McKellar P P
Department of Internal Medicine, University of Arizona Medical School, Phoenix 85006, USA.
J Med Liban. 2000 Jul-Aug;48(4):264-9.
The respiratory infections addressed in this paper include otitis media, sinusitis, and community-acquired pneumonia. The morbidity and mortality of respiratory infections are assessed from the American standpoint ; their worldwide significance is even greater. The emphasis is on specific diagnosis. Treatment options vary from country to country. Therapeutic decisions are usually easy once a specific etiologic organism is isolated. Since in many of these common respiratory infections a specific microorganism is not documented and empiric therapy is designed based on past clinical studies, resistance patterns need to be known for each country.
本文所涉及的呼吸道感染包括中耳炎、鼻窦炎和社区获得性肺炎。呼吸道感染的发病率和死亡率是从美国的角度进行评估的；其在全球范围内的影响更为重大。重点在于特异性诊断。治疗方案因国家而异。一旦分离出特定的病原体，治疗决策通常就很容易做出。由于在许多这类常见的呼吸道感染中，并未记录特定的微生物，而是根据以往的临床研究设计经验性治疗，因此需要了解每个国家的耐药模式。
