Guideline Tyranny: A Response to the Article by Baum and Kaltsas

Abstract
TO THE EDITOR—We wish to take issue with some of the points raised by Baum and Kaltsas in their recent article “Guideline Tyranny: Primum non-Nocere” in Clinical Infectious Diseases [1]. We feel that some of their statements are misleading and that the authors inaccurately interpreted the Infectious Diseases Society of America/American Thoracic Society (IDSA/ATS) consensus guidelines regarding the management of community-acquired pneumonia (CAP) [2]. In particular, we object to the linking of the current IDSA/ATS guideline recommendations with the Center for Medicine and Medicaid Services (CMS) and The Joint Commission standards for time to first antibiotic dose.