Corticosteroids for the management of severe community-acquired pneumonia: a UK-wide survey
Corticosteroids for the management of severe community-acquired pneumonia: a UK-wide survey
The use of corticosteroids in severe community-acquired pneumonia (sCAP) management is a contentious issue with current practices of United Kingdom (UK) intensivists largely unknown. To investigate this, we surveyed UK intensive care clinicians from 20 September 2024 to 19 December 2024, collecting 160 responses from 115 intensive care units (response rate 48.3%). 56.1% of responders use corticosteroids in the treatment of sCAP. There were large variabilities in practice. Hydrocortisone started within 24 h of admission 50 mg four times a day for 4-5 days was the most reported regime. The variation in practice coupled with relative equipoise requires further evaluation and guidance.
Severe community acquired pneumonia, corticosteroids, intensive care, survey
Terrington, Isis
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Cox, Olivia
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Webb, Elizabeth
36acbd1d-cf47-40b2-8382-c301fa6e7fd1
Eastwood, Benjamin
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Copley, Patrick
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Saeed, Kordo
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Conway Morris, Andrew
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Grocott, Michael P.W.
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Dushianthan, Ahilanandan
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Terrington, Isis
505d1d44-15ea-4dc9-9f96-691707c01092
Cox, Olivia
f282dffd-0da1-4803-9990-49286852263a
Webb, Elizabeth
36acbd1d-cf47-40b2-8382-c301fa6e7fd1
Eastwood, Benjamin
14ff05c2-b632-423e-be05-1cc40f2644e6
Copley, Patrick
21dec290-da95-478e-b410-f96ec29ef004
Saeed, Kordo
87cb67e5-71e8-4759-bf23-2ea00ebd8b39
Conway Morris, Andrew
37e1573d-f0d9-47ea-913b-67b38a32e3eb
Grocott, Michael P.W.
1e87b741-513e-4a22-be13-0f7bb344e8c2
Dushianthan, Ahilanandan
013692a2-cf26-4278-80bd-9d8fcdb17751
Terrington, Isis, Cox, Olivia, Webb, Elizabeth, Eastwood, Benjamin, Copley, Patrick, Saeed, Kordo, Conway Morris, Andrew, Grocott, Michael P.W. and Dushianthan, Ahilanandan
(2025)
Corticosteroids for the management of severe community-acquired pneumonia: a UK-wide survey.
Journal of the Intensive Care Society.
(doi:10.1177/17511437251330145).
Abstract
The use of corticosteroids in severe community-acquired pneumonia (sCAP) management is a contentious issue with current practices of United Kingdom (UK) intensivists largely unknown. To investigate this, we surveyed UK intensive care clinicians from 20 September 2024 to 19 December 2024, collecting 160 responses from 115 intensive care units (response rate 48.3%). 56.1% of responders use corticosteroids in the treatment of sCAP. There were large variabilities in practice. Hydrocortisone started within 24 h of admission 50 mg four times a day for 4-5 days was the most reported regime. The variation in practice coupled with relative equipoise requires further evaluation and guidance.
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e-pub ahead of print date: 31 March 2025
Keywords:
Severe community acquired pneumonia, corticosteroids, intensive care, survey
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Local EPrints ID: 502452
URI: http://eprints.soton.ac.uk/id/eprint/502452
ISSN: 1751-1437
PURE UUID: c760b8e0-6dee-479d-8130-59e8052d768f
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Date deposited: 26 Jun 2025 17:02
Last modified: 22 Aug 2025 02:27
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Contributors
Author:
Isis Terrington
Author:
Olivia Cox
Author:
Elizabeth Webb
Author:
Benjamin Eastwood
Author:
Patrick Copley
Author:
Kordo Saeed
Author:
Andrew Conway Morris
Author:
Ahilanandan Dushianthan
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