Diagnosis and investigation of bacterial pneumonias.
Diagnosis and investigation of bacterial pneumonias.
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DOI：
10.1053/prrv.2000.0002
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发表时间：
2000-03-01
影响因子：
5.8
通讯作者：
McKenzie, S
中科院分区：
文献类型：
--
作者：
Coote, N;McKenzie, S
这一概述得到了有关社区获得性肺炎管理（正在准备）的文献综述的支持。诊断细菌性肺炎的困难包括识别病原体和验证表明细菌或支原体感染的放射学迹象。世界卫生组织 (WHO) 发布了诊断指南，该指南似乎对发达国家和发展中国家都同样适用。主要诊断特征是呼吸急促、发烧超过 38.5 摄氏度、胸部凹陷但无喘息。放射学特征落后于临床结果，在考虑抗生素治疗时几乎没有提供额外的帮助，但对于正确处理并发症至关重要。
This overview has been supported by a review of the literature referring to the management of community-acquired pneumonia (in preparation). Difficulties diagnosing bacterial pneumonia include identifying the pathogens and the validation of radiographic signs suggesting bacterial or mycoplasmal infection. The World Health Organisation (WHO) has published guidelines for diagnosis which seem to be as relevant for developed as developing countries. The main diagnostic features are tachypnoea, fever greater than 38.5 degrees C and chest recession without wheeze. Radiographic features lag behind clinical findings and provide little additional help when antibiotic treatment is considered but are crucial in the proper management of complications.