzzvmyea 132 44 ? ? . cord-354664-mzzvmyea 133 1 Antibiotic antibiotic JJ cord-354664-mzzvmyea 133 2 Resistance Resistance NNP cord-354664-mzzvmyea 133 3 Threats Threats NNPS cord-354664-mzzvmyea 133 4 in in IN cord-354664-mzzvmyea 133 5 the the DT cord-354664-mzzvmyea 133 6 United United NNP cord-354664-mzzvmyea 133 7 States States NNP cord-354664-mzzvmyea 133 8 High High NNP cord-354664-mzzvmyea 133 9 prevalence prevalence NN cord-354664-mzzvmyea 133 10 of of IN cord-354664-mzzvmyea 133 11 antimicrobial antimicrobial JJ cord-354664-mzzvmyea 133 12 resistance resistance NN cord-354664-mzzvmyea 133 13 among among IN cord-354664-mzzvmyea 133 14 clinical clinical JJ cord-354664-mzzvmyea 133 15 Streptococcus streptococcus NN cord-354664-mzzvmyea 133 16 pneumoniae pneumoniae NN cord-354664-mzzvmyea 133 17 isolates isolate VBZ cord-354664-mzzvmyea 133 18 in in IN cord-354664-mzzvmyea 133 19 Asia Asia NNP cord-354664-mzzvmyea 133 20 ( ( -LRB- cord-354664-mzzvmyea 133 21 an an DT cord-354664-mzzvmyea 133 22 ANSORP ANSORP NNP cord-354664-mzzvmyea 133 23 study study NN cord-354664-mzzvmyea 133 24 ) ) -RRB- cord-354664-mzzvmyea 134 1 Macrolide macrolide JJ cord-354664-mzzvmyea 134 2 - - HYPH cord-354664-mzzvmyea 134 3 resistant resistant JJ cord-354664-mzzvmyea 134 4 mycoplasma mycoplasma NN cord-354664-mzzvmyea 134 5 pneumoniae pneumoniae NN cord-354664-mzzvmyea 134 6 , , , cord-354664-mzzvmyea 134 7 United United NNP cord-354664-mzzvmyea 134 8 States States NNP cord-354664-mzzvmyea 134 9 Nationwide Nationwide NNP cord-354664-mzzvmyea 134 10 surveillance surveillance NN cord-354664-mzzvmyea 134 11 of of IN cord-354664-mzzvmyea 134 12 macrolide macrolide JJ cord-354664-mzzvmyea 134 13 - - HYPH cord-354664-mzzvmyea 134 14 resistant resistant JJ cord-354664-mzzvmyea 134 15 mycoplasma mycoplasma NN cord-354664-mzzvmyea 134 16 pneumoniae pneumoniae NN cord-354664-mzzvmyea 134 17 infection infection NN cord-354664-mzzvmyea 134 18 in in IN cord-354664-mzzvmyea 134 19 pediatric pediatric JJ cord-354664-mzzvmyea 134 20 patients patient NNS cord-354664-mzzvmyea 135 1 Macrolide macrolide JJ cord-354664-mzzvmyea 135 2 antibiotics antibiotic NNS cord-354664-mzzvmyea 135 3 as as IN cord-354664-mzzvmyea 135 4 biological biological JJ cord-354664-mzzvmyea 135 5 response response NN cord-354664-mzzvmyea 136 1 modifiers modifiers NNPS cord-354664-mzzvmyea 136 2 Effect Effect NNP cord-354664-mzzvmyea 136 3 of of IN cord-354664-mzzvmyea 136 4 erythromycin erythromycin NN cord-354664-mzzvmyea 136 5 on on IN cord-354664-mzzvmyea 136 6 Haemophilus Haemophilus NNP cord-354664-mzzvmyea 136 7 influenzae influenzae NN cord-354664-mzzvmyea 136 8 endotoxininduced endotoxininduced NN cord-354664-mzzvmyea 136 9 release release NN cord-354664-mzzvmyea 136 10 of of IN cord-354664-mzzvmyea 136 11 IL-6 IL-6 NNP cord-354664-mzzvmyea 136 12 , , , cord-354664-mzzvmyea 136 13 IL-8 IL-8 NNP cord-354664-mzzvmyea 136 14 and and CC cord-354664-mzzvmyea 136 15 sICAM-1 sICAM-1 NNP cord-354664-mzzvmyea 136 16 by by IN cord-354664-mzzvmyea 136 17 cultured cultured JJ cord-354664-mzzvmyea 136 18 human human JJ cord-354664-mzzvmyea 136 19 bronchial bronchial JJ cord-354664-mzzvmyea 136 20 epithelial epithelial JJ cord-354664-mzzvmyea 136 21 cells cell NNS cord-354664-mzzvmyea 136 22 Membrane membrane NN cord-354664-mzzvmyea 136 23 - - HYPH cord-354664-mzzvmyea 136 24 stabilizing stabilize VBG cord-354664-mzzvmyea 136 25 , , , cord-354664-mzzvmyea 136 26 antiinflammatory antiinflammatory JJ cord-354664-mzzvmyea 136 27 interactions interaction NNS cord-354664-mzzvmyea 136 28 of of IN cord-354664-mzzvmyea 136 29 macrolides macrolide NNS cord-354664-mzzvmyea 136 30 with with IN cord-354664-mzzvmyea 136 31 human human JJ cord-354664-mzzvmyea 136 32 neutrophils neutrophil NNS