Management of Adult Community-acquired Pneumonia and Prevention - Update 2016 Guideline of the German Respiratory Society, the Paul-Ehrlich-Society for Chemotherapy, the German Society for Infectious Diseases, the Competence Network CAPNETZ, the Austrian Respiratory Society, the Austrian Society for Infectious and Tropical Diseases and the Swiss Respiratory Society

被引:113
作者
Ewig, S. [1 ,2 ]
Hoeffken, G. [3 ]
Kern, W. V. [4 ]
Rohde, G. [5 ]
Flick, H. [6 ]
Krause, R. [7 ]
Ott, S. [8 ,9 ]
Bauer, T. [10 ]
Dalhoff, K. [11 ]
Gatermann, S. [12 ]
Kolditz, M. [3 ]
Krueger, S. [13 ,14 ]
Lorenz, J. [15 ]
Pletz, M. [16 ]
de Roux, A. [17 ]
Schaaf, B. [18 ]
Schaberg, T. [19 ]
Schuette, H. [20 ,21 ]
Welte, T. [22 ]
机构
[1] Evangel Krankenhaus Herne & Augusta Kranken Ansta, Kliniken Pneumol & Infektiol, Thoraxzentrum Ruhrgebiet, Hordeler Str 7-9, D-44651 Herne, Germany
[2] Evangel Krankenhaus Herne & Augusta Kranken Ansta, Kliniken Pneumol & Infektiol, Thoraxzentrum Ruhrgebiet, Bergstr 26, D-44791 Bochum, Germany
[3] Tech Univ Dresden, Univ Klinikum Carl Gustav Carus, Med Klin & Poliklin 1, Bereich Pneumol, Dresden, Germany
[4] Univ Klinikum Freiburg, Abt Infektiol, Freiburg, Germany
[5] Maastricht Univ, Med Ctr, Dept Resp Med, NL-6200 MD Maastricht, Netherlands
[6] LKH Univ Klinikum Graz, Klin Abt Pulmonol, Graz, Austria
[7] Med Univ Graz, Univ Klin Innere Med, Sekt Infektiol & Tropenmed, Graz, Austria
[8] Universitatsspital, Univ Klin Pneumol, Inselspital, Bern, Switzerland
[9] Univ Bern, Bern, Switzerland
[10] Helios Klinikum Emil von Behring, Lungenklin Heckeshorn, Klin Pneumol, Berlin, Germany
[11] Univ Klinikum Schleswig Holstein, Med Klin 3, Pneumol & Infektiol, Lubeck, Germany
[12] Ruhr Univ Bochum, Abt Med Mikrobiol, Inst Hyg & Mikrobiol, Univ Str 150, Bochum, Germany
[13] Florence Nightingale Krankenhaus, Klin Pneumol Kardiol & Internist Intensivmed, Dusseldorf, Germany
[14] Univ Klinikum, Klin Kardiol Pneumol & Angiol, Dusseldorf, Germany
[15] Klinikum Ludenscheid, Klin Pneumol Infektiol & Internist Intensivmed, Ludenscheid, Germany
[16] Univ Klinikum Jena, Zentrum Infektionsmed & Krankenhaushyg, Jena, Germany
[17] Lungenfacharztl Gemeinschaftspraxis, Berlin, Germany
[18] Klinikum Dortmund, Med Klin, Pneumol & Infektiol, Dortmund, Germany
[19] Zentrum Pneumol Agaples Diakonieklinikum Rotenbur, Rotenburg, Germany
[20] Klinikum Ernst von Bergmann, Klin Pneumol, Potsdam, Germany
[21] Humboldt Univ, Akad Lehrkrankenhaus, Charite, Potsdam, Germany
[22] Hannover Med Sch, Klin Pneumol, Hannover, Germany
来源
PNEUMOLOGIE | 2016年 / 70卷 / 03期
关键词
D O I
10.1055/s-0042-101873
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
The present guideline provides a new and updated concept of treatment and prevention of adult patients with community-acquired pneumonia. It replaces the previous guideline dating from 2009. The guideline was worked out and agreed on following the standards of methodology of a S3-guideline. This includes a systematic literature search and grading, a structured discussion of recommendations supported by the literature as well as the declaration and assessment of potential conflicts of interests. The guideline has a focus on specific clinical circumstances, an update on severity assessment, and includes recommendations for an individualized selection of antimicrobial treatment as well as primary and secondary prevention.
