0
Editorials |

Antibiotics and Pneumonia : Is Timing Everything or Just a Cause of More Problems?

Peter M. Houck, MD
Author and Funding Information

Affiliations: Seattle, WA
 ,  Dr. Houck is affiliated with the Department of Epidemiology, University of Washington School of Public Health and Community Medicine, and was director of the Centers for Medicare and Medicaid Services National Pneumonia Project and the Surgical Infection Prevention Project from their inceptions through 2004.

Correspondence to: Peter M. Houck, MD, University of Washington School of Public Health and Community Medicine, Department of Epidemiology, Box 357236, Seattle, WA 98195; e-mail: houck@u.washington.edu



Chest. 2006;130(1):1-3. doi:10.1378/chest.130.1.1
Text Size: A A A
Published online

Extract

Sooner is probably better than later for the curative treatment of diseases that can rapidly be fatal. Pneumonia in older people is one such disease, accounting annually for > 750,000 hospitalizations of Americans ≥ 65 years old,1 with a mortality rate of about 7% in hospital and 12% within 30 days.2 Since 1998, the National Pneumonia Project (NPP) of the Centers for Medicare and Medicaid Services (CMS) has promoted hospital practices that are associated with improved outcomes.3 These include timely antibiotic administration following arrival at the hospital. While it was initially 8 h, the current NPP performance measure is 4 h. It was originally applied to persons in the age group ≥ 65 years, from which it was derived. The NPP sought an increased proportion of care to meet the measure, not 100% compliance. State-level performance rates were reported publicly, and no financial incentive was involved.

First Page Preview

View Large
First page PDF preview

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

CHEST Journal Articles
PubMed Articles
Guidelines
Feverish illness in children: assessment and initial management in children younger than 5 years.
National Collaborating Centre for Women's and Children's Health | 8/28/2009
Blepharitis.
American Academy of Ophthalmology | 6/5/2009
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543