{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T06:42:07Z","timestamp":1791441727265,"version":"4.3.3"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T00:00:00Z","timestamp":1764806400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The American Thoracic Society recently released updated community-acquired pneumonia (CAP) guidelines. The Infectious Diseases Society of America (IDSA) agreed with 8 of the 10 recommendations in the guidelines but declined to endorse the guidelines because they include recommendations for use of antibiotics in outpatients with comorbidities and inpatients with nonsevere CAP who test positive for respiratory viruses. It is noted in the guidelines that bacterial coinfections are common and that delaying antibiotics may be harmful. IDSA notes, however, that nondiscriminatory use of antibiotics for patients with CAP and positive viral assays confers more risks than benefits. Most patients do not have bacterial coinfections, and briefly withholding antibiotics for patients with nonsevere illness to clarify the diagnosis is safe. In this era of precision medicine, IDSA instead recommends individualized, dynamic decision-making that takes into account each patient\u00b4s evolving trajectory, severity of illness and balance of clinical features for and against coinfection.<\/jats:p>","DOI":"10.1093\/cid\/ciaf625","type":"journal-article","created":{"date-parts":[[2025,11,16]],"date-time":"2025-11-16T12:52:17Z","timestamp":1763297537000},"page":"622-624","source":"Crossref","is-referenced-by-count":14,"title":["Infectious Diseases Society of America (IDSA) Position Statement: Why IDSA Did Not Endorse the Community-Acquired Pneumonia Guidelines 2025 Update"],"prefix":"10.1093","volume":"82","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8641-4498","authenticated-orcid":false,"given":"Michael","family":"Klompas","sequence":"first","affiliation":[{"name":"Harvard Pilgrim Health Care Institute and Harvard Medical School , Boston, Massachusetts ,","place":["USA"]},{"name":"Brigham and Women's Hospital , Boston, Massachusetts ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6501-492X","authenticated-orcid":false,"given":"Majdi","family":"Al-Hasan","sequence":"additional","affiliation":[{"name":"University of South Carolina School of Medicine , Columbia, South Carolina ,","place":["USA"]},{"name":"Prisma Health Midlands , Columbia, South Carolina ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mayar","family":"Al Mohajer","sequence":"additional","affiliation":[{"name":"Baylor College of Medicine , Houston, Texas ,","place":["USA"]},{"name":"Baylor St. Luke's Medical Center , Houston, Texas ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9517-254X","authenticated-orcid":false,"given":"Robert","family":"Colgrove","sequence":"additional","affiliation":[{"name":"Mount Auburn Hospital , Cambridge, Massachusetts ,","place":["USA"]},{"name":"Harvard Medical School , Boston, Massachusetts ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9139-0857","authenticated-orcid":false,"given":"Shira","family":"Doron","sequence":"additional","affiliation":[{"name":"Tufts Medical Center and Tufts University School of Medicine , Boston, Massachusetts ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-6080-467X","authenticated-orcid":false,"given":"Thomas","family":"File","sequence":"additional","affiliation":[{"name":"Summa Health , Akron, Ohio ,","place":["USA"]},{"name":"Northeast Ohio Medical University , Rootstown, Ohio ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8937-8039","authenticated-orcid":false,"given":"Natasha N","family":"Pettit","sequence":"additional","affiliation":[{"name":"University of Chicago Medicine , Chicago, Illinois ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5809-4060","authenticated-orcid":false,"given":"Michael","family":"Pulia","sequence":"additional","affiliation":[{"name":"BerbeeWalsh Department of Emergency Medicine, University of Wisconson-Madison, School of Medicine and Public Health , Madison, Wisconsin ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2854-5745","authenticated-orcid":false,"given":"Sharon","family":"Weissman","sequence":"additional","affiliation":[{"name":"University of South Carolina School of Medicine , Columbia, South Carolina ,","place":["USA"]},{"name":"Prisma Health Midlands , Columbia, South Carolina ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,12,4]]},"reference":[{"key":"2026043013133936300_ciaf625-B1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.202507-1692ST","article-title":"Diagnosis and management of community-acquired pneumonia","author":"Jones","year":"2025","journal-title":"Am J Respir Crit Care Med"},{"key":"2026043013133936300_ciaf625-B2","doi-asserted-by":"crossref","first-page":"e2511499","DOI":"10.1001\/jamanetworkopen.2025.11499","article-title":"Antibiotic treatment in patients hospitalized for nonsevere COVID-19","volume":"8","author":"Pulia","year":"2025","journal-title":"JAMA Netw Open"},{"key":"2026043013133936300_ciaf625-B3","doi-asserted-by":"crossref","first-page":"594","DOI":"10.3390\/antibiotics14060594","article-title":"Does empirical antibiotic use improve outcomes in ventilated patients with pandemic viral infection? 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