cord-354664-mzzvmyea 136 33 Molecular Molecular NNP cord-354664-mzzvmyea 136 34 mechanisms mechanism NNS cord-354664-mzzvmyea 136 35 of of IN cord-354664-mzzvmyea 136 36 anti anti JJ cord-354664-mzzvmyea 136 37 - - JJ cord-354664-mzzvmyea 136 38 inflammatory inflammatory JJ cord-354664-mzzvmyea 136 39 action action NN cord-354664-mzzvmyea 136 40 of of IN cord-354664-mzzvmyea 136 41 erythromycin erythromycin NN cord-354664-mzzvmyea 136 42 in in IN cord-354664-mzzvmyea 136 43 human human JJ cord-354664-mzzvmyea 136 44 bronchial bronchial JJ cord-354664-mzzvmyea 136 45 epithelial epithelial JJ cord-354664-mzzvmyea 136 46 cells cell NNS cord-354664-mzzvmyea 136 47 : : : cord-354664-mzzvmyea 136 48 possible possible JJ cord-354664-mzzvmyea 136 49 role role NN cord-354664-mzzvmyea 136 50 in in IN cord-354664-mzzvmyea 136 51 the the DT cord-354664-mzzvmyea 136 52 signaling signal VBG cord-354664-mzzvmyea 136 53 pathway pathway NN cord-354664-mzzvmyea 136 54 that that WDT cord-354664-mzzvmyea 136 55 regulates regulate VBZ cord-354664-mzzvmyea 136 56 nuclear nuclear JJ cord-354664-mzzvmyea 136 57 factor factor NN cord-354664-mzzvmyea 136 58 - - HYPH cord-354664-mzzvmyea 136 59 kappa kappa NN cord-354664-mzzvmyea 136 60 B B NNP cord-354664-mzzvmyea 136 61 activation activation NN cord-354664-mzzvmyea 136 62 Antiinflammatory antiinflammatory JJ cord-354664-mzzvmyea 136 63 effects effect NNS cord-354664-mzzvmyea 136 64 of of IN cord-354664-mzzvmyea 136 65 adjunctive adjunctive JJ cord-354664-mzzvmyea 136 66 macrolide macrolide JJ cord-354664-mzzvmyea 136 67 treatment treatment NN cord-354664-mzzvmyea 136 68 in in IN cord-354664-mzzvmyea 136 69 adults adult NNS cord-354664-mzzvmyea 136 70 hospitalized hospitalize VBN cord-354664-mzzvmyea 136 71 with with IN cord-354664-mzzvmyea 136 72 influenza influenza NN cord-354664-mzzvmyea 136 73 : : : cord-354664-mzzvmyea 136 74 a a DT cord-354664-mzzvmyea 136 75 randomized randomized JJ cord-354664-mzzvmyea 136 76 controlled control VBN cord-354664-mzzvmyea 136 77 trial trial NN cord-354664-mzzvmyea 136 78 Immunomodulatory immunomodulatory JJ cord-354664-mzzvmyea 136 79 effects effect NNS cord-354664-mzzvmyea 136 80 of of IN cord-354664-mzzvmyea 136 81 macrolides macrolide NNS cord-354664-mzzvmyea 136 82 during during IN cord-354664-mzzvmyea 136 83 community community NN cord-354664-mzzvmyea 136 84 - - HYPH cord-354664-mzzvmyea 136 85 acquired acquire VBN cord-354664-mzzvmyea 136 86 pneumonia pneumonia NN cord-354664-mzzvmyea 136 87 : : : cord-354664-mzzvmyea 136 88 a a DT cord-354664-mzzvmyea 136 89 literature literature NN cord-354664-mzzvmyea 136 90 review review NN cord-354664-mzzvmyea 136 91 Infectious Infectious NNP cord-354664-mzzvmyea 136 92 Diseases Diseases NNPS cord-354664-mzzvmyea 136 93 Society Society NNP cord-354664-mzzvmyea 136 94 of of IN cord-354664-mzzvmyea 136 95 America/ america/ JJ cord-354664-mzzvmyea 136 96 American American NNP cord-354664-mzzvmyea 136 97 Thoracic Thoracic NNP cord-354664-mzzvmyea 136 98 Society Society NNP cord-354664-mzzvmyea 136 99 consensus consensus NN cord-354664-mzzvmyea 136 100 guidelines guideline NNS cord-354664-mzzvmyea 136 101 on on IN cord-354664-mzzvmyea 136 102 the the DT cord-354664-mzzvmyea 136 103 management management NN cord-354664-mzzvmyea 136 104 of of IN cord-354664-mzzvmyea 136 105 community community NN cord-354664-mzzvmyea 136 106 - - HYPH cord-354664-mzzvmyea 136 107 acquired acquire VBN cord-354664-mzzvmyea 136 108 pneumonia pneumonia NN cord-354664-mzzvmyea 136 109 in in IN cord-354664-mzzvmyea 136 110 adults adult NNS cord-354664-mzzvmyea 137 1 BTS BTS NNP cord-354664-mzzvmyea 137 2 guidelines guideline NNS cord-354664-mzzvmyea 137 3 for for IN cord-354664-mzzvmyea 137 4 the the DT cord-354664-mzzvmyea 137 5 management management