Ann Emerg Med. 2021 Jan;77(1):e1-e57. doi: 10.1016/j.annemergmed.2020.10.024.
This clinical policy from the American College of Emergency Physicians is a revision of the 2009 "Clinical Policy: Critical Issues in the Management of Adult Patients Presenting to the Emergency Department With Community-Acquired Pneumonia." A writing subcommittee conducted a systematic review of the literature to derive evidence-based recommendations to answer the following clinical questions: (1) In the adult emergency department patient diagnosed with community-acquired pneumonia, what clinical decision aids can inform the determination of patient disposition? (2) In the adult emergency department patient with community-acquired pneumonia, what biomarkers can be used to direct initial antimicrobial therapy? (3) In the adult emergency department patient diagnosed with community-acquired pneumonia, does a single dose of parenteral antibiotics in the emergency department followed by oral treatment versus oral treatment alone improve outcomes? Evidence was graded and recommendations were made based on the strength of the available data.
这是美国急诊医师学院的临床政策，是对 2009 年“临床政策：成人患者因社区获得性肺炎就诊急诊的管理中的关键问题”的修订。一个写作小组委员会对文献进行了系统回顾，以得出基于证据的建议，回答以下临床问题：（1）在被诊断为社区获得性肺炎的成人急诊患者中，哪些临床决策辅助工具可以帮助确定患者的处置？（2）在因社区获得性肺炎就诊急诊的成年患者中，哪些生物标志物可用于指导初始抗菌治疗？（3）在因社区获得性肺炎就诊急诊的成年患者中，与单独口服治疗相比，急诊单次给予静脉抗生素后再口服治疗是否能改善结局？根据现有数据的强度对证据进行了分级，并提出了建议。
