In primary care we see a high volume of upper and lower respiratory infections. Just last week, I evaluated an upper respiratory infection, an asthma exacerbation and a possible pneumonia vs. COPD exacerbation all in the same morning clinic. Primary care providers are constantly under fire for overprescribing antibiotics. However, some patients actually have community-acquired, hospital-acquired or ventilator-associated pneumonia and must receive appropriate antibiotics.
For years, the American Thoracic Society (ATS) and the Infectious Disease Society of America (IDSA) have issued joint guidelines for the treatment of pneumonia. Additionally, the IDSA has published treatment guidelines for pediatric pneumonia. In 2016, they finally released an updated guideline on hospital-acquired and ventilator-associated pneumonia. Their 2007 CAP guideline is still in effect, but is being updated and should be released in 2018.
When I ask our resident and fellows to find me the current recommendations some turn to UpToDate, others to Dynamed Plus or Essential Evidence Plus, some simply try to Google the guidelines or open an antibiotic app such as the John Hopkins Abx Guide or the Sanford Guide. All of these are reasonable and contain similar information, but wouldn’t it be nice to have all of that information in one spot — adult and pediatric guidelines together?
Thankfully, Dr Joshua Steinberg makes an app that has this information, and much more on pneumonia, in one helpful app. Previously, I reviewed his Pneumonia Guide app, but now he has introduced a new 4.0 version that includes the 2016 ATS/IDSA updates as well and some other under-the-hood changes. Dr Steinberg has designed a variety of useful point-of-care apps including PneumoVaccines, Depo Calendar, OB Wheels, Gout Diagnosis, Health Maintenance Visits, Contraception, Step-by-Step Febrile Infant, PreopEval14, PFT Eval, EFM Guide, and PE & DVT Dx Tool.
A 65 year-old male with a past medical history of Type II diabetes, hypertension, hyperlipidemia is admitted to the hospital with pancreatitis from hypertriglyceridemia. On hospital day 3, he develops a productive cough, shortness of breath, chills, and fever of 102.5 fahrenheit. Chest radiography revealed a left upper lobe infiltrate. How would you evaluate and treat this patient using the latest version of Dr Steinberg’s Pneumonia Guide?
Evidence based medicine
Pneumonia Guide 4.0 contains the latest ATS/IDSA evidence-based guidelines, and information on both adult and pediatric pneumonia, in an easy-to-use format that is well referenced with working hyperlinks.
What providers would benefit from this App?
Students, residents, mid-levels, Family Medicine, Internal Medicine, Emergency Medicine. Any provider who treats adult and/or pediatric pneumonia patients.
Disclaimer: The views expressed are those of the author(s) and do not reflect the official policy of the Department of the Army, the Department of Defense or the U.S. Government.
- Easy to use, intuitive interface utilizing the latest guidelines and publication on topic.
- Includes adult and pediatric guidelines and topics such as duration of care, etc..
- Includes hyperlinks to all references (though no PDFs of the guidelines).
- User interface is pretty basic and lacks built-in calculators.
- Some but not all antibiotic doses/frequencies are listed in the app.
- Not available for Android currently (but will be soon).
An excellent, “must have” app to evaluate and treat pneumonia patients at the point of care. The app is now updated with information consistent with the 2016 ATS/IDSA pneumonia guidelines. This particular app by Dr Steinberg is not yet available for Android, but will be in the coming weeks. Android users should definitely get this app once available and any iOS users who don’t already have it–what are you waiting for?
- Overall Score
- User Interface
Intuitive, but basic interface that gets the job done. Lacks built in CURB-65 or PSI calculators.
- Multimedia Usage
Includes hyperlinked references.
A great resource for free.
- Real World Applicability
This app is THE must have resource for anyone who treats pneumonia patients. Saves providers significant time compared to looking up pneumonia information in Hopkins’ or Sanford plus UpToDate or Dynamed.
- Device Used For Review
iPhone 6S running iOS 10.3.3
- Available for DownloadiPhoneiPad