英国胸科学会社区获得性肺炎指南与英国国家卫生与临床优化研究所肺炎指南：二者如何相互契合。
British Thoracic Society community acquired pneumonia guideline and the NICE pneumonia guideline: how they fit together.
作者信息
Lim W S, Smith D L, Wise M P, Welham S A
机构信息
Department of Respiratory Medicine, Nottingham City Hospital, Nottingham, UK.
Southmead Hospital, North Bristol Lung Centre, Bristol, UK.
出版信息
Thorax. 2015 Jul;70(7):698-700. doi: 10.1136/thoraxjnl-2015-206881. Epub 2015 May 14.
Abstract
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.
摘要
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。
相似文献
1
British Thoracic Society community acquired pneumonia guideline and the NICE pneumonia guideline: how they fit together.英国胸科学会社区获得性肺炎指南与英国国家卫生与临床优化研究所肺炎指南：二者如何相互契合。
Thorax. 2015 Jul;70(7):698-700. doi: 10.1136/thoraxjnl-2015-206881. Epub 2015 May 14.
2
British Thoracic Society community acquired pneumonia guideline and the NICE pneumonia guideline: how they fit together.英国胸科学会社区获得性肺炎指南与 NICE 肺炎指南：如何契合。
BMJ Open Respir Res. 2015 May 13;2(1):e000091. doi: 10.1136/bmjresp-2015-000091. eCollection 2015.
3
[Guideline 'Diagnosis and treatment of community-acquired pneumonia' from the Dutch Thoracic Society].[荷兰胸科学会《社区获得性肺炎的诊断与治疗指南》]
Ned Tijdschr Geneeskd. 2006 Mar 4;150(9):518-9; author reply 519-20.
4
Emergency department management of childhood pneumonia in the United States prior to publication of national guidelines.美国在发布国家指南之前对儿童肺炎的急诊科管理。
Acad Emerg Med. 2013 Mar;20(3):240-6. doi: 10.1111/acem.12088.
5
[Guideline 'Diagnosis and treatment of community-acquired pneumonia' from the Dutch Thoracic Society].[荷兰胸科学会《社区获得性肺炎的诊断与治疗指南》]
Ned Tijdschr Geneeskd. 2005 Nov 5;149(45):2501-7.
6
[Two guidelines on community-acquired pneumonia: both an important basis for individual policies].[关于社区获得性肺炎的两项指南：均为个体政策的重要依据]
Ned Tijdschr Geneeskd. 2005 Nov 5;149(45):2492-4.
7
Update in adult community-acquired pneumonia: key points from the new American Thoracic Society/Infectious Diseases Society of America 2019 guideline.成人社区获得性肺炎更新：美国胸科学会/传染病学会 2019 年新指南要点。
Curr Opin Pulm Med. 2020 May;26(3):203-207. doi: 10.1097/MCP.0000000000000671.
8
British Thoracic Society Paediatric Pneumonia Audit: a review of 3 years of data.英国胸科学会儿科肺炎审核：3 年数据回顾。
Thorax. 2013 Jul;68(7):682-3. doi: 10.1136/thoraxjnl-2012-203026. Epub 2013 Jan 3.
9
The effect of implementing the British Thoracic Society community-acquired pneumonia guidelines on antibiotic prescribing and costs in a UK teaching hospital.在一家英国教学医院实施英国胸科学会社区获得性肺炎指南对抗生素处方及成本的影响。
Clin Microbiol Infect. 2006 May;12(5):498-500. doi: 10.1111/j.1469-0691.2006.01387.x.
10
Predicted effects on antibiotic use following the introduction of British or North American guidelines for community-acquired pneumonia in The Netherlands.荷兰引入英国或北美社区获得性肺炎指南后对抗生素使用的预测影响。
Clin Microbiol Infect. 2005 Dec;11(12):992-8. doi: 10.1111/j.1469-0691.2005.01286.x.
引用本文的文献
1
Efficacy and safety of corticosteroids in critically ill patients: a systematic review and meta-analysis.糖皮质激素在危重症患者中的疗效与安全性：一项系统评价和荟萃分析
BMC Anesthesiol. 2025 Jul 1;25(1):319. doi: 10.1186/s12871-025-03196-7.
