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It is important to realize that guidelines cannot always account for individual variation among patients. They are not intended to supplant physician judgment with respect to particular patients or special clinical situations. IDSA considers adherence to these guidelines to be voluntary, with the ultimate determination regarding their application to be made by the physician in the light of each patient's individual circumstances.
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Peter G. Pappas
Rutgers, The State University of New Jersey
Carol A. Kauffman
University of North Carolina at Chapel Hill
David R. Andes
Mayo Clinic
Clinical Infectious Diseases
University of Michigan
Johns Hopkins University
Cornell University
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Pappas et al. (Wed,) studied this question.
synapsesocial.com/papers/69d7b74bb843b2be994907ea — DOI: https://doi.org/10.1093/cid/civ933