NN cord-354664-mzzvmyea 137 6 of of IN cord-354664-mzzvmyea 137 7 community community NN cord-354664-mzzvmyea 137 8 acquired acquire VBD cord-354664-mzzvmyea 137 9 pneumonia pneumonia NN cord-354664-mzzvmyea 137 10 in in IN cord-354664-mzzvmyea 137 11 adults adult NNS cord-354664-mzzvmyea 137 12 : : : cord-354664-mzzvmyea 137 13 update update VB cord-354664-mzzvmyea 138 1 Diagnosis diagnosis NN cord-354664-mzzvmyea 138 2 and and CC cord-354664-mzzvmyea 138 3 management management NN cord-354664-mzzvmyea 138 4 of of IN cord-354664-mzzvmyea 138 5 community community NN cord-354664-mzzvmyea 138 6 and and CC cord-354664-mzzvmyea 138 7 hospital hospital NN cord-354664-mzzvmyea 138 8 acquired acquire VBD cord-354664-mzzvmyea 138 9 pneumonia pneumonia NN cord-354664-mzzvmyea 138 10 in in IN cord-354664-mzzvmyea 138 11 adults adult NNS cord-354664-mzzvmyea 138 12 : : : cord-354664-mzzvmyea 139 1 summary summary NN cord-354664-mzzvmyea 139 2 of of IN cord-354664-mzzvmyea 139 3 NICE nice JJ cord-354664-mzzvmyea 139 4 guidance guidance NN cord-354664-mzzvmyea 139 5 Associations association NNS cord-354664-mzzvmyea 139 6 between between IN cord-354664-mzzvmyea 139 7 initial initial JJ cord-354664-mzzvmyea 139 8 antimicrobial antimicrobial JJ cord-354664-mzzvmyea 139 9 therapy therapy NN cord-354664-mzzvmyea 139 10 and and CC cord-354664-mzzvmyea 139 11 medical medical JJ cord-354664-mzzvmyea 139 12 outcomes outcome NNS cord-354664-mzzvmyea 139 13 for for IN cord-354664-mzzvmyea 139 14 hospitalized hospitalize VBN cord-354664-mzzvmyea 139 15 elderly elderly JJ cord-354664-mzzvmyea 139 16 patients patient NNS cord-354664-mzzvmyea 139 17 with with IN cord-354664-mzzvmyea 139 18 pneumonia pneumonia NN cord-354664-mzzvmyea 139 19 Empiric Empiric NNP cord-354664-mzzvmyea 139 20 antibiotic antibiotic JJ cord-354664-mzzvmyea 139 21 therapy therapy NN cord-354664-mzzvmyea 139 22 and and CC cord-354664-mzzvmyea 139 23 mortality mortality NN cord-354664-mzzvmyea 139 24 among among IN cord-354664-mzzvmyea 139 25 Medicare Medicare NNP cord-354664-mzzvmyea 139 26 pneumonia pneumonia NN cord-354664-mzzvmyea 139 27 inpatients inpatient NNS cord-354664-mzzvmyea 139 28 in in IN cord-354664-mzzvmyea 139 29 10 10 CD cord-354664-mzzvmyea 139 30 western western JJ cord-354664-mzzvmyea 139 31 states state NNS cord-354664-mzzvmyea 139 32 Antimicrobial Antimicrobial NNP cord-354664-mzzvmyea 139 33 selection selection NN cord-354664-mzzvmyea 139 34 for for IN cord-354664-mzzvmyea 139 35 hospitalized hospitalize VBN cord-354664-mzzvmyea 139 36 patients patient NNS cord-354664-mzzvmyea 139 37 with with IN cord-354664-mzzvmyea 139 38 presumed presumed JJ cord-354664-mzzvmyea 139 39 community community NN cord-354664-mzzvmyea 139 40 - - HYPH cord-354664-mzzvmyea 139 41 acquired acquire VBN cord-354664-mzzvmyea 139 42 pneumonia pneumonia NN cord-354664-mzzvmyea 139 43 : : : cord-354664-mzzvmyea 139 44 a a DT cord-354664-mzzvmyea 139 45 survey survey NN cord-354664-mzzvmyea 139 46 of of IN cord-354664-mzzvmyea 139 47 nonteaching nonteache VBG cord-354664-mzzvmyea 139 48 US US NNP cord-354664-mzzvmyea 139 49 community community NN cord-354664-mzzvmyea 139 50 hospitals hospital NNS cord-354664-mzzvmyea 139 51 Impact Impact NNP cord-354664-mzzvmyea 139 52 of of IN cord-354664-mzzvmyea 139 53 initial initial JJ cord-354664-mzzvmyea 139 54 antibiotic antibiotic JJ cord-354664-mzzvmyea 139 55 choice choice NN cord-354664-mzzvmyea 139 56 on on IN cord-354664-mzzvmyea 139 57 clinical clinical JJ cord-354664-mzzvmyea 139 58 outcomes outcome NNS cord-354664-mzzvmyea 139 59 in in IN cord-354664-mzzvmyea 139 60 community community NN cord-354664-mzzvmyea 139 61 - - HYPH cord-354664-mzzvmyea 139 62 acquired acquire VBN cord-354664-mzzvmyea 139 63 pneumonia pneumonia NN