Antibiotic treatment for pneumonia complicating stroke: Recommendations from the pneumonia in stroke consensus (PISCES) group

Autor: Lalit Kalra, Paul J. Nederkoorn, Diederik van de Beek, Christine Roffe, Andreas Meisel, Ángel Chamorro, Mario Di Napoli, Amit Kishore, Javier Garau, Peter Langhorne, Mira Katan, Adam R Jeans, Joan Montaner, Mark Woodhead, Craig J. Smith, Xabier Urra, Willeke F. Westendorp, Alejandro Bustamante
Přispěvatelé: Neurology, ACS - Atherosclerosis & ischemic syndromes, Amsterdam Neuroscience - Neurovascular Disorders, AII - Infectious diseases, University of Zurich, Kishore, Amit K
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Kishore, A, Jeans, A, Garau, J, Bustamante, A, Kalra, L, Langhorne, P, Chamorro, A, Urra, X, Katan, M, Di Napoli, M, Westendorp, W, Nederkoorn, P J, van de Beek, D, Roffe, C, Woodhead, M, Montaner, J, Meisel, A & Smith, C 2019, ' Antibiotic Treatment for Pneumonia Complicating Stroke: Recommendations From The Pneumonia in Stroke Consensus (PISCES) Group ', European Stroke Journal . https://doi.org/10.1177/2396987319851335
European Stroke Journal, 4(4), 318-328. SAGE Publications Inc.
ISSN: 2396-9873
DOI: 10.1177/2396987319851335
Popis: PURPOSE: The microbiological aetiology of pneumonia complicating stroke is poorly characterised. In this second Pneumonia in Stroke ConsEnsuS statement, we propose a standardised approach to empirical antibiotic therapy in pneumonia complicating stroke, based on likely microbiological aetiology, to improve antibiotic stewardship. METHODS: Systematic literature searches of multiple databases were undertaken. An evidence review and a round of consensus consultation were completed prior to a final multi-disciplinary consensus meeting in September 2017, held in Barcelona, Spain. Consensus was approached using a modified Delphi technique and defined a priori as 75% agreement between the consensus group members. Findings: No randomised trials to guide antibiotic treatment of pneumonia complicating stroke were identified. Consensus was reached for the following: (1) Stroke-associated pneumonia may be caused by organisms associated with either community-acquired or hospital-acquired pneumonia; (2) Treatment for early stroke-associated pneumonia (
Databáze: OpenAIRE