Recommendations for management of community- and hospital-acquired pneumonia—the hospitalist perspective

Amin, Alpesh; Feinbloom, David; Krekun, Susan; Li, Joseph; Pak, Mary; Rauch, Daniel A.; Borik, Anne

doi:10.1097/01.mcp.0000143181.68870.e6

Cited by 3 publications

(3 citation statements)

References 13 publications

(15 reference statements)

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“…At our institution, the hospital medicine service and infectious disease division have jointly developed and implemented an intervention to reduce inappropriate antibiotic use. At other institutions, hospitalist teams have developed protocols for treating infectious diseases commonly encountered in the hospitalized patient 42. The recommendations of both Amin and Reddy for management of community‐ and hospital‐acquired pneumonia acknowledged that through establishment of clinical care pathways, variation in prescribing patterns among hospitalists can be decreased while optimizing outcomes 42.…”

Section: Assurancementioning

confidence: 99%

Expanding the roles of hospitalist physicians to include public health

Kisuule

Minter‐Jordan

Zenilman

et al. 2007

Journal of Hospital Medicine

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Several years after the inception of the hospitalist movement, hospitalist roles have evolved in breadth and sophistication. Although public health is not formally recognized or previously described as an arena for hospitalists, hospitalists are often engaged in public health practice. This article attempts to alert hospitalists to the potential to make contributions to the field of public health and defines the public health skills that can positively affect the lives of their patients and the communities they serve. In a public health role, hospitalists may improve the quality of inpatient care. This article reviews how public health and hospital-based practices have already intersected and proposes further development within this discipline. In our ever-changing health care system, hospitalists play key roles in the central public health domains of assessment, assurance, and policy development. Insightful hospitalists will recognize and embrace these responsibilities in caring for patients and society. Journal of Hospital Medicine 2007;2:93-101.

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Section: Assurancementioning

confidence: 99%

Expanding the roles of hospitalist physicians to include public health

Kisuule

Minter‐Jordan

Zenilman

et al. 2007

Journal of Hospital Medicine

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“…CAP is a prevalent illness, with an incidence rate of 11.6 per 1,000 adults per year 6 . Each year, 500,000 pneumonia‐related hospitalizations occur in the United States, 5 with outpatient and inpatient costs of approximately $385 million and $8.4 billion, respectively 7 …”

mentioning

confidence: 99%

“…Each case of HAP/VAP has been associated with increased health care costs of $5,800 to $20,000 10 . Although the main causative agents of CAP are Streptococcus pneumoniae and Haemophilus influenzae , 14 for HAP, the most frequently associated microbial agents are Staphylococcus aureus and Enterobacter 7 …”

mentioning

confidence: 99%

Systematic Review of the Association Between Respiratory Diseases and Oral Health

Azarpazhooh

Leake

2006

Journal of Periodontology

547

417

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1) There is fair evidence (II-2, grade B recommendation) of an association of pneumonia with oral health (odds ratio [OR]=1.2 to 9.6 depending on oral health indicators). 2) There is poor evidence of a weak association (OR<2.0) between COPD and oral health (II-2/3, grade C recommendation). 3) There is good evidence (I, grade A recommendation) that improved oral hygiene and frequent professional oral health care reduces the progression or occurrence of respiratory diseases among high-risk elderly adults living in nursing homes and especially those in intensive care units (ICUs) (number needed to treat [NNT]=2 to 16; relative risk reduction [RRR]=34% to 83%).

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