cord-354664-mzzvmyea 139 64 : : : cord-354664-mzzvmyea 139 65 analysis analysis NN cord-354664-mzzvmyea 139 66 of of IN cord-354664-mzzvmyea 139 67 a a DT cord-354664-mzzvmyea 139 68 hospital hospital NN cord-354664-mzzvmyea 139 69 claims claim NNS cord-354664-mzzvmyea 139 70 - - HYPH cord-354664-mzzvmyea 139 71 made make VBN cord-354664-mzzvmyea 139 72 database database NN cord-354664-mzzvmyea 139 73 Antibiotics antibiotic NNS cord-354664-mzzvmyea 139 74 for for IN cord-354664-mzzvmyea 139 75 communityacquired communityacquired JJ cord-354664-mzzvmyea 139 76 lower low JJR cord-354664-mzzvmyea 139 77 respiratory respiratory JJ cord-354664-mzzvmyea 139 78 tract tract NN cord-354664-mzzvmyea 139 79 infections infection NNS cord-354664-mzzvmyea 139 80 secondary secondary JJ cord-354664-mzzvmyea 139 81 to to TO cord-354664-mzzvmyea 139 82 in in IN cord-354664-mzzvmyea 139 83 children child NNS cord-354664-mzzvmyea 139 84 Antibiotic antibiotic JJ cord-354664-mzzvmyea 139 85 treatment treatment NN cord-354664-mzzvmyea 139 86 of of IN cord-354664-mzzvmyea 139 87 moderate moderate JJ cord-354664-mzzvmyea 139 88 - - HYPH cord-354664-mzzvmyea 139 89 severe severe JJ cord-354664-mzzvmyea 139 90 community community NN cord-354664-mzzvmyea 139 91 - - HYPH cord-354664-mzzvmyea 139 92 acquired acquire VBN cord-354664-mzzvmyea 139 93 pneumonia pneumonia NN cord-354664-mzzvmyea 139 94 : : : cord-354664-mzzvmyea 140 1 design design NN cord-354664-mzzvmyea 140 2 and and CC cord-354664-mzzvmyea 140 3 rationale rationale NN cord-354664-mzzvmyea 140 4 of of IN cord-354664-mzzvmyea 140 5 a a DT cord-354664-mzzvmyea 140 6 multicenter multicenter JJ cord-354664-mzzvmyea 140 7 cluster cluster NN cord-354664-mzzvmyea 140 8 - - HYPH cord-354664-mzzvmyea 140 9 randomized randomized JJ cord-354664-mzzvmyea 140 10 cross cross NN cord-354664-mzzvmyea 140 11 - - HYPH cord-354664-mzzvmyea 140 12 over over RP cord-354664-mzzvmyea 140 13 trial trial NN cord-354664-mzzvmyea 141 1 The the DT cord-354664-mzzvmyea 141 2 controversy controversy NN cord-354664-mzzvmyea 141 3 of of IN cord-354664-mzzvmyea 141 4 combination combination NN cord-354664-mzzvmyea 141 5 vs vs IN cord-354664-mzzvmyea 141 6 monotherapy monotherapy NN cord-354664-mzzvmyea 141 7 in in IN cord-354664-mzzvmyea 141 8 the the DT cord-354664-mzzvmyea 141 9 treatment treatment NN cord-354664-mzzvmyea 141 10 of of IN cord-354664-mzzvmyea 141 11 hospitalized hospitalize VBN cord-354664-mzzvmyea 141 12 community community NN cord-354664-mzzvmyea 141 13 - - HYPH cord-354664-mzzvmyea 141 14 acquired acquire VBN cord-354664-mzzvmyea 141 15 pneumonia pneumonia NN cord-354664-mzzvmyea 141 16 Does do VBZ cord-354664-mzzvmyea 141 17 empiric empiric JJ cord-354664-mzzvmyea 141 18 therapy therapy NN cord-354664-mzzvmyea 141 19 for for IN cord-354664-mzzvmyea 141 20 atypical atypical JJ cord-354664-mzzvmyea 141 21 pathogens pathogen NNS cord-354664-mzzvmyea 141 22 improve improve VBP cord-354664-mzzvmyea 141 23 outcomes outcome NNS cord-354664-mzzvmyea 141 24 for for IN cord-354664-mzzvmyea 141 25 patients patient NNS cord-354664-mzzvmyea 141 26 with with IN cord-354664-mzzvmyea 141 27 CAP cap NN cord-354664-mzzvmyea 141 28 ? ? . cord-354664-mzzvmyea 142 1 Azithromycin Azithromycin NNP cord-354664-mzzvmyea 142 2 and and CC cord-354664-mzzvmyea 142 3 the the DT cord-354664-mzzvmyea 142 4 risk risk NN cord-354664-mzzvmyea 142 5 of of IN cord-354664-mzzvmyea 142 6 cardiovascular cardiovascular JJ cord-354664-mzzvmyea 142 7 death death NN cord-354664-mzzvmyea 142 8 Fluoroquinolone Fluoroquinolone NNP cord-354664-mzzvmyea 142 9 and and CC cord-354664-mzzvmyea 142 10 macrolide macrolide NN cord-354664-mzzvmyea 142 11 exposure exposure NN cord-354664-mzzvmyea 142 12 predict predict VBP cord-354664-mzzvmyea 142 13 