New guidelines for the management of adult community-acquired pneumonia

被引:16
作者
Armitage, Kathryn [1 ]
Woodhead, Mark [1 ]
机构
[1] Univ Manchester, Manchester Royal Infirm, Dept Resp Med, Manchester M13 9WL, Lancs, England
关键词
adherence; antibiotics; community-acquired pneumonia; guidelines;
D O I
10.1097/QCO.0b013e3280803d70
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Purpose of review: Community-acquired pneumonia is a major cause of morbidity and mortality, and is the leading cause of death from an infectious disease. International societies have published and revised guidelines aiming to improve the management of adult community-acquired pneumonia, based on the best available evidence. The aim of this review is to compare the current guideline recommendations. Recent findings: Aspects of guidelines differ based on local factors including resources and antimicrobial factors, as well as the differences in interpretation of existing evidence. Summary: The lack of robust evidence behind aspects of guideline recommendations as well,as the lack of adherence to published guidelines both need to be addressed if the management of community-acquired pneumonia is to be improved.
引用
收藏
页码:170 / 176
页数:7
相关论文
共 27 条
[2]  
*EARSS, 2006, EUR RES RAT ONL
[3]   A prediction rule to identify low-risk patients with community-acquired pneumonia [J].
Fine, MJ ;
Auble, TE ;
Yealy, DM ;
Hanusa, BH ;
Weissfeld, LA ;
Singer, DE ;
Coley, CM ;
Marrie, TJ ;
Kapoor, WN .
NEW ENGLAND JOURNAL OF MEDICINE, 1997, 336 (04) :243-250
[4]   Swedish guidelines for the management of community-acquired pneumonia in immunocompetent adults [J].
Hedlund, J ;
Strålin, K ;
Örtqvist, Å ;
Holmberg, H .
SCANDINAVIAN JOURNAL OF INFECTIOUS DISEASES, 2005, 37 (11-12) :791-805
[5]   Timing of antibiotic administration and outcomes for medicare patients hospitalized with community-acquired pneumonia [J].
Houck, PM ;
Bratzler, DW ;
Nsa, W ;
Ma, A ;
Bartlett, JG .
ARCHIVES OF INTERNAL MEDICINE, 2004, 164 (06) :637-644
[6]   Emergence of multidrug-resistant Streptococcus pneumoniae:: report from the SENTRY Antimicrobial Surveillance Program (1999-2003) [J].
Johnson, David M. ;
Stilwell, Matthew G. ;
Fritsche, Thomas R. ;
Jones, Ronald N. .
DIAGNOSTIC MICROBIOLOGY AND INFECTIOUS DISEASE, 2006, 56 (01) :69-74
[7]   Defining community acquired pneumonia severity on presentation to hospital: an international derivation and validation study [J].
Lim, WS ;
van der Eerden, MM ;
Laing, R ;
Boersma, WG ;
Karalus, N ;
Town, GI ;
Lewis, SA ;
Macfarlane, JT .
THORAX, 2003, 58 (05) :377-382
[8]   Prospective study of the incidence, aetiology and outcome of adult lower respiratory tract illness in the community [J].
Macfarlane, J ;
Holmes, W ;
Gard, P ;
Macfarlane, R ;
Rose, D ;
Weston, V ;
Leinonen, M ;
Saikku, P ;
Myint, S .
THORAX, 2001, 56 (02) :109-114
[9]   2004 update of BTS pneumonia guidelines: what's new? [J].
Macfarlane, JT ;
Boldy, D .
THORAX, 2004, 59 (05) :364-366
[10]  
Mandell L A, 2000, Can Respir J, V7, P371