Mandell L A, Marrie T J, Grossman R F, Chow A W, Hyland R H
McMaster Medical Unit, Hamilton, Canada.
Can Respir J. 2000 Sep-Oct;7(5):371-82. doi: 10.1155/2000/412616.
Community-acquired pneumonia (CAP) is a serious illness with a significant impact on individual patients and society as a whole. Over the past several years, there have been significant advances in our knowledge and understanding of the etiology of the disease, and an appreciation of problems such as mixed infections and increasing antimicrobial resistance. The development of additional fluoroquinolone agents with enhanced activity against Streptococcus pneumoniae has been important as well. It was decided that the time had come to update and modify the previous CAP guidelines, which were published in 1993. The current guidelines represent a joint effort by the Canadian Infectious Disease Society and the Canadian Thoracic Society, and they address the etiology, diagnosis and initial management of CAP. The diagnostic section is based on the site of care, and the treatment section is organized according to whether one is dealing with outpatients, inpatients or nursing home patients.
社区获得性肺炎（CAP）是一种严重疾病，对个体患者乃至整个社会都有重大影响。在过去几年中，我们对该疾病病因的认识和理解取得了显著进展，同时也认识到混合感染和抗菌药物耐药性增加等问题。开发对肺炎链球菌活性增强的新型氟喹诺酮类药物也很重要。人们认为，更新和修订1993年发布的先前CAP指南的时机已经成熟。当前指南是加拿大传染病协会和加拿大胸科学会共同努力的成果，涉及CAP的病因、诊断和初始管理。诊断部分基于治疗地点，治疗部分则根据患者是门诊患者、住院患者还是疗养院患者进行编排。