Clostridium clostridium NN cord-354664-mzzvmyea 142 14 difficile difficile NN cord-354664-mzzvmyea 142 15 infection infection NN cord-354664-mzzvmyea 142 16 with with IN cord-354664-mzzvmyea 142 17 the the DT cord-354664-mzzvmyea 142 18 highly highly RB cord-354664-mzzvmyea 142 19 fluorquinolone fluorquinolone NN cord-354664-mzzvmyea 142 20 and and CC cord-354664-mzzvmyea 142 21 macrolide macrolide NN cord-354664-mzzvmyea 142 22 - - HYPH cord-354664-mzzvmyea 142 23 resistant resistant JJ cord-354664-mzzvmyea 142 24 epidemic epidemic NN cord-354664-mzzvmyea 143 1 C. C. NNP cord-354664-mzzvmyea 143 2 difficile difficile NN cord-354664-mzzvmyea 143 3 strain strain NN cord-354664-mzzvmyea 143 4 BI BI NNP cord-354664-mzzvmyea 143 5 / / SYM cord-354664-mzzvmyea 143 6 NAP1/027 NAP1/027 NNP cord-354664-mzzvmyea 143 7 Empiric Empiric NNP cord-354664-mzzvmyea 143 8 antibiotic antibiotic JJ cord-354664-mzzvmyea 143 9 coverage coverage NN cord-354664-mzzvmyea 143 10 of of IN cord-354664-mzzvmyea 143 11 atypical atypical JJ cord-354664-mzzvmyea 143 12 pathogens pathogen NNS cord-354664-mzzvmyea 143 13 for for IN cord-354664-mzzvmyea 143 14 community community NN cord-354664-mzzvmyea 143 15 - - HYPH cord-354664-mzzvmyea 143 16 acquired acquire VBN cord-354664-mzzvmyea 143 17 pneumonia pneumonia NN cord-354664-mzzvmyea 143 18 in in IN cord-354664-mzzvmyea 143 19 hospitalized hospitalize VBN cord-354664-mzzvmyea 143 20 adults adult NNS cord-354664-mzzvmyea 143 21 Macrolide Macrolide NNP cord-354664-mzzvmyea 143 22 - - HYPH cord-354664-mzzvmyea 143 23 based base VBN cord-354664-mzzvmyea 143 24 regimens regimen NNS cord-354664-mzzvmyea 143 25 and and CC cord-354664-mzzvmyea 143 26 mortality mortality NN cord-354664-mzzvmyea 143 27 in in IN cord-354664-mzzvmyea 143 28 hospitalized hospitalize VBN cord-354664-mzzvmyea 143 29 patients patient NNS cord-354664-mzzvmyea 143 30 with with IN cord-354664-mzzvmyea 143 31 community community NN cord-354664-mzzvmyea 143 32 - - HYPH cord-354664-mzzvmyea 143 33 acquired acquire VBN cord-354664-mzzvmyea 143 34 pneumonia pneumonia NN cord-354664-mzzvmyea 143 35 : : : cord-354664-mzzvmyea 144 1 a a DT cord-354664-mzzvmyea 144 2 systematic systematic JJ cord-354664-mzzvmyea 144 3 review review NN cord-354664-mzzvmyea 144 4 and and CC cord-354664-mzzvmyea 144 5 meta meta NNP cord-354664-mzzvmyea 144 6 - - HYPH cord-354664-mzzvmyea 144 7 analysis analysis NN cord-354664-mzzvmyea 144 8 Evaluated evaluate VBD cord-354664-mzzvmyea 144 9 the the DT cord-354664-mzzvmyea 144 10 non non JJ cord-354664-mzzvmyea 144 11 - - JJ cord-354664-mzzvmyea 144 12 inferiority inferiority NN cord-354664-mzzvmyea 144 13 of of IN cord-354664-mzzvmyea 144 14 beta beta NN cord-354664-mzzvmyea 144 15 - - HYPH cord-354664-mzzvmyea 144 16 lactam lactam NN cord-354664-mzzvmyea 144 17 monotherapy monotherapy NN cord-354664-mzzvmyea 144 18 compared compare VBN cord-354664-mzzvmyea 144 19 with with IN cord-354664-mzzvmyea 144 20 beta beta NN cord-354664-mzzvmyea 144 21 - - HYPH cord-354664-mzzvmyea 144 22 lactam lactam NNS cord-354664-mzzvmyea 144 23 / / SYM cord-354664-mzzvmyea 144 24 macrolide macrolide NN cord-354664-mzzvmyea 144 25 combination combination NN cord-354664-mzzvmyea 144 26 therapy therapy NN cord-354664-mzzvmyea 144 27 in in IN cord-354664-mzzvmyea 144 28 moderately moderately RB cord-354664-mzzvmyea 144 29 severe severe JJ cord-354664-mzzvmyea 144 30 CAP cap NN cord-354664-mzzvmyea 144 31 in in IN cord-354664-mzzvmyea 144 32 an an DT cord-354664-mzzvmyea 144 33 open open JJ cord-354664-mzzvmyea 144 34 - - HYPH cord-354664-mzzvmyea 144 35 label label NN cord-354664-mzzvmyea 144 36 , , , cord-354664-mzzvmyea 144 37 multicenter multicenter JJ cord-354664-mzzvmyea 144 38 , , , cord-354664-mzzvmyea 144 39 noninferiority noninferiority