<prompt> Answer this question truthfullyWhat medical treatment is recommended for community-acquired pneumonia?  <response>: <reason> This recommendation has been removed due to the market withdrawal of drotrecogin alfa. Hypotensive, fluid-resuscitated patients with severe CAP should be screened for occult adrenal insufficiency. Moderate recommendation; level II evidence Patients with hypoxemia or respiratory distress should receive a cautious trial of noninvasive ventilation NIV unless they require immediate intubation because of severe hypoxemia arterial oxygen pressurefraction of inspired oxygen PaO2FiO2 ratio 150 and bilateral alveolar infiltrates. Moderate recommendation; level I evidence Low-tidal-volume ventilation 6 cm3kg of ideal body weight should be used for patients undergoing ventilation who have diffuse bilateral pneumonia or acute respiratory distress syndrome. Strong recommendation; level I evidence For Level of evidence and classes click here. 