TY - JOUR T1 - The adherence of Greek chest physicians to the 2007 IDSA/ATS and the Greek national guidelines for CAP JF - European Respiratory Journal JO - Eur Respir J VL - 42 IS - Suppl 57 SP - P2738 AU - Charalampos Triantafyllidis AU - Vasilios Kapordelis AU - Elissavet-Christina Filippidou AU - Georgios Papaetis AU - Dora Orfanidou AU - Maria Apostolidou AU - Ioannis Nikolopoulos AU - Angelos Pefanis Y1 - 2013/09/01 UR - http://erj.ersjournals.com/content/42/Suppl_57/P2738.abstract N2 - BACKGROUND:The adherence to practice guidelines for CAP by chest physicians in Greece and its impact on cost and patients' outcome remain almost unknown.MATERIAL & METHOD:A prospective observational study incorporating 196 immunocompetent hospitalized pts with CAP. We: (a) assessed whether the decision for hospital admission was correct or not and (b) evaluated whether the administered regimen was in accordance to guidelines. Fine Score (PSI) was applied by the authors to determine the severity of CAP. Demographic data are displayed on TABLE 1.View this table: DEMOGRAPHIC DATA RESULTS:The mortality rate was 12.76%. COPD pts performed a higher mortality rate (23.53% vs 10.49%, p=0.074). 94 (47.96%) pts were admitted to the hospital despite they were classified as Risk Class I or II and therefore could be treated as outpatients. The accordance of the initial antimicrobial regimen to guidelines was poor (59.69%). Patients administered an antimicrobial regimen in accordance to guidelines had lower mortality rate (9.4% vs 17.72%, p=0.135) and shorter length of hospital stay (LOS) (10.73±12.07 vs 12.06±10.77 days, p=0.077) in comparison to those treated in discordance to guidelines. A pathogen was identified in 43 (21.94%) cases and Streptococcus pn. was the predominant pathogen isolated (30.23%).DISCUSSION:The adherence to CAP guidelines by chest physicians in Greece is poor. It is necessary to improve the adherence to guidelines, in order to shorten the LOS and possibly decrease the mortality rate of CAP. ER -