NNP cord-354664-mzzvmyea 144 40 randomized randomized JJ cord-354664-mzzvmyea 144 41 control control NN cord-354664-mzzvmyea 144 42 trial trial NN cord-354664-mzzvmyea 144 43 . . . cord-354664-mzzvmyea 145 1 Failed fail VBD cord-354664-mzzvmyea 145 2 to to TO cord-354664-mzzvmyea 145 3 meet meet VB cord-354664-mzzvmyea 145 4 primary primary JJ cord-354664-mzzvmyea 145 5 outcome outcome NN cord-354664-mzzvmyea 145 6 and and CC cord-354664-mzzvmyea 145 7 demonstrate demonstrate VB cord-354664-mzzvmyea 145 8 non non JJ cord-354664-mzzvmyea 145 9 - - JJ cord-354664-mzzvmyea 145 10 inferiority inferiority NN cord-354664-mzzvmyea 145 11 of of IN cord-354664-mzzvmyea 145 12 beta beta NN cord-354664-mzzvmyea 145 13 - - HYPH cord-354664-mzzvmyea 145 14 lactam lactam NN cord-354664-mzzvmyea 145 15 monotherapy monotherapy NN cord-354664-mzzvmyea 145 16 in in IN cord-354664-mzzvmyea 145 17 moderately moderately RB cord-354664-mzzvmyea 145 18 severe severe JJ cord-354664-mzzvmyea 145 19 community community NN cord-354664-mzzvmyea 145 20 - - HYPH cord-354664-mzzvmyea 145 21 acquired acquire VBN cord-354664-mzzvmyea 145 22 pneumonia pneumonia NN cord-354664-mzzvmyea 145 23 . . . cord-354664-mzzvmyea 146 1 Subgroup subgroup NN cord-354664-mzzvmyea 146 2 analyses analysis NNS cord-354664-mzzvmyea 146 3 revealed reveal VBD cord-354664-mzzvmyea 146 4 equivalent equivalent JJ cord-354664-mzzvmyea 146 5 outcomes outcome NNS cord-354664-mzzvmyea 146 6 in in IN cord-354664-mzzvmyea 146 7 patients patient NNS cord-354664-mzzvmyea 146 8 with with IN cord-354664-mzzvmyea 146 9 mild mild JJ cord-354664-mzzvmyea 146 10 to to IN cord-354664-mzzvmyea 146 11 moderate moderate JJ cord-354664-mzzvmyea 146 12 CAP cap NN cord-354664-mzzvmyea 146 13 ( ( -LRB- cord-354664-mzzvmyea 146 14 PSI PSI NNP cord-354664-mzzvmyea 146 15 1 1 CD cord-354664-mzzvmyea 146 16 - - SYM cord-354664-mzzvmyea 146 17 3 3 CD cord-354664-mzzvmyea 146 18 ) ) -RRB- cord-354664-mzzvmyea 146 19 but but CC cord-354664-mzzvmyea 146 20 worse bad JJR cord-354664-mzzvmyea 146 21 outcomes outcome NNS cord-354664-mzzvmyea 146 22 in in IN cord-354664-mzzvmyea 146 23 patients patient NNS cord-354664-mzzvmyea 146 24 managed manage VBN cord-354664-mzzvmyea 146 25 with with IN cord-354664-mzzvmyea 146 26 beta beta NN cord-354664-mzzvmyea 146 27 - - HYPH cord-354664-mzzvmyea 146 28 lactam lactam NN cord-354664-mzzvmyea 146 29 monotherapy monotherapy NN cord-354664-mzzvmyea 146 30 and and CC cord-354664-mzzvmyea 146 31 severe severe JJ cord-354664-mzzvmyea 146 32 CAP CAP NNP cord-354664-mzzvmyea 146 33 Multi multi JJ cord-354664-mzzvmyea 146 34 - - JJ cord-354664-mzzvmyea 146 35 center center JJ cord-354664-mzzvmyea 146 36 cluster cluster NN cord-354664-mzzvmyea 146 37 - - HYPH cord-354664-mzzvmyea 146 38 randomized randomized JJ cord-354664-mzzvmyea 146 39 , , , cord-354664-mzzvmyea 146 40 crossover crossover NN cord-354664-mzzvmyea 146 41 , , , cord-354664-mzzvmyea 146 42 non non JJ cord-354664-mzzvmyea 146 43 - - JJ cord-354664-mzzvmyea 146 44 inferiority inferiority JJ cord-354664-mzzvmyea 146 45 trial trial NN cord-354664-mzzvmyea 146 46 conducted conduct VBN cord-354664-mzzvmyea 146 47 at at IN cord-354664-mzzvmyea 146 48 7 7 CD cord-354664-mzzvmyea 146 49 hospitals hospital NNS cord-354664-mzzvmyea 146 50 in in IN cord-354664-mzzvmyea 146 51 the the DT cord-354664-mzzvmyea 146 52 Netherlands Netherlands NNP cord-354664-mzzvmyea 146 53 to to TO cord-354664-mzzvmyea 146 54 determine determine VB cord-354664-mzzvmyea 146 55 if if IN cord-354664-mzzvmyea 146 56 empiric empiric JJ cord-354664-mzzvmyea 146 57 therapy therapy NN cord-354664-mzzvmyea 146 58 for for IN cord-354664-mzzvmyea 146 59 CAP cap NN cord-354664-mzzvmyea 146 60 with with IN cord-354664-mzzvmyea 146 61 beta beta NN