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CURRENT STATUS OF THERAPY IN THE PNEUMONIAS

Robert Austrian, M.D.
JAMA. 1957;163(12):1040-1045. doi:10.1001/jama.1957.82970470004009.
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ABSTRACT

Pneumonia may be caused by a variety of infectious agents: bacteria, viruses, rickettsias, and fungi. In addition, the disorder may be a primary one or may complicate preexisting pulmonary or systemic disease of an infectious or noninfectious nature. Essential, therefore, to the optimum management of pneumonia is knowledge of the etiological agent and of the pathogenesis of the illness to be treated.

Laboratory Studies  Before treatment is begun, data derived from a complete history and physical examination of the patient should be at hand. In addition to the routine examination of the blood and urine, other laboratory studies, including posteroanterior and lateral roentgenograms of the chest and a culture of the blood and the sputum, should be performed. A study of the sputum is of especial importance, for, when pneumonia is of bacterial or fungal origin, it provides the most ready means of establishing the etiological agent. Sputum should be

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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