Armitage Kathryn, Woodhead Mark
Department of Respiratory Medicine, University of Manchester, Manchester Royal Infirmary, Manchester, UK.
Curr Opin Infect Dis. 2007 Apr;20(2):170-6. doi: 10.1097/QCO.0b013e3280803d70.
Community-acquired pneumonia is a major cause of morbidity and mortality, and is the leading cause of death from an infectious disease. International societies have published and revised guidelines aiming to improve the management of adult community-acquired pneumonia, based on the best available evidence. The aim of this review is to compare the current guideline recommendations.
Aspects of guidelines differ based on local factors including resources and antimicrobial factors, as well as the differences in interpretation of existing evidence.
The lack of robust evidence behind aspects of guideline recommendations as well as the lack of adherence to published guidelines both need to be addressed if the management of community-acquired pneumonia is to be improved.
社区获得性肺炎是发病和死亡的主要原因，也是传染病致死的首要原因。国际社会已发布并修订了指南，旨在基于现有最佳证据改善成人社区获得性肺炎的管理。本综述的目的是比较当前指南的建议。
指南的各个方面因当地因素（包括资源和抗菌因素）以及对现有证据解释的差异而有所不同。
如果要改善社区获得性肺炎的管理，指南建议方面缺乏有力证据以及未遵循已发布指南这两个问题都需要解决。
