We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Pneumonia due to Stress Ulcer Prophylaxis With Cimetidine: A Necessary Consequence?-Reply

Timothy C. Fabian, MD; Martin A. Croce, MD
Arch Surg. 1993;128(9):1079. doi:10.1001/archsurg.1993.01420210142025.
Text Size: A A A
Published online


Dr Tryba has posed several questions regarding our article,1 and we will try to address each of them. First, he questioned the completeness of our literature review. We searched peer-reviewed articles and did not think that review articles presented at a sucralfate symposium, which were published in a journal supplement,2 would necessarily be completely objective. He also pointed out that a high percentage of our patients had head injuries and suggested that many patients suffered from aspiration pneumonia. This could be true, but one may expect earlier clinical symptoms with aspiration pneumonia—not as late as 5.6 days after injury as stated in the article. Also, even if aspiration accounted for many pneumonias, the incidence of "nonaspiration pneumonia" should be the same in all three treatment groups since the groups were all well matched.

We agree with Dr Tryba that it is frequently difficult to establish the


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.