What are the indications for inpatient care of Mycoplasma infections (Mycoplasma pneumoniae)?

Updated: Feb 15, 2019
  • Author: Ken B Waites, MD; Chief Editor: Michael Stuart Bronze, MD  more...
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Answer

The choice of outpatient management versus hospitalization for persons with community-acquired pneumonia depends on the clinical syndrome and not the organism, largely because the microbiologic diagnosis is often unavailable when the physician must make these decisions.

Professional organizations of physicians and managed care organizations have developed management algorithms that include decision trees for diagnostic studies and management, including specifications of antimicrobial agents to be used. These guidelines vary somewhat, but, in general, the decision to hospitalize a patient depends on an assessment of the following:

  • The person's ability to tolerate and comply with oral medication

  • Whether the patient appears hypoxic or toxic to the extent that the physician suspects a bacteremic pneumonia

  • Whether the person is immunosuppressed

Relatively few patients with M pneumoniae pneumonia require hospitalization based on these criteria.


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