Medina-Walpole A M, Katz P R
University of Rochester School of Medicine and Dentistry, Dept. of Medicine, and Monroe Community Hospital, New York 14620, USA.
J Am Geriatr Soc. 1999 Aug;47(8):1005-15. doi: 10.1111/j.1532-5415.1999.tb01298.x.
Nursing Home-Acquired Pneumonia is a significant infection that is often seen in the long-term care setting. It is associated with substantial morbidity, healthcare expenditure, and mortality rates as high as 44%. Uniform diagnosis and therapeutic strategies have not been specifically established for pneumonia in the nursing home setting. This paper will update the long-term care provider with the unique features and challenges of pneumonia in this setting and review the approaches to the diagnosis and treatment of this important illness. The discussion will conclude with details regarding overall prevention of nursing home-acquired pneumonia and the critical role played by the nursing home medical director in this process.
养老院获得性肺炎是一种在长期护理环境中常见的严重感染。它与严重的发病率、医疗保健支出以及高达44%的死亡率相关。目前尚未针对养老院环境中的肺炎专门制定统一的诊断和治疗策略。本文将向长期护理提供者介绍这种环境下肺炎的独特特征和挑战，并回顾对这一重要疾病的诊断和治疗方法。讨论将以关于预防养老院获得性肺炎的总体细节以及养老院医疗主任在此过程中所起的关键作用作为结尾。
