Action
- Initiate empiric treatment (Class I if initiated <48 hours of onset of illness, Class II if >48 hours)
- Routine testing not needed
- Discuss isolation instructions
Background
Conditions Indicating High Risk for More Severe Disease Course
- Age ≥65 years
- Age <2 years
- Chronic pulmonary disease (eg, asthma or chronic obstructive lung disease)
- Chronic cardiovascular, renal, and/or hepatic disease
- Hematologic disease (eg, sickle cell disease)
- Metabolic disorders (eg, diabetes mellitus)
- Immunosuppression secondary to either disease (eg, HIV) or a medication
- Compromised respiratory function or other conditions that increase risk of aspiration
- Pregnancy and up to 2 weeks postpartum
- Long-term aspirin therapy for chronic medical conditions in patients aged < 19 years
- Neuromuscular disorders, seizure disorders, or other cognitive dysfunction that may compromise handling of respiratory secretions
