title: [Guidelines for the probabilistic treatment of community-acquired pneumonia: compared experience between internal medicine and emergency departments in the University Hospital of Besançon, France].
abstract: BACKGROUND
  The objective of this study was to assess the application of local and national recommendations in the management of community-acquired pneumonia in an internal medicine department with an antibiotic referent physician and in an emergency department.
  
  
  METHODS
  This was a retrospective single-center study including patients admitted with community-acquired pneumonia in the internal medicine department of the University Hospital of Besançon after an initial admission in the emergency department.
  
  
  RESULTS
  One hundred patients (58 women and 42 men) were included. The mean age was 79 ± 11 years. The prescriptions done in the emergency department were in accordance with local recommendations or Société de pathologie infectieuse de langue française (SPILF) recommendations in 62% of cases. The prescriptions followed the recommendations in 94% of cases in internal medicine department (P<0.05). The lack of initial antibiotic treatment had no influence on morbidity and mortality.
  
  
  CONCLUSIONS
  The guidelines for infectious diseases treatment were significantly more often applied in a department where a referent physician was designated for this.
authors.affiliation: Service de médecine interne, CHU Jean-Minjoz, 3, boulevard Flemming, 25000 Besançon, France. Electronic address: hgil@chu-besancon.fr.
authors.forename: H
authors.initials: H
authors.lastname: Gil
authors.affiliation: Service de médecine interne, CHU Jean-Minjoz, 3, boulevard Flemming, 25000 Besançon, France.
authors.forename: F
authors.initials: F
authors.lastname: Grenier
authors.affiliation: Service de maladies infectieuses, hôpital Saint-Jacques, place Saint-Jacques, 25000 Besançon, France.
authors.forename: J
authors.initials: J
authors.lastname: Leroy
authors.affiliation: Service de médecine interne, CHU Jean-Minjoz, 3, boulevard Flemming, 25000 Besançon, France.
authors.forename: G
authors.initials: G
authors.lastname: Tisserand
authors.affiliation: Service de médecine interne, CHU Jean-Minjoz, 3, boulevard Flemming, 25000 Besançon, France.
authors.forename: N
authors.initials: N
authors.lastname: Meaux-Ruault
authors.affiliation: Service de médecine interne, CHU Jean-Minjoz, 3, boulevard Flemming, 25000 Besançon, France.
authors.forename: N
authors.initials: N
authors.lastname: Magy-Bertrand
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017714:Community-Acquired Infections / Q000453:epidemiology / Q000628:therapy*; D004636:Emergency Service, Hospital; D005260:Female; D005602:France / Q000453:epidemiology; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D006748:Hospital Departments; D006785:Hospitals, University; D006801:Humans; D007388:Internal Medicine; D008297:Male; D011014:Pneumonia / Q000453:epidemiology / Q000628:therapy*; D017410:Practice Guidelines as Topic; D012141:Respiratory Tract Infections / Q000453:epidemiology / Q000628:therapy*; D012189:Retrospective Studies
keywords: C-reactive protein; Community-acquired pneumonia; Guidelines; Pneumopathie communautaire; Protéine C-réactive; Référentiel