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Pathogens
Antimicrobials
Patient requires ICU admission
Hospital admission >5d or has been on antibiotics in past 90d, or structural lung disease with frequent antibiotic use (e.g. COPD)
Significantly immunocompromised or significant travel history
Significantly immunocompromised: Solid organ or bone marrow transplant;
Active leukemia or lymphoma;
receiving chemo for malignant or inflammatory conditions;
Receiving systemic steroid (prednisone >25 mg/day)
Colonized with resistant pathogen known to cause pneumonia