Extract

The community-acquired pneumonia (CAP) guideline writing industry started with a group of physicians who met in Halifax, Nova Scotia, on 22 and 23 November 1991 to write a guideline for the management of CAP. This led to an expanded group of “experts” who met in Boston, Massachusetts, in October 1992 for the same purpose, under the auspices of the American Thoracic Society. These 2 meetings resulted in the Canadian Thoracic Society [1] and American Thoracic Society [2] CAP guidelines. Subsequently, the Infectious Diseases Society of America (IDSA) issued its own guidelines [3], and then these 3 organizations revised or updated their guidelines [3–6]. Along the way, the Centers for Disease Control and Prevention issued guidelines designed to promote optimal use of antibiotics in the management of CAP [7], and guidelines for the management of CAP have been issued by many countries, of which only a couple are cited here [8, 9].

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