TY - JOUR T1 - Pneumonia in the context of severe sepsis: a significant diagnostic problem JF - European Respiratory Journal JO - Eur Respir J SP - 1417 LP - 1418 DO - 10.1183/09031936.00104808 VL - 32 IS - 5 AU - T. Bewick AU - M. Simmonds AU - M. Chikhani AU - J. Meyer AU - W. S. Lim Y1 - 2008/11/01 UR - http://erj.ersjournals.com/content/32/5/1417.abstract N2 - To the Editors: The Surviving Sepsis guidelines 1 highlighted a need to improve clinical standards for the management of severe sepsis and septic shock within the Nottingham University Hospitals NHS Trust (Nottingham, UK). We formed a multi-directorate task group to conduct a near real-time retrospective gap analysis of all adults with significant positive blood cultures of a pathogenic organism within the Queen's Medical Centre (Nottingham), between November 1, 2005 and March 31, 2006. The design, objectives and outcomes have been described previously 2. Patients were included if they met the criteria for severe sepsis or septic … ER -