2
Construction and Validation of a Convenient Death Prediction Model for Pediatric Pneumonia Patients in Intensive Care Units.重症监护病房小儿肺炎患者便捷死亡预测模型的构建与验证
Indian J Pediatr. 2025 Jun 28. doi: 10.1007/s12098-025-05623-6.
3
Description and characterization of pneumococcal community acquired pneumonia (CAP) among radiologically confirmed CAP in outpatients.门诊放射学确诊的社区获得性肺炎（CAP）患者中肺炎球菌性CAP的描述与特征分析
NPJ Prim Care Respir Med. 2025 Jan 4;35(1):1. doi: 10.1038/s41533-024-00405-7.
4
Analysing the Effects of Different Types of Exercise on Dyspnoea and Fatigue in Adults through COPD-Systematic Review and Meta-Analysis of Randomised Clinical Trials.通过对随机临床试验的系统评价和荟萃分析，分析不同类型运动对慢性阻塞性肺疾病（COPD）成人患者呼吸困难和疲劳的影响。
Healthcare (Basel). 2023 May 16;11(10):1449. doi: 10.3390/healthcare11101449.
5
Unmet needs in pneumonia research: a comprehensive approach by the CAPNETZ study group.肺炎研究中的未满足需求：CAPNETZ 研究小组的综合方法。
Respir Res. 2022 Sep 10;23(1):239. doi: 10.1186/s12931-022-02117-3.
6
Effect of Corticosteroids on Mortality and Clinical Cure in Community-Acquired Pneumonia: A Systematic Review, Meta-analysis, and Meta-regression of Randomized Control Trials.糖皮质激素对社区获得性肺炎病死率和临床治愈率的影响：一项随机对照试验的系统评价、荟萃分析和荟萃回归。
Chest. 2023 Mar;163(3):484-497. doi: 10.1016/j.chest.2022.08.2229. Epub 2022 Sep 7.
7
Point-of-care application of diaphragmatic ultrasonography in the emergency department for the prediction of development of respiratory failure in community-acquired pneumonia: A pilot study.急诊科床旁应用膈肌超声预测社区获得性肺炎呼吸衰竭的发生：一项初步研究。
Front Med (Lausanne). 2022 Aug 17;9:960847. doi: 10.3389/fmed.2022.960847. eCollection 2022.
8
Thoracic Society of Australia and New Zealand Position Statement on Acute Oxygen Use in Adults: 'Swimming between the flags'.澳大利亚和新西兰胸科学会关于成人急性氧疗的立场声明：“在旗帜之间游泳”。
Respirology. 2022 Apr;27(4):262-276. doi: 10.1111/resp.14218. Epub 2022 Feb 17.
9
Signs and symptoms do not predict, but may help rule out acute Q fever in favour of other respiratory tract infections, and reduce antibiotics overuse in primary care.症状和体征不能预测，但有助于排除急性 Q 热，支持其他呼吸道感染，并减少初级保健中抗生素的过度使用。
BMC Infect Dis. 2020 Sep 21;20(1):690. doi: 10.1186/s12879-020-05400-0.
10
An audit of community-acquired pneumonia antimicrobial compliance using an intervention bundle in an Irish hospital.爱尔兰一家医院使用干预包对社区获得性肺炎抗菌药物合规情况进行的审计。
J Glob Antimicrob Resist. 2020 Dec;23:38-45. doi: 10.1016/j.jgar.2020.07.021. Epub 2020 Aug 12.
本文引用的文献
1
Investment in pneumonia and pneumococcal research.肺炎与肺炎球菌研究的投资。
Lancet Infect Dis. 2014 Nov;14(11):1037-1038. doi: 10.1016/S1473-3099(14)70949-1. Epub 2014 Oct 19.
2
BTS guidelines for the management of community acquired pneumonia in adults: update 2009.英国胸科学会成人社区获得性肺炎管理指南：2009年更新版
Thorax. 2009 Oct;64 Suppl 3:iii1-55. doi: 10.1136/thx.2009.121434.
Zotero 插件