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社区获得性肺炎的热点问题与当前争议

Hot topics and current controversies in community-acquired pneumonia.

作者信息

Severiche-Bueno Diego, Parra-Tanoux Daniela, Reyes Luis F, Waterer Grant W

机构信息

Infectious Diseases and Critical Care Depts, Universidad de La Sabana, Chía, Colombia.

Royal Perth Bentley Hospital Group, University of Western Australia, Perth, Australia.

出版信息

Breathe (Sheff). 2019 Sep;15(3):216-225. doi: 10.1183/20734735.0205-2019.

DOI:10.1183/20734735.0205-2019
PMID:31508159
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6717612/
Abstract

Community-acquired pneumonia (CAP) is one of the most common infectious diseases, as well as a major cause of death both in developed and developing countries, and it remains a challenge for physicians around the world. Several guidelines have been published to guide clinicians in how to diagnose and take care of patients with CAP. However, there are still many areas of debate and uncertainty where research is needed to advance patient care and improve clinical outcomes. In this review we highlight current hot topics in CAP and present updated evidence around these areas of controversy.

摘要

社区获得性肺炎(CAP)是最常见的传染病之一,也是发达国家和发展中国家的主要死因,对全球医生来说仍是一项挑战。已经发布了多项指南,指导临床医生如何诊断和治疗CAP患者。然而,仍有许多存在争议和不确定性的领域,需要开展研究以促进患者护理并改善临床结局。在本综述中,我们重点介绍CAP当前的热点话题,并展示这些争议领域的最新证据。

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Oxygen.氧气。
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本文引用的文献

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Biomarkers in community-acquired pneumonia: still searching for the one.社区获得性肺炎中的生物标志物:仍在寻找那个(理想的生物标志物)。
Eur Respir J. 2019 Feb 28;53(2). doi: 10.1183/13993003.02469-2018. Print 2019 Feb.
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Acute Infection and Myocardial Infarction.急性感染与心肌梗死
N Engl J Med. 2019 Jan 10;380(2):171-176. doi: 10.1056/NEJMra1808137.
3
Fibroblast growth factor 21 predicts outcome in community-acquired pneumonia: secondary analysis of two randomised controlled trials.成纤维细胞生长因子 21 可预测社区获得性肺炎的结局:两项随机对照试验的二次分析。
Eur Respir J. 2019 Feb 28;53(2). doi: 10.1183/13993003.00973-2018. Print 2019 Feb.
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Atypical pathogens in hospitalized patients with community-acquired pneumonia: a worldwide perspective.住院社区获得性肺炎患者中的非典型病原体:全球视角。
BMC Infect Dis. 2018 Dec 18;18(1):677. doi: 10.1186/s12879-018-3565-z.
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ERJ Open Res. 2018 Oct 8;4(4). doi: 10.1183/23120541.00096-2018. eCollection 2018 Oct.
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Pneumonia is a neglected problem: it is now time to act.肺炎是一个被忽视的问题:现在是采取行动的时候了。
Lancet Respir Med. 2019 Jan;7(1):10-11. doi: 10.1016/S2213-2600(18)30470-3. Epub 2018 Nov 12.
7
An international perspective on hospitalized patients with viral community-acquired pneumonia.国际视角下的病毒性社区获得性肺炎住院患者。
Eur J Intern Med. 2019 Feb;60:54-70. doi: 10.1016/j.ejim.2018.10.020. Epub 2018 Nov 4.
8
Health Care-Associated Pneumonia: Is It Still a Useful Concept?医源性肺炎:它仍然是一个有用的概念吗?
Clin Chest Med. 2018 Dec;39(4):765-773. doi: 10.1016/j.ccm.2018.07.009.
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Burden and risk factors for community-acquired pneumonia: a multinational point prevalence study of hospitalised patients.社区获得性肺炎的负担和危险因素:一项多国医院住院患者时点患病率研究。
Eur Respir J. 2018 Aug 9;52(2). doi: 10.1183/13993003.01190-2017. Print 2018 Aug.
10
Future Research Directions in Pneumonia. NHLBI Working Group Report.肺炎的未来研究方向。NHLBI 工作组报告。
Am J Respir Crit Care Med. 2018 Jul 15;198(2):256-263. doi: 10.1164/rccm.201801-0139WS.