优化急诊科社区获得性肺炎的诊断和管理。
Optimizing Diagnosis and Management of Community-acquired Pneumonia in the Emergency Department.
机构信息
Department of Emergency Medicine, The Ohio State University, 376 W 10th Avenue, 760 Prior Hall, Columbus, OH 43220, USA.
Emergency Medicine, Department of Pharmacy, The Ohio State University, 376 W 10th Avenue, 760 Prior Hall, Columbus, OH 43220, USA.
出版信息
Emerg Med Clin North Am. 2024 May;42(2):231-247. doi: 10.1016/j.emc.2024.02.001. Epub 2024 Mar 12.
Abstract
Pneumonia is split into 3 diagnostic categories: community-acquired pneumonia (CAP), health care-associated pneumonia, and ventilator-associated pneumonia. This classification scheme is driven not only by the location of infection onset but also by the predominant associated causal microorganisms. Pneumonia is diagnosed in over 1.5 million US emergency department visits annually (1.2% of all visits), and most pneumonia diagnosed by emergency physicians is CAP.
摘要
肺炎分为 3 种诊断类别：社区获得性肺炎（CAP）、医疗保健相关性肺炎和呼吸机相关性肺炎。这种分类方案不仅取决于感染起始的位置，还取决于主要相关的致病微生物。每年有超过 150 万美国急诊就诊者（占所有就诊者的 1.2%）被诊断患有肺炎，而急诊医生诊断的大多数肺炎是 CAP。
相似文献
1
Optimizing Diagnosis and Management of Community-acquired Pneumonia in the Emergency Department.
Emerg Med Clin North Am. 2024 May;42(2):231-247. doi: 10.1016/j.emc.2024.02.001. Epub 2024 Mar 12.
2
[Recommendations for the care of patients with community-acquired pneumonia in the Emergency Department].
Rev Esp Quimioter. 2018 Apr;31(2):186-202. Epub 2018 Apr 5.
3
Early Chest Computed Tomography Scan to Assist Diagnosis and Guide Treatment Decision for Suspected Community-acquired Pneumonia.
Am J Respir Crit Care Med. 2015 Oct 15;192(8):974-82. doi: 10.1164/rccm.201501-0017OC.
4
Testing and Treatment Thresholds for Pediatric Pneumonia in the Emergency Department.
Hosp Pediatr. 2024 Dec 1;14(12):992-1000. doi: 10.1542/hpeds.2024-007848.
5
[Antibiotic treatment of pneumonia - what's at CAP, HAP and VAP to consider?].
Drug Res (Stuttg). 2014 Nov;64 Suppl 1:S11-2. doi: 10.1055/s-0033-1358031. Epub 2014 Nov 25.
6
Emergency department management of childhood pneumonia in the United States prior to publication of national guidelines.
Acad Emerg Med. 2013 Mar;20(3):240-6. doi: 10.1111/acem.12088.
7
The Association of Antibiotic Duration With Successful Treatment of Community-Acquired Pneumonia in Children.
J Pediatric Infect Dis Soc. 2021 Apr 3;10(3):267-273. doi: 10.1093/jpids/piaa055.
8
Prescribing trends and revisit rates following a pharmacist-driven protocol change for community-acquired pneumonia in an emergency department.
Int J Pharm Pract. 2019 Jun;27(3):279-285. doi: 10.1111/ijpp.12497. Epub 2018 Dec 11.
9
Assessing, treating and preventing community acquired pneumonia in older