Diagnosis and Treatment of Adults with Community-acquired Pneumonia An Official Clinical Practice Guideline of the American Thoracic Society and Infectious Diseases Society of America

被引：2304

作者：

Metlay, Joshua P. ^{[1
,2
]}

Waterer, Grant W. ^{[3
,4
]}

Long, Ann C. ^{[5
,6
]}

Anzueto, Antonio ^{[7
]}

Brozek, Jan ^{[8
,9
]}

Crothers, Kristina ^{[10
]}

Cooley, Laura A. ^{[11
,12
]}

Dean, Nathan C. ^{[13
,14
]}

Fine, Michael J. ^{[15
]}

Flanders, Scott A. ^{[16
]}

Griffin, Marie R. ^{[9
]}

Metersky, Mark L. ^{[17
]}

Musher, Daniel M. ^{[18
,19
]}

Restrepo, Marcos, I ^{[5
,6
]}

Whitney, Cynthia G. ^{[10
]}

机构：

[1] Massachusetts Gen Hosp, Boston, MA 02114 USA

[2] Harvard Med Sch, Boston, MA 02115 USA

[3] Royal Perth Hosp, Perth, WA, Australia

[4] Univ Western Australia, Perth, WA, Australia

[5] South Texas Vet Healthcare Syst, San Antonio, TX USA

[6] Univ Texas Hlth San Antonio, San Antonio, TX USA

[7] McMaster Univ, Hamilton, ON, Canada

[8] VA Puget Sound Hlth Care Syst, Seattle, WA USA

[9] Univ Washington, Seattle, WA 98195 USA

[10] Ctr Dis Control & Prevent, Resp Dis Branch, Atlanta, GA USA

[11] Intermt Med Ctr, Salt Lake City, UT USA

[12] Univ Utah, Salt Lake City, UT USA

[13] VA Pittsburgh Med Ctr, Pittsburgh, PA USA

[14] Univ Pittsburgh, Pittsburgh, PA USA

[15] Univ Michigan, Ann Arbor, MI 48109 USA

[16] Vanderbilt Univ, 221 Kirkland Hall, Nashville, TN 37235 USA

[17] Univ Connecticut, Sch Med, Farmington, CT USA

[18] Michael E DeBakey VA Med Ctr, Houston, TX USA

[19] Baylor Coll Med, Houston, TX 77030 USA

来源：

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE | 2019年 / 200卷 / 07期

关键词：

community-acquired pneumonia; pneumonia; patient management; CARE-ASSOCIATED PNEUMONIA; RESISTANT STAPHYLOCOCCUS-AUREUS; LOW-RISK PATIENTS; MILD-TO-MODERATE; SUSPECTED PNEUMOCOCCAL PNEUMONIA; VENTILATOR-ASSOCIATED PNEUMONIA; BETA-LACTAM MONOTHERAPY; HIGH-DOSAGE AMOXICILLIN; CRITICALLY-ILL PATIENTS; SPUTUM GRAM STAIN;

D O I：

10.1164/rccm.201908-1581ST

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Background: This document provides evidence-based clinical practice guidelines on the management of adult patients with community-acquired pneumonia. Methods: A multidisciplinary panel conducted pragmatic systematic reviews of the relevant research and applied Grading of Recommendations, Assessment, Development, and Evaluation methodology for clinical recommendations. Results: The panel addressed 16 specific areas for recommendations spanning questions of diagnostic testing, determination of site of care, selection of initial empiric antibiotic therapy, and subsequent management decisions. Although some recommendations remain unchanged from the 2007 guideline, the availability of results from new therapeutic trials and epidemiological investigations led to revised recommendations for empiric treatment strategies and additional management decisions. Conclusions: The panel formulated and provided the rationale for recommendations on selected diagnostic and treatment strategies for adult patients with community-acquired pneumonia.

引用

页码：E45 / E67

页数：23

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