Community-acquired pneumonia

被引:3
作者
Rohde, Gernot [1 ]
机构
[1] Goethe Univ, Univ klinikum Frankfurt, Med Klin 1, Pneumol & Allergol, D-60590 Frankfurt, Germany
关键词
pathogens; respiratory viruses; management; antibiotics; risk stratification; REQUIRING HOSPITALIZATION;
D O I
10.1055/a-0883-7147
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Important new developments in the understanding of CAP encompass new insights into pathogens, risk stratification and antibiotic treatment. Respiratory viruses are increasingly described as relevant pathogens in CAP, such as influenza and rhinoviruses. Risk stratification is central in the management of CAP. In addition to the classical scores blood glucose levels add to the risk prediction. Risk adapted antibiotic treatment is increasingly refined and the use of macrolides in patients with bacteremia or marked inflammation is advocated. Recently developed new antibiotics add to the therapeutic options in CAP.
引用
收藏
页码:1428 / 1431
页数:4
相关论文
共 18 条
  • [1] Systematic review of respiratory viral pathogens identified in adults with community-acquired pneumonia in Europe
    Alimi, Y.
    Lim, W. S.
    Lansbury, L.
    Leonardi-Bee, J.
    Nguyen-Van-Tam, J. S.
    [J]. JOURNAL OF CLINICAL VIROLOGY, 2017, 95 : 26 - 35
  • [2] Macrolide therapy is associated with lower mortality in community-acquired bacteraemic pneumonia
    Arnold, Forest W.
    Lopardo, Gustavo
    Wiemken, Timothy L.
    Kelley, Robert
    Peyrani, Paula
    Mattingly, William A.
    Feldman, Charles
    Gnoni, Martin
    Maurici, Rosemeri
    Ramirez, Julio A.
    Arnold, Forest
    Peyrani, Paula
    Ramirez, Julio
    Ayesu, Kwabena
    File, Thomas, Jr.
    Burdette, Steven
    Blatt, Stephen
    Restrepo, Marcos
    Bordon, Jose
    Gross, Peter
    Musher, Daniel
    Marrie, Thomas
    Weiss, Karl
    Roig, Jorge
    Lode, Harmut
    Welte, Tobias
    Aliberti, Stephano
    Blasi, Francesco
    Cosentini, Roberto
    Legnani, Delfino
    Franzetti, Fabio
    Montano, Nicola
    Cervi, Giulia
    Rossi, Paolo
    Voza, Antonio
    Ostrowsky, Belinda
    Pesci, Alberto
    Nava, Stefano
    Viale, Pierluigi
    Galavatti, Vanni
    Patricia, Aruj
    Dimas, Carlos
    Piro, Roberto
    Viscoli, Claudio
    Torres, Antoni
    Valenti, Vincenzo
    Portela Ojales, Daniel
    Bodi, Maria
    Porras, Jose
    Rello, Jordi
    [J]. RESPIRATORY MEDICINE, 2018, 140 : 115 - 121
  • [3] Efficacy and safety of oral solithromycin versus oral moxifloxacin for treatment of community-acquired bacterial pneumonia: a global, double-blind, multicentre, randomised, active-controlled, non-inferiority trial (SOLITAIRE-ORAL)
    Barrera, Carlos M.
    Mykietiuk, Analia
    Metev, Hristo
    Nitu, Mimi Floarea
    Karimjee, Najumuddin
    Doreski, Pablo Alexis
    Mitha, Ismail
    Tanaseanu, Cristina Mihaela
    Molina, Joseph McDermott
    Antonovsky, Yuri
    Van Rensburg, Dirkie Johanna
    Rowe, Brian H.
    Flores-Figueroa, Jose
    Rewerska, Barbara
    Clark, Kay
    Keedy, Kara
    Sheets, Amanda
    Scott, Drusilla
    Horwith, Gary
    Das, Anita F.