引用
收藏
页码:151 / 200
页数:50
相关论文
共 492 条
[1]  
Aabenhus R, 2014, COCHRANE DB SYST REV, V11, DOI DOI 10.1002/14651858.CD010130.PUB2
[2]   Predicting mortality with severity assessment tools in out-patients with community-acquired pneumonia [J].
Akram, A. R. ;
Chalmers, J. D. ;
Hill, A. T. .
QJM-AN INTERNATIONAL JOURNAL OF MEDICINE, 2011, 104 (10) :871-879
[3]   Incidence and Prognostic Implications of Acute Kidney Injury on Admission in Patients With Community-Acquired Pneumonia [J].
Akram, Ahsan R. ;
Singanayagam, Aran ;
Choudhury, Gourab ;
Mandal, Pallavi ;
Chalmers, James D. ;
Hill, Adam T. .
CHEST, 2010, 138 (04) :825-832
[4]   Biomarker-enhanced triage in respiratory infections: a proof-of-concept feasibility trial [J].
Albrich, Werner C. ;
Rueegger, Kristina ;
Dusemund, Frank ;
Schuetz, Philipp ;
Arici, Birsen ;
Litke, Alexander ;
Blum, Claudine A. ;
Bossart, Rita ;
Regez, Katharina ;
Schild, Ursula ;
Guglielmetti, Merih ;
Conca, Antoinette ;
Schaefer, Petra ;
Schubert, Maria ;
de Geest, Sabina ;
Reutlinger, Barbara ;
Irani, Sarosh ;
Buergi, Ulrich ;
Huber, Andreas ;
Mueller, Beat .
EUROPEAN RESPIRATORY JOURNAL, 2013, 42 (04) :1064-1075
[5]   Enhancement of CURB65 score with proadrenomedullin (CURB65-A) for outcome prediction in lower respiratory tract infections: Derivation of a clinical algorithm [J].
Albrich, Werner C. ;
Dusemund, Frank ;
Rueegger, Kristina ;
Christ-Crain, Mirjam ;
Zimmerli, Werner ;
Bregenzer, Thomas ;
Irani, Sarosh ;
Buergi, Ulrich ;
Reutlinger, Barbara ;
Mueller, Beat ;
Schuetz, Philipp .
BMC INFECTIOUS DISEASES, 2011, 11
[6]   Incidence, Etiology, Timing, and Risk Factors for Clinical Failure in Hospitalized Patients With Community-Acquired Pneumonia [J].
Aliberti, Stefano ;
Amir, Asad ;
Peyrani, Paula ;
Mirsaeidi, Mehdi ;
Allen, Marty ;
Moffett, Brian K. ;
Myers, John ;
Shaib, Fidaa ;
Cirino, Maria ;
Bordon, Jose ;
Blasi, Francesco ;
Ramirez, Julio A. .
CHEST, 2008, 134 (05) :955-962
[7]   Phenotyping community-acquired pneumonia according to the presence of acute respiratory failure and severe sepsis [J].
Aliberti, Stefano ;
Brambilla, Anna Maria ;
Chalmers, James D. ;
Cilloniz, Catia ;
Ramirez, Julio ;
Bignamini, Angelo ;
Prina, Elena ;
Polverino, Eva ;
Tarsia, Paolo ;
Pesci, Alberto ;
Torres, Antoni ;
Blasi, Francesco ;
Cosentini, Roberto .
RESPIRATORY RESEARCH, 2014, 15
[8]   Ampicillin plus sulbactam vs. clindamycin ± cephalosporin for the treatment of aspiration pneumonia and primary lung abscess [J].
Allewelt, M ;
Schüler, P ;
Bölcskei, PL ;
Mauch, H ;
Lode, H .
CLINICAL MICROBIOLOGY AND INFECTION, 2004, 10 (02) :163-170
[9]   New evidence of risk factors for community-acquired pneumonia:: a population-based study [J].
Almirall, J. ;
Bolibar, I. ;
Serra-Prat, M. ;
Roig, J. ;
Hospital, I. ;
Carandell, E. ;
Agusti, M. ;
Ayuso, P. ;
Estela, A. ;
Torres, A. .
EUROPEAN RESPIRATORY JOURNAL, 2008, 31 (06) :1274-1284
[10]   Risk factors for community-acquired pneumonia in adults:: a population-based case-control study [J].
Almirall, J ;
Bolíbar, I ;
Balanzó, X ;
González, CA .
EUROPEAN RESPIRATORY JOURNAL, 1999, 13 (02) :349-355