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A mysterious pneumonia outbreak in China has prompted the U.S. embassy there to warn Americans traveling in the country to avoid contact with sick people and animals.

American Embassy in China Issues Health Alert Over Illness Outbreak

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Embassy advising Americans to immediately seek medical care if they feel ill after being in Wuhan
The 13-valent pneumococcal conjugate vaccine is no longer recommended for routine use among adults aged ≥65 years

CDC: PCV13 No Longer Routinely Recommended for Adults ≥65

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Administration of PCV13 recommended based on shared clinical decision making for older adults
Routine

CHEST: Flu Shots Benefit Patients Hospitalized With Pneumonia

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Study shows that in-hospital influenza vaccination may lower costs, risk for readmission or death
In an updated official clinical practice guideline from the American Thoracic Society and Infectious Diseases Society of America

Guideline for Community-Acquired Pneumonia Updated

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Recommendations relate to diagnosis, management; recommend against routine use of Gram stain, culture
Many U.S. adults

Survey: Many U.S. Adults Not Planning to Get Flu Vaccine

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Vaccine knowledge and anticipated rates of vaccination even lower for pneumococcal disease
Overuse of broad-spectrum antibiotics is associated with increased mortality and other poor outcomes in adults admitted for community-onset pneumonia

Poor Pneumonia Outcomes Tied to Overuse of Broad-Spectrum Antibiotics

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Poor outcomes include higher mortality, longer hospital stay, and greater risk for C. difficile infection
Patients hospitalized with pneumonia often receive excess antibiotic therapy

Hospitalized Pneumonia Patients Often Get Excess Antibiotics

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Vast majority of excess treatment occurs with antibiotics prescribed at discharge
Medicare Advantage patients have higher risk-adjusted hospital readmission rates than traditional Medicare patients for acute myocardial infarction

Medicare Advantage Patients Have Higher Readmission Rates

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Higher adjusted readmission rates seen for AMI, CHF, pneumonia with Medicare Advantage
The recommended maximum age for male HPV vaccination should be raised from 21 to 26 years

ACIP: Men as Old as 26 Should Get HPV Vaccine

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Panel also no longer advises that healthy Americans ≥65 routinely receive Prevnar 13 vaccination
Children with community-acquired pneumonia often receive diagnostic testing and antibiotic therapy despite publication of guidelines against their routine use in 2011

Diagnostic Testing, Antibiotics Overused in Pediatric CAP

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Chest radiography ordered in 43 percent, antibiotics prescribed in 73.9 percent of community-acquired pneumonia visits