    Jamieson, Brian
    Fernandes, Prabhavathi
    Oldach, David
    [J]. LANCET INFECTIOUS DISEASES, 2016, 16 (04) : 421 - 430
  • [4] CRB-65 predicts death from community-acquired pneumonia
    Bauer, T. T.
    Ewig, S.
    Marre, R.
    Suttorp, N.
    Welte, T.
    [J]. JOURNAL OF INTERNAL MEDICINE, 2006, 260 (01) : 93 - 101
  • [5] Effect of Combined β-Lactam/Macrolide Therapy on Mortality According to the Microbial Etiology and Inflammatory Status of Patients With Community-Acquired Pneumonia
    Ceccato, Adrian
    Cilloniz, Catia
    Martin-Loeches, Ignacio
    Ranzani, Otavio T.
    Gabarrus, Albert
    Buena, Leticia
    Garcia-Vidal, Carolina
    Ferrer, Miguel
    Niederman, Michael S.
    Torres, Antoni
    [J]. CHEST, 2019, 155 (04) : 795 - 804
  • [6] Usefulness of sputum gram stain for etiologic diagnosis in community-acquired pneumonia: a systematic review and meta-analysis
    Del Rio-Pertuz, Gaspar
    Gutierrez, Juan F.
    Triana, Abel J.
    Molinares, Jorge L.
    Robledo-Solano, Andrea B.
    Meza, Jose L.
    Ariza-Bolivar, Orlando M.
    Acosta-Reyes, Jorge
    Garavito, Argenis
    Viasus, Diego
    Carratala, Jordi
    [J]. BMC INFECTIOUS DISEASES, 2019, 19 (1)
  • [7] Penicillin treatment for patients with Community-Acquired Pneumonia in Denmark: a retrospective cohort study
    Egelund, Gertrud Baunbk
    Jensen, Andreas Vestergaard
    Andersen, Stine Bang
    Petersen, Pelle Trier
    Lindhardt, Bjarne Orskov
    von Plessen, Christian
    Rohde, Gernot
    Ravn, Pernille
    [J]. BMC PULMONARY MEDICINE, 2017, 17
  • [8] 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
    Ewig, S.
    Hoeffken, G.
    Kern, W. V.
    Rohde, G.
    Flick, H.
    Krause, R.
    Ott, S.
    Bauer, T.
    Dalhoff, K.
    Gatermann, S.
    Kolditz, M.
    Krueger, S.
    Lorenz, J.
    Pletz, M.
    de Roux, A.
    Schaaf, B.
    Schaberg, T.
    Schuette, H.
    Welte, T.
    [J]. PNEUMOLOGIE, 2016, 70 (03): : 151 - 200
  • [9] β-Lactam Monotherapy vs β-Lactam-Macrolide Combination Treatment in Moderately Severe Community-Acquired Pneumonia A Randomized Noninferiority Trial
    Garin, Nicolas
    Genne, Daniel
    Carballo, Sebastian
    Chuard, Christian
    Eich, Gerhardt
    Hugli, Olivier
    Lamy, Olivier
    Nendaz, Mathieu
    Petignat, Pierre-Auguste
    Perneger, Thomas
    Rutschmann, Olivier
    Seravalli, Laurent
    Harbarth, Stephan
    Perrier, Arnaud
    [J]. JAMA INTERNAL MEDICINE, 2014, 174 (12) : 1894 - 1901
  • [10] Aetiology of lower respiratory tract infection in adults in primary care: a prospective study in 11 European countries
    Ieven, M.
    Coenen, S.
    Loens, K.
    Lammens, C.
    Coenjaerts, E.
    Vanderstraeten, A.
    Henriques-Normark, B.
    Crook, D.
    Huygen, K.
    Butler, C. C.
    Verheij, T. J. M.
    Little, P.
    Zlateva, K.
    van Loon, A.
    Claas, E. C. J.
    Goossens, H.
    [J]. CLINICAL MICROBIOLOGY AND INFECTION, 2018, 24 (11) : 1158 - 1163