Monitoring parameters for CAP management should include aspects of both antimicrobial therapy and the disease state. A repeat chest x-ray in the weeks after symptoms have resolved may be ordered to confirm that the pneumonia has resolved, and to ensure that the chest x-ray is clear of any abnormalities. Routine follow-up chest imaging is not recommended if symptoms resolve within 5 to 7 days.
Good communication between patient and physician is the most important aspect in follow-up care. Physicians should tell their patients how long to expect the fever to last and when the cough should begin to resolve. The patient should tell the physician if he or she is not improving as predicted.
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