학술논문

Ten Issues for Updating in Community-Acquired Pneumonia: An Expert Review.
Document Type
Article
Source
Journal of Clinical Medicine. Nov2023, Vol. 12 Issue 21, p6864. 34p.
Subject
*COMMUNITY-acquired pneumonia
*INTENSIVE care units
*WORLD health
*IMMUNOCOMPROMISED patients
DEVELOPED countries
Language
ISSN
2077-0383
Abstract
Community-acquired pneumonia represents the third-highest cause of mortality in industrialized countries and the first due to infection. Although guidelines for the approach to this infection model are widely implemented in international health schemes, information continually emerges that generates controversy or requires updating its management. This paper reviews the most important issues in the approach to this process, such as an aetiologic update using new molecular platforms or imaging techniques, including the diagnostic stewardship in different clinical settings. It also reviews both the Intensive Care Unit admission criteria and those of clinical stability to discharge. An update in antibiotic, in oxygen, or steroidal therapy is presented. It also analyzes the management out-of-hospital in CAP requiring hospitalization, the main factors for readmission, and an approach to therapeutic failure or rescue. Finally, the main strategies for prevention and vaccination in both immunocompetent and immunocompromised hosts are reviewed. [ABSTRACT FROM AUTHOR]