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Fernandez-Cerrano et al randomized 56 people with CAP in Spain (only 3 needed mechanical ventilation) to receive methylprednisolone bolus-and-taper or placebo, in addition to ceftriaxone and levofloxacin. The steroid-treated group had less hypoxemia (lower PaO2/FiO2). (n=56). Critical Care 2011;15:R96. FREE FULL TEXT
MORE ON THIS: In AJRCCM 2005, Confalonieri found less septic shock and need for mechanical ventilation in the hydrocortisone-treated arm of a randomized group of 46 very ill patients with CAP. [AJRCCM 2005] FREE FULL TEXT