PT - JOURNAL ARTICLE AU - Jing Zhang AU - Wei-Ping Hu AU - Yi Huang AU - Jie-Ming Qu TI - Major concerns on the management of community-acquired pneumonia in adults and achievements of serial guideline training: a nationwide survey for Chinese physicians in 2018 AID - 10.1183/13993003.congress-2020.2023 DP - 2020 Sep 07 TA - European Respiratory Journal PG - 2023 VI - 56 IP - suppl 64 4099 - http://erj.ersjournals.com/content/56/suppl_64/2023.short 4100 - http://erj.ersjournals.com/content/56/suppl_64/2023.full SO - Eur Respir J2020 Sep 07; 56 AB - Objective: To identify the current patterns and problems in community-acquired pneumonia (CAP) clinical practice in China.Methods: Between March to July 2018, Infection Assembly of Chinese Thoracic Society launched a nationwide electronic questionnaire survey to investigate Chinese physicians’ viewpoints on major questions in the management of adult CAP, and assessed their practice associated with their viewpoints.Results: A total of 6,333 physicians, from 32 provincial-level administrative divisions of China, participated in this survey. Some satisfying achievements resulted from guideline training were observed, including the high degree of acceptance of CURB-65 score, and the awareness of high resistance of macrolides. Furthermore, some misunderstandings were identified. The estimation of potential pathogens before administering the empirical therapy was ignored by 30-40% of respondents, and nearly 40% underused the antibiotics covering atypical pathogens for empirically treating patients with severe CAP. Excessive use of corticosteroids in the outpatient department were also observed. Besides, completely-absorbed pulmonary infiltrates on chest images were wrongly regarded as the indications of antibiotic discontinuation (49.3%) and safe discharge (25.6%). For prevention, nearly 75% of physicians ignored the education of vaccination, regardless of their departments, regions or work experience.Conclusion: Our findings identified several problems of CAP clinical practice in the real world, which provided evidence for further targeted measures and policy making.FootnotesCite this article as: European Respiratory Journal 2020; 56: Suppl. 64, 2023.This abstract was presented at the 2020 ERS International Congress, in session “Respiratory viruses in the "pre COVID-19" era”.This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).