Ten Issues for Updating in Community-Acquired Pneumonia: An Expert Review.

Autor: Candel FJ; Clinical Microbiology & Infectious Diseases, Transplant Coordination, IdISSC & IML Health Research Institutes, Hospital Clínico Universitario San Carlos, 28040 Madrid, Spain., Salavert M; Infectious Diseases Unit, La Fe (IIS) Health Research Institute, University Hospital La Fe, 46015 Valencia, Spain., Basaras M; Immunology, Microbiology and Parasitology Department, Faculty of Medicine and Nursing, University of País Vasco, 48940 Bizkaia, Spain., Borges M; Multidisciplinary Sepsis Unit, Intensive Medicine Department, University Hospital Son Llàtzer, 07198 Palma de Mallorca, Spain.; Instituto de Investigación Sanitaria Islas Baleares (IDISBA), 07198 Mallorca, Spain., Cantón R; Clinical Microbiology Service, University Hospital Ramón y Cajal, Institute Ramón y Cajal for Health Research (IRYCIS), 28034 Madrid, Spain.; CIBER of Infectious Diseases (CIBERINFEC), National Institute of Health San Carlos III, 28034 Madrid, Spain., Cercenado E; Clinical Microbiology & Infectious Diseases Service, University Hospital Gregorio Marañón, 28009 Madrid, Spain., Cilloniz C; IDIBAPS, CIBERES, 08007 Barcelona, Spain.; Faculty of Health Sciences, Continental University, Huancayo 15304, Peru., Estella Á; Intensive Care Unit, INIBiCA, University Hospital of Jerez, Medicine Department, University of Cádiz, 11404 Jerez, Spain., García-Lechuz JM; Clinical Microbiology, University Hospital Miguel Servet, 50009 Zaragoza, Spain., Garnacho Montero J; Intensive Care Clinical Unit, Hospital Universitario Virgen Macarena, 41013 Sevilla, Spain., Gordo F; Intensive Medicine Department, University Hospital of Henares, 28802 Madrid, Spain., Julián-Jiménez A; Emergency Department, University Hospital Toledo, University of Castilla La Mancha, 45007 Toledo, Spain., Martín-Sánchez FJ; Emergency Department, Clinical University Hospital San Carlos, 28040 Madrid, Spain., Maseda E; Anesthesiology Department, Hospital Quirón Salud Valle del Henares, 28850 Madrid, Spain., Matesanz M; Hospital at Home Unit, Clinic University Hospital San Carlos, 28040 Madrid, Spain., Menéndez R; Pneumology Service, La Fe (IIS) Health Research Institute, University Hospital La Fe, 46015 Valencia, Spain., Mirón-Rubio M; Hospital at Home Service, University of Torrejón, Torrejón de Ardoz, 28006 Madrid, Spain., Ortiz de Lejarazu R; National Influenza Center, Clinic University Hospital of Valladolid, University of Valladolid, 47003 Valladolid, Spain., Polverino E; Pneumology Service, Hospital Vall d'Hebron, 08035 Barcelona, Spain.; Vall d'Hebron Institut de Recerca (VHIR), Vall d'Hebron Barcelona Hospital Campus, 08035 Barcelona, Spain.; CIBER of Respiratory Diseases (CIBERES), Institute of Health San Carlos III, 28029 Madrid, Spain., Retamar-Gentil P; CIBER of Infectious Diseases (CIBERINFEC), National Institute of Health San Carlos III, 28034 Madrid, Spain.; Infectious Diseases & Microbiology Clinical Management Unit, University Hospital Virgen Macarena, IBIS, University of Seville, 41013 Sevilla, Spain., Ruiz-Iturriaga LA; Pneumology Service, University Hospital Cruces, 48903 Barakaldo, Spain.; Faculty of Medicine and Nursing, University of País Vasco, 48940 Bizkaia, Spain., Sancho S; Intensive Medicine Department, University Hospital La Fe, 46015 Valencia, Spain., Serrano L; Pneumology Service, University Hospital Cruces, 48903 Barakaldo, Spain.; Faculty of Medicine and Nursing, University of País Vasco, 48940 Bizkaia, Spain.
Jazyk: angličtina
Zdroj: Journal of clinical medicine [J Clin Med] 2023 Oct 30; Vol. 12 (21). Date of Electronic Publication: 2023 Oct 30.
DOI: 10.3390/jcm12216864
Abstrakt: 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.
Databáze: MEDLINE
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