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By these criteria, a patient is considered ready for discharge when his vital signs have normalized, lung function and oxygenation have returned to baseline status, blood culture is negative, blood cell count is lower than 12×109/L and any comorbid illnesses have stabilized (Table 1).
Describe clinical signs and symptoms (e.g., fever, chills, cough, dyspnea, tachypnea, crackles or rales, etc.). Note radiological and laboratory findings - include rationale for disagreement with any findings (e.g., negative chest xray, culture, etc.).
Don't try to run back to work and infect everyone else. Rest until you feel better. Whatever you do, don't smoke, it will only make your pneumonia worse. If your pneumonia is really severe or you have another serious health problem, your doctor may recommend that you get treated in the hospital.
Patients who can be discharged early are those from the unstable pneumonia group, which includes patients who have had reversal of their metabolic problems and stabilization of comorbid conditions, and who have not developed any serious pneumonia-related complications.
Ing to the most recent national data from the Healthcare Cost and Utilization Project Nationwide Inpatient Sample from the Agency for Healthcare Research and Quality, the average length of stay for pneumonia in the U.S. was 5.4 days.