Management of Adult Community-Acquired Pneumonia and Prevention - Update 2021

被引：41

作者：

Ewig, S. ^{[1
]}

Kolditz, M. ^{[2
]}

Pletz, M. ^{[3
]}

Altiner, A. ^{[4
]}

Albrich, W. ^{[5
]}

Droemann, D. ^{[6
]}

Flick, H. ^{[7
]}

Gatermann, S. ^{[8
]}

Krueger, S. ^{[9
]}

Nehls, W. ^{[10
]}

Panning, M. ^{[11
]}

Rademacher, J. ^{[12
]}

Rohde, G. ^{[13
]}

Rupp, J. ^{[14
]}

Schaaf, B. ^{[15
]}

Heppner, H. -J. ^{[16
]}

Krause, R. ^{[17
]}

Ott, S. ^{[18
,19
,20
]}

Welte, T. ^{[12
]}

Witzenrath, M. ^{[21
]}

机构：

[1] EVK Herne & Augusta Kranken Anstalt Bochum, Kliniken Pneumol & Infektiol, Thoraxzentrum Ruhrgebiet, Herne, Germany

[2] Univ Klinikum Carl Gustav Carus, Klin Innere Med 1, Bereich Pneumol, Dresden, Germany

[3] Univ Klinikum Jena, Inst Infekt Med & Krankenhaushyg, Jena, Germany

[4] Univ Med Rostock, Inst Allgemeinmed, Rostock, Germany

[5] Kantonsspital St Gallen, Klin Infektiol Spitalhyg, St Gallen, Switzerland

[6] Univ Klinikum Schleswig Holstein, Med Klin Pulmol 3, Lubeck, Germany

[7] Med Univ Graz, Univ Klin Innere Med, Klin Abt Lungenkrankheiten, Graz, Austria

[8] Ruhr Univ Bochum, Abt Med Mikrobiol, Bochum, Germany

[9] Florence Nightingale Krankenhaus, Kaiserswerther Diakonie, Klin Pneumol Kardiol & Internist Intens Med, Dusseldorf, Germany

[10] Helios Klinikum Erich von Behring, Klin Palliat Med & Geriatrie, Berlin, Germany

[11] Univ Klinikum Freiburg, Dept Medn Mikrobiol & Hyg, Freiburg, Germany

[12] Hannover Med Sch, Klin Pneumol, Hannover, Germany

[13] Univ Klinikum Frankfurt, Med Klin Pneumol & Allergol 1, Frankfurt, Germany

[14] Univ Klinikum Schleswig Holstein, Klin Infektiol & Mikrobiol, Lubeck, Germany

[15] Klinikum Dortmund, Klin Pneumol Infektiol & Internist Intens Med, Dortmund, Germany

[16] Univ Witten Herdecke, Helios Klinikum Schwelm, Klin Geriatrie, Lehrstuhl Geriatrie, Schwelm, Germany

[17] Med Univ Graz, Klin Abt Infektiol, Univ Klin Innere Med, Graz, Austria

[18] St Claraspital Basel, Pneumol, Basel, Switzerland

[19] Univ Spital Bern, Inselspital, Univ Klin Pneumol, Bern, Switzerland

[20] Univ Bern, Bern, Switzerland

[21] Charite Univ Med Berlin, Med Klin Schwerpunkt Infektiol & Pneumol, Berlin, Germany

来源：

PNEUMOLOGIE | 2021年 / 75卷 / 09期

关键词：

LOWER RESPIRATORY-TRACT; GERMAN COMPETENCE NETWORK; ACUTE MYOCARDIAL-INFARCTION; C-REACTIVE PROTEIN; INFECTIOUS-DISEASES-SOCIETY; SEVERITY ASSESSMENT TOOLS; BETA-LACTAM MONOTHERAPY; CRITICALLY-ILL PATIENTS; URINARY ANTIGEN TEST; CARE-UNIT ADMISSION;

D O I：

10.1055/a-1497-0693

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

The present guideline provides a new and updated concept of the management of adult patients with community-acquired pneumonia. It replaces the previous guideline dating from 2016. The guideline was worked out and agreed on following the standards of methodology of a S3-guideline. This includes a systematic literature search and grading, a structured discussion of recommendations supported by the literature as well as the declaration and assessment of potential conflicts of interests. The guideline has a focus on specific clinical circumstances, an update on severity assessment, and includes recommendations for an individualized selection of antimicrobial treatment. The recommendations aim at the same time at a structured assessment of risk for adverse outcome as well as an early determination of treatment goals in order to reduce mortality in patients with curative treatment goal and to provide palliation for patients with treatment restrictions.

引用

页码：665 / 729

页数：65

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