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Objective: To assess physicians beliefs on pneumonia guidelines PG ; and, prospectively, their actual choice in P patients admitted in medical wards. Methods: At four different staff meetings of a tertiary hospital physicians an anonymous questionnaire regarding their attitude towards G was collected. All pneumonia admissions were prospectively entered in database regarding clinical and laboratory data, initial regimen IR ; choice and amendments as chosen by the attending physicians. Choices were accepted as PG adherrence if compatible to major PG primarily IDSA 2003, but also latest CTS, BTS and the Hellenic ID Society 2005 ; applicable on admission date. Outcome measures were length of stay and mortality. SPSS analysis, time Nov 204 to Jan 2006. Results: A total of 57 replies were collected and analyzed. An overall favourable attitude towards G was stated declaring always 12% ; and frequently 76% ; following G. At this period 35 patients M: 29, F: 6 ; m.age 67.9 yrs presenting with a mean CURB-65 score of 2.3. were admitted. Initial regimen compatible to PG was noted in 14 35 40% ; and amendment was done during stay in 13 37% ; , without PG adherrence rate change. No differences were noted in outcome 3 pts died ; or length of stay mean: 8.6 days ; regarding IR or eventual regimen PG compatibility, but the number was, admittedly, small. Conclusions: Physicians tend to express an ove rall favourable attitude towards PG, but their choice of regimen reflects either a superficial G knowledge, or limited acceptance according to their own beliefs or prefe re n c Further continuation of the study will reveal whether PG adherrence is associated with improved outcome measures or a shorter stay. During therapy of GD with antithyroid drugs ATD ; . o Evaluation of remission and zithromax, for instance, zestril tablets.

Although Chlamydia pneumoniae infection has been associated with the initiation and progression of atherosclerosis, results of clinical trials investigating antichlamydial antibiotics as adjuncts to standard therapy in patients with coronary artery disease CAD ; have been inconsistent. A meta-analysis of clinical trials of antichlamydial antibiotic therapy in patients with CAD has been published. Eligible studies were prospective, randomized, placebo-controlled trials of antichlamydial antibiotic therapy in patients with CAD that reported all-cause mortality, myocardial infarction, or unstable angina. Of the 110 potentially relevant articles identified, 11 reports enrolling 19217 patients were included. Included studies were reviewed to determine the number of patients randomized, mean duration of follow-up, and end points. End points of interest included all-cause mortality, myocardial infarction MI ; , and a combined end point of MI and unstable angina. Antibiotic therapy had no impact on all-cause mortality among treated vs untreated patients 4.7% vs 4.6%; odds ratio [OR], 1.02; 95% confidence interval [CI], 0.89-1.16; P .83 ; , on the rates of MI 5.0% vs 5.4%; OR, 0.92; 95% CI, 0.81-1.04; P .19 ; , or on the combined end point of MI and unstable angina 9.2% vs 9.6%; OR, 0.91; 95% CI, 0.76-1.07; P .25 ; . This meta-analysis showed that evidence available to date does not demonstrate an overall benefit of antibiotic therapy in reducing mortality or cardiovascular events in patients with CAD.

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