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LETTER TO EDITOR
Year : 2018  |  Volume : 35  |  Issue : 6  |  Page : 538  

Author's reply


1 Department of Pulmonary Medicine, Shimoga Institute of Medical Sciences, Shivamogga, Karnataka, India
2 Department of Pulmonary Medicine, JSS Medical College, JSS Academy of Higher Education and Research, Mysore, Karnataka, India
3 Department of Clinical Trials, Respiratory Research Network of India (CRF), Pune, Maharashtra, India
4 Department of Respiratory Medicine, Fortis Hospital, Kolkata, West Bengal, India

Date of Web Publication30-Oct-2018

Correspondence Address:
Dr. P A Mahesh
Department of Pulmonary Medicine, JSS Medical College, JSS Academy of Higher Education and Research, Mysore, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/lungindia.lungindia_354_18

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How to cite this article:
Mahendra M, Jayaraj B S, Limaye S, Chaya S K, Dhar R, Mahesh P A. Author's reply. Lung India 2018;35:538

How to cite this URL:
Mahendra M, Jayaraj B S, Limaye S, Chaya S K, Dhar R, Mahesh P A. Author's reply. Lung India [serial online] 2018 [cited 2018 Dec 16];35:538. Available from: http://www.lungindia.com/text.asp?2018/35/6/538/244505



Sir,

We thank AK Aswin Pius and Animesh Ray for their interest in our paper.[1]

We agree with the fact that CURB score is not as adequately validated for identifying patients requiring intensive care unit care and for prognosis and IDSA/ATS criteria are more apt. We used CURB score in our study as it was routinely used in our hospital for all patients with pneumonia. We followed the global Initiative for Methicillin resistant Staphylococcus aureus Pneumonia (GLIMP) protocol for the study which was to estimate the prevalence of methicillin-resistant Staphylococcus aureus (MRSA) in the community, and mortality was not studied in these patients. None of the patients in the study group suffered from mental illnesses, adherence issues, or substance abuse that necessitated admission in our study. We accept that due to small sample size, we were not able to get any MRSA in our study though it is still rare in our hospital. We defined smoker as per centre for disease control and prevention (CDC)[2] as “a person who has smoked more than 100 cigarettes in lifetime and who currently smokes,” and we defined alcoholism as per national institute on alcohol abuse and alcoholism (NIAAA) as a chronic relapsing brain disease characterized by compulsive alcohol use, loss of control over alcohol intake, and a negative emotional state when not using.[3]

Acknowledgments

The authors acknowledge Global Initiative for MRSA Pneumonia (GLIMP) principal investigator Dr. Stefano Aliberti and GLIMP team for permission to use the GLIMP questionnaire in our study which allowed us to evaluate factors associated with severe pneumonia.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
   References Top

1.
Mahendra M, Jayaraj BS, Limaye S, Chaya SK, Dhar R, Mahesh PA, et al. Factors influencing severity of community-acquired pneumonia. Lung India 2018;35:284-9.  Back to cited text no. 1
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2.
Smoking – CDC Search Results. Available from: http://www.search.cdc.gov/search?subset=NCHS and query=smoking&utf8=%E2%9C%93 &affiliate=cdc-main&sitelimit=www.cdc.gov%2Fnchs%2F. [Last accessed on 2016 Dec 04].  Back to cited text no. 2
    
3.
Alcohol Use Disorder | National Institute on Alcohol Abuse and Alcoholism. Available from: https://www.niaaa.nih.gov/alcohol-health/overview-alcohol-consumption/alcohol-use-disorders. [Last accessed on 2018 Aug 29].  Back to cited text no. 3
    




 

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