cord-354664-mzzvmyea 146 62 - - HYPH cord-354664-mzzvmyea 146 63 lactam lactam NN cord-354664-mzzvmyea 146 64 monotherapy monotherapy NN cord-354664-mzzvmyea 146 65 was be VBD cord-354664-mzzvmyea 146 66 non non JJ cord-354664-mzzvmyea 146 67 - - JJ cord-354664-mzzvmyea 146 68 inferior inferior JJ cord-354664-mzzvmyea 146 69 to to IN cord-354664-mzzvmyea 146 70 combination combination NN cord-354664-mzzvmyea 146 71 beta beta NN cord-354664-mzzvmyea 146 72 - - HYPH cord-354664-mzzvmyea 146 73 lactam lactam NN cord-354664-mzzvmyea 146 74 / / SYM cord-354664-mzzvmyea 146 75 macrolide macrolide NN cord-354664-mzzvmyea 146 76 therapy therapy NN cord-354664-mzzvmyea 146 77 or or CC cord-354664-mzzvmyea 146 78 a a DT cord-354664-mzzvmyea 146 79 respiratory respiratory JJ cord-354664-mzzvmyea 146 80 fluoroquinolone fluoroquinolone NN cord-354664-mzzvmyea 146 81 . . . cord-354664-mzzvmyea 147 1 90-day 90-day CD cord-354664-mzzvmyea 148 1 all all DT cord-354664-mzzvmyea 148 2 - - HYPH cord-354664-mzzvmyea 148 3 cause cause NN cord-354664-mzzvmyea 148 4 mortality mortality NN cord-354664-mzzvmyea 148 5 was be VBD cord-354664-mzzvmyea 148 6 lowest low JJS cord-354664-mzzvmyea 148 7 in in IN cord-354664-mzzvmyea 148 8 the the DT cord-354664-mzzvmyea 148 9 betalactam betalactam NNP cord-354664-mzzvmyea 148 10 monotherapy monotherapy IN cord-354664-mzzvmyea 148 11 arm arm VBP cord-354664-mzzvmyea 148 12 . . . cord-354664-mzzvmyea 149 1 Adjusted adjusted JJ cord-354664-mzzvmyea 149 2 comparisons comparison NNS cord-354664-mzzvmyea 149 3 for for IN cord-354664-mzzvmyea 149 4 90-day 90-day CD cord-354664-mzzvmyea 149 5 all all DT cord-354664-mzzvmyea 149 6 - - HYPH cord-354664-mzzvmyea 149 7 cause cause NN cord-354664-mzzvmyea 149 8 mortality mortality NN cord-354664-mzzvmyea 149 9 favored favor VBN cord-354664-mzzvmyea 149 10 beta beta NN cord-354664-mzzvmyea 149 11 - - HYPH cord-354664-mzzvmyea 149 12 lactam lactam NN cord-354664-mzzvmyea 149 13 monotherapy monotherapy NN cord-354664-mzzvmyea 149 14 with with IN cord-354664-mzzvmyea 149 15 a a DT cord-354664-mzzvmyea 149 16 1.9 1.9 CD cord-354664-mzzvmyea 149 17 % % NN cord-354664-mzzvmyea 149 18 lower low JJR cord-354664-mzzvmyea 149 19 risk risk NN cord-354664-mzzvmyea 149 20 of of IN cord-354664-mzzvmyea 149 21 death death NN cord-354664-mzzvmyea 149 22 when when WRB cord-354664-mzzvmyea 149 23 compared compare VBN cord-354664-mzzvmyea 149 24 to to IN cord-354664-mzzvmyea 149 25 macrolide macrolide JJ cord-354664-mzzvmyea 149 26 combination combination NN cord-354664-mzzvmyea 149 27 therapy therapy NN cord-354664-mzzvmyea 149 28 . . . cord-354664-mzzvmyea 150 1 Time time NN cord-354664-mzzvmyea 150 2 to to IN cord-354664-mzzvmyea 150 3 oral oral JJ cord-354664-mzzvmyea 150 4 antibiotic antibiotic NN cord-354664-mzzvmyea 150 5 de de NN cord-354664-mzzvmyea 150 6 - - NN cord-354664-mzzvmyea 150 7 escalation escalation NN cord-354664-mzzvmyea 150 8 Evaluation Evaluation NNP cord-354664-mzzvmyea 150 9 of of IN cord-354664-mzzvmyea 150 10 outcomes outcome NNS cord-354664-mzzvmyea 150 11 in in IN cord-354664-mzzvmyea 150 12 a a DT cord-354664-mzzvmyea 150 13 subset subset NN cord-354664-mzzvmyea 150 14 of of IN cord-354664-mzzvmyea 150 15 179 179 CD cord-354664-mzzvmyea 150 16 patients patient NNS cord-354664-mzzvmyea 150 17 from from IN cord-354664-mzzvmyea 150 18 the the DT cord-354664-mzzvmyea 150 19 CAP CAP NNP cord-354664-mzzvmyea 150 20 - - HYPH cord-354664-mzzvmyea 150 21 START START NNP cord-354664-mzzvmyea 150 22 Trial Trial NNP cord-354664-mzzvmyea 150 23 that that WDT cord-354664-mzzvmyea 150 24 had have VBD cord-354664-mzzvmyea 150 25 previous previous JJ cord-354664-mzzvmyea 150 26 beta beta NN cord-354664-mzzvmyea 150 27 - - HYPH cord-354664-mzzvmyea 150 28 lactam lactam NN