The goal of this cluster randomized controlled trial is to determine the optimal treatment for community aquired pneumonia (CAP). The study compares the effects and side effects of hydrocortisone and prednisolone in patients above 18 years old diagnosed with severe CAP. The main question is whether there is a difference in all cause mortality within thirty days.
Participants will be randomized to receive treatment with either hydrocortisone or prednisolone.
Age > 18 years
Diagnosis of severe CAP for who the physician in charge decides for corticosteroid therapy for severe CAP.
Admitted >24 h
Pregnant or breastfeeding women
Active tuberculosis or fungal infection
Pneumonia caused by influenza