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Updated: Sep 13, 2025
Osteopathic Manipulative Treatment as a Useful Adjunctive Tool for Pneumonia
Published on: May 6, 2014
Indications for corticosteroids in the treatment of Community-Acquired pneumonia
Mathieu Blot1, Damien Basille2, Aurélien Dinh3
1Département d'infectiologie, Hôpital Universitaire Dijon-Bourgogne, Dijon, France; INSERM Research Centre LNC-UMR1231, Université de Bourgogne, Dijon, France.
Abstract:
Preceding guidelines on treatment and management of community-acquired pneumonia (CAP) do not endorse systematic use of corticosteroids. The data in the literature show contradictory results; while some have suggested clinical improvement in cases of severe CAP, others have reported no significant benefit. The recent CAPE-COD trial demonstrated a marked reduction of mortality and intubation through early hydrocortisone treatment (200 mg/d). Consequently, the 2025 French guidelines recommend its being used in cases of severe CAP requiring critical care (excluding influenza, myelosuppression, and aspiration pneumonia, which are not considered in the trial), with progressive de-escalation over the course of eight to fourteen days. Since no benefit has seen shown for non-severe CAP, corticosteroid therapy is not recommended in these cases.
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