Lim W S, Smith D L, Wise M P, Welham S A
Department of Respiratory Medicine, Nottingham City Hospital, Nottingham, UK.
Southmead Hospital, North Bristol Lung Centre, Bristol, UK.
Thorax. 2015 Jul;70(7):698-700. doi: 10.1136/thoraxjnl-2015-206881. Epub 2015 May 14.
The British Thoracic Society (BTS) guideline for the management of adults with community acquired pneumonia (CAP) published in 2009 was compared with the 2014 National Institute for Health and Care Excellence (NICE) Pneumonia Guideline. Of the 36 BTS recommendations that overlapped with NICE recommendations, no major differences were found in 31, including those covering key aspects of CAP management: timeliness of diagnosis and treatment, severity assessment and empirical antibiotic choice. Of the five BTS recommendations where major differences with NICE were identified, one related to antibiotic duration in low and moderate severity CAP, two to the timing of review of patients and two to legionella urinary antigen testing.
将2009年发布的英国胸科学会（BTS）关于成人社区获得性肺炎（CAP）管理的指南与2014年英国国家卫生与临床优化研究所（NICE）的肺炎指南进行了比较。在与NICE建议重叠的36条BTS建议中，有31条未发现重大差异，包括那些涵盖CAP管理关键方面的建议：诊断和治疗的及时性、严重程度评估以及经验性抗生素选择。在确定与NICE存在重大差异的5条BTS建议中，1条与低中度严重程度CAP的抗生素使用疗程有关，2条与患者复查时间有关，2条与军团菌尿抗原检测有关。
