Management of Adults With Hospital-acquired and Ventilator-associated Pneumonia: 2016 Clinical Practice Guidelines by the Infectious Diseases Society of America and the American Thoracic Society

Management of Adults With Hospital-acquired and Ventilator-associated Pneumonia: 2016 Clinical Practice Guidelines by the Infectious Diseases Society of America and the American Thoracic Society
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DOI:
10.1093/cid/ciw504
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发表时间:
2016-09-01
影响因子:
11.8
通讯作者:
Brozek, Jan L.
Brozek, Jan L.
中科院分区:
医学1区
文献类型:
--
作者:
Kalil, Andre C.;Metersky, Mark L.;Brozek, Jan L.

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重要的是要认识到,指南不能总是考虑到患者之间的个体差异。它们并不旨在取代医生对特定患者或特殊临床情况的判断。IDSA认为遵守这些指南是自愿的,最终由医生根据每个患者的个人情况决定是否应用这些指南。这些指南旨在供护理有医院获得性肺炎(HAP)和呼吸机相关性肺炎(VAP)风险的患者的医疗保健专业人员使用,包括传染病,肺部疾病,重症监护,以及外科医生、麻醉师、住院医师和任何照顾患有医院获得性肺炎的住院患者的临床医生和医疗保健提供者。专家组对HAP和VAP的诊断和治疗的建议是基于特定主题的系统性文献综述。
It is important to realize that guidelines cannot always account for individual variation among patients. They are not intended to supplant physician judgment with respect to particular patients or special clinical situations. IDSA considers adherence to these guidelines to be voluntary, with the ultimate determination regarding their application to be made by the physician in the light of each patient's individual circumstances.These guidelines are intended for use by healthcare professionals who care for patients at risk for hospital-acquired pneumonia (HAP) and ventilator-associated pneumonia (VAP), including specialists in infectious diseases, pulmonary diseases, critical care, and surgeons, anesthesiologists, hospitalists, and any clinicians and healthcare providers caring for hospitalized patients with nosocomial pneumonia. The panel's recommendations for the diagnosis and treatment of HAP and VAP are based upon evidence derived from topic-specific systematic literature reviews.