Guidelines for the management of hospital-acquired pneumonia in the UK: Report of the Working Party on hospital-acquired pneumonia of the British Society for Antimicrobial Chemotherapy

被引:209
作者
Masterton, R. G. [1 ]
Galloway, A. [2 ]
French, G. [3 ]
Street, M. [4 ]
Armstrong, J. [5 ]
Brown, E. [6 ]
Cleverley, J. [7 ]
Dilworth, P. [8 ]
Fry, C. [9 ]
Gascoigne, A. D. [10 ]
Knox, Alan [11 ]
Nathwani, Dilip [12 ]
Spencer, Robert [13 ]
Wilcox, Mark [14 ]
机构
[1] Crosshouse Hosp, Dept Microbiol, Kilmarnock, Scotland
[2] Royal Victoria Infirm, Dept Microbiol, Newcastle Upon Tyne NE1 4LP, Tyne & Wear, England
[3] Guys & St Thomass NHS Fdn Trust, Dept Infect, London, England
[4] Royal Sussex Cty Hosp, Dept Intens Care, Brighton BN2 5BE, E Sussex, England
[5] N Durham Strateg Hlth Author, Dept Publ Hlth, Durham, England
[6] Frenchay Hosp, Dept Microbiol, Bristol, England
[7] Royal Free Hosp, Dept Radiol, London NW3 2QG, England
[8] Royal Free Hosp, Dept Thorac Med, London NW3 2QG, England
[9] Dept Hlth, London SE1 6TE, England
[10] Royal Victoria Infirm, Newcastle Upon Tyne NE1 4LP, Tyne & Wear, England
[11] Univ Nottingham, City Hosp, Resp Med Unit, Nottingham NG5 1PB, England
[12] Univ Dundee, Ninewells Hosp & Med Sch, Infect Unit, Dundee DD1 9SY, Scotland
[13] Bristol Royal Infirm & Gen Hosp, Hlth Protect Agcy, Bristol, Avon, England
[14] Univ Leeds, Leeds, W Yorkshire, England
关键词
hospital-acquired pneumonia; healthcare-associated pneumonia; evidence-based guidelines; prevention; diagnosis; antimicrobial treatment;
D O I
10.1093/jac/dkn162
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
These evidence-based guidelines have been produced after a systematic literature review of a range of issues involving prevention, diagnosis and treatment of hospital-acquired pneumonia (HAP). Prevention is structured into sections addressing general issues, equipment, patient procedures and the environment, whereas in treatment, the structure addresses the use of antimicrobials in prevention and treatment, adjunctive therapies and the application of clinical protocols. The sections dealing with diagnosis are presented against the clinical, radiological and microbiological diagnosis of HAP. Recommendations are also made upon the role of invasive sampling and quantitative microbiology of respiratory secretions in directing antibiotic therapy in HAP/ventilator-associated pneumonia.
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收藏
页码:5 / 34
页数:30
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