cord-354664-mzzvmyea 150 29 exposure exposure NN cord-354664-mzzvmyea 150 30 prior prior RB cord-354664-mzzvmyea 150 31 to to IN cord-354664-mzzvmyea 150 32 hospitalization hospitalization NN cord-354664-mzzvmyea 150 33 . . . cord-354664-mzzvmyea 151 1 Compared compare VBN cord-354664-mzzvmyea 151 2 thirty thirty CD cord-354664-mzzvmyea 151 3 - - HYPH cord-354664-mzzvmyea 151 4 day day NN cord-354664-mzzvmyea 151 5 mortality mortality NN cord-354664-mzzvmyea 151 6 , , , cord-354664-mzzvmyea 151 7 hospital hospital NN cord-354664-mzzvmyea 151 8 length length NN cord-354664-mzzvmyea 151 9 of of IN cord-354664-mzzvmyea 151 10 stay stay NN cord-354664-mzzvmyea 151 11 , , , cord-354664-mzzvmyea 151 12 and and CC cord-354664-mzzvmyea 151 13 frequency frequency NN cord-354664-mzzvmyea 151 14 of of IN cord-354664-mzzvmyea 151 15 treatment treatment NN cord-354664-mzzvmyea 151 16 escalations escalation NNS cord-354664-mzzvmyea 151 17 between between IN cord-354664-mzzvmyea 151 18 patients patient NNS cord-354664-mzzvmyea 151 19 that that WDT cord-354664-mzzvmyea 151 20 were be VBD cord-354664-mzzvmyea 151 21 continued continue VBN cord-354664-mzzvmyea 151 22 on on IN cord-354664-mzzvmyea 151 23 beta beta NN cord-354664-mzzvmyea 151 24 - - HYPH cord-354664-mzzvmyea 151 25 lactam lactam NN cord-354664-mzzvmyea 151 26 monotherapy monotherapy NN cord-354664-mzzvmyea 151 27 and and CC cord-354664-mzzvmyea 151 28 patients patient NNS cord-354664-mzzvmyea 151 29 that that WDT cord-354664-mzzvmyea 151 30 received receive VBD cord-354664-mzzvmyea 151 31 beta beta NN cord-354664-mzzvmyea 151 32 - - HYPH cord-354664-mzzvmyea 151 33 lactams lactam NNS cord-354664-mzzvmyea 151 34 and and CC cord-354664-mzzvmyea 151 35 atypical atypical JJ cord-354664-mzzvmyea 151 36 coverage coverage NN cord-354664-mzzvmyea 151 37 Combination combination NN cord-354664-mzzvmyea 151 38 antibiotic antibiotic JJ cord-354664-mzzvmyea 151 39 therapy therapy NN cord-354664-mzzvmyea 151 40 lowers lower VBZ cord-354664-mzzvmyea 151 41 mortality mortality NN cord-354664-mzzvmyea 151 42 among among IN cord-354664-mzzvmyea 151 43 severely severely RB cord-354664-mzzvmyea 151 44 ill ill JJ cord-354664-mzzvmyea 151 45 patients patient NNS cord-354664-mzzvmyea 151 46 with with IN cord-354664-mzzvmyea 151 47 pneumococcal pneumococcal JJ cord-354664-mzzvmyea 151 48 bacteremia bacteremia NN cord-354664-mzzvmyea 151 49 Macrolide Macrolide NNP cord-354664-mzzvmyea 151 50 therapy therapy NN cord-354664-mzzvmyea 151 51 is be VBZ cord-354664-mzzvmyea 151 52 associated associate VBN cord-354664-mzzvmyea 151 53 with with IN cord-354664-mzzvmyea 151 54 lower low JJR cord-354664-mzzvmyea 151 55 mortality mortality NN cord-354664-mzzvmyea 151 56 in in IN cord-354664-mzzvmyea 151 57 community community NN cord-354664-mzzvmyea 151 58 - - HYPH cord-354664-mzzvmyea 151 59 acquired acquire VBN cord-354664-mzzvmyea 151 60 bacteremic bacteremic JJ cord-354664-mzzvmyea 151 61 pneumonia pneumonia NN cord-354664-mzzvmyea 151 62 Macrolides macrolide NNS cord-354664-mzzvmyea 151 63 and and CC cord-354664-mzzvmyea 151 64 mortality mortality NN cord-354664-mzzvmyea 151 65 in in IN cord-354664-mzzvmyea 151 66 critically critically RB cord-354664-mzzvmyea 151 67 ill ill JJ cord-354664-mzzvmyea 151 68 patients patient NNS cord-354664-mzzvmyea 151 69 with with IN cord-354664-mzzvmyea 151 70 community community NN cord-354664-mzzvmyea 151 71 - - HYPH cord-354664-mzzvmyea 151 72 acquired acquire VBN cord-354664-mzzvmyea 151 73 pneumonia pneumonia NN cord-354664-mzzvmyea 151 74 : : : cord-354664-mzzvmyea 151 75 a a DT cord-354664-mzzvmyea 151 76 systematic systematic JJ cord-354664-mzzvmyea 151 77 review review NN cord-354664-mzzvmyea 151 78 and and CC cord-354664-mzzvmyea 151 79 metaanalysis metaanalysis NN