Am J Respir Crit Care Med. 2019 Oct 1;200(7):e45-e67. doi: 10.1164/rccm.201908-1581ST.
This document provides evidence-based clinical practice guidelines on the management of adult patients with community-acquired pneumonia. A multidisciplinary panel conducted pragmatic systematic reviews of the relevant research and applied Grading of Recommendations, Assessment, Development, and Evaluation methodology for clinical recommendations. The panel addressed 16 specific areas for recommendations spanning questions of diagnostic testing, determination of site of care, selection of initial empiric antibiotic therapy, and subsequent management decisions. Although some recommendations remain unchanged from the 2007 guideline, the availability of results from new therapeutic trials and epidemiological investigations led to revised recommendations for empiric treatment strategies and additional management decisions. The panel formulated and provided the rationale for recommendations on selected diagnostic and treatment strategies for adult patients with community-acquired pneumonia.
本文件提供了有关成人社区获得性肺炎管理的循证临床实践指南。一个多学科小组对相关研究进行了实用系统评价，并为临床建议应用了推荐分级的评估、制定与评价方法。小组针对涵盖诊断检测、护理场所确定、初始经验性抗生素治疗选择以及后续管理决策等问题的 16 个具体领域提出了建议。尽管一些建议与 2007 年指南保持不变，但新治疗试验和流行病学研究的结果导致经验性治疗策略和其他管理决策的建议发生了修订。小组为成人社区获得性肺炎患者的选定诊断和治疗策略制定了建议，并提供了建议的基本原理。
