Diagnosis and Treatment of Adults with Community-acquired Pneumonia An Official Clinical Practice Guideline of the American Thoracic Society and Infectious Diseases Society of America
Diagnosis and Treatment of Adults with Community-acquired Pneumonia An Official Clinical Practice Guideline of the American Thoracic Society and Infectious Diseases Society of America
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DOI：
10.1164/rccm.201908-1581st
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发表时间：
2019-10-01
影响因子：
24.7
通讯作者：
Whitney, Cynthia G.
中科院分区：
文献类型：
--
作者：
Metlay, Joshua P.;Waterer, Grant W.;Whitney, Cynthia G.
背景：本文提供了社区获得性肺炎成人患者管理的循证临床实践指南。方法：一个多学科小组对相关研究进行了务实的系统评价，并对临床建议、评估、发展和评估方法进行了应用分级。结果：专家小组提出了16个具体的建议领域，涉及诊断检测、护理地点的确定、初始经验性抗生素治疗的选择和后续管理决策等问题。尽管一些建议与2007年指南保持不变，但新的治疗试验和流行病学调查结果的可获得性导致了经验性治疗策略和额外管理决策的修订建议。结论：该小组制定并提供了关于社区获得性肺炎成人患者选择诊断和治疗策略的建议。
Background: This document provides evidence-based clinical practice guidelines on the management of adult patients with community-acquired pneumonia.Methods: A multidisciplinary panel conducted pragmatic systematic reviews of the relevant research and applied Grading of Recommendations, Assessment, Development, and Evaluation methodology for clinical recommendations.Results: The panel addressed 16 specific areas for recommendations spanning questions of diagnostic testing, determination of site of care, selection of initial empiric antibiotic therapy, and subsequent management decisions. Although some recommendations remain unchanged from the 2007 guideline, the availability of results from new therapeutic trials and epidemiological investigations led to revised recommendations for empiric treatment strategies and additional management decisions.Conclusions: The panel formulated and provided the rationale for recommendations on selected diagnostic and treatment strategies for adult patients with community-acquired pneumonia.