What is the gold standard for community-acquired pneumonia (CAP)?

What is the gold standard for community-acquired pneumonia (CAP)?

In practice, “gold standard” in CAP is used in two ways: confirmation of diagnosis and guideline-aligned management. Diagnostic confirmation typically relies on clinical assessment plus chest imaging—most commonly a chest X-ray, with CT reserved for selected or complicated cases. Identifying the exact pathogen (culture/PCR) is not always feasible or required for every patient; many CAP cases are managed based on clinical findings and imaging. From a treatment perspective, the “gold standard” is risk-stratified, guideline-consistent empiric therapy with timely reassessment and de-escalation when appropriate. Operationally, CAP gold standard equals: correct classification + imaging support + appropriate therapy + follow-up loop.