Educational aims   The complex nature of lower respiratory tract infections is reflected in the various diseases, syndromes, microbial pathogens and host responses. As such, these infections are responsible for much morbidity and the use of healthcare resources which in turn have significant economic implications. This workshop provides an overview of the epidemiology of emerging pathogens in the community and focuses subsequently on their appropriate treatment and management.

4th GRACE workshop: New challenges in primary care: back to the future

1	The changing epidemiology of MDR-TB in Europe G. B. Migliori (Tradate, Italy)
2	Bordetella pertussis: current epidemiology and clinical impact R. Cosentini (Milan, Italy)
3	Aetiology of LRTIs in the community: state of the art and GRACE results H. Goossens (Edegem, Belgium)
4	Acute bronchitis and exacerbations of COPD: different patients, different risks F. Blasi (Milan, Italy)
5	Pneumonia: a difficult diagnosis for a GP? T. Verheij (Utrecht, Netherlands)
6	When to suspect TB in primary care C. Lange (Borstel, Germany)
7	Tuberculosis: tricks and traps G. B. Migliori (Tradate, Italy)
8	Is it pneumonia? R. Cosentini (Milan, Italy)
9	Antibiotics in the community: use and misuse M. Miravitlles (Barcelona, Spain)
10	Guidelines and the management of outpatients with LRTI T. Verheij (Utrecht, Netherlands)
11	How GPs manage LRTIs in Europe? State of the art and GRACE results C. Butler (Cardiff, United Kingdom)
12	T B treatment: what ’s changing? C. Lange (Borstel, Germany)
13	Future options for the vaccine prevention of influenza A. Osterhaus (Rotterdam, The Netherlands)
14	CAP: when to refer for hospital management T. Verheij (Utrecht, Netherlands), F. Blasi (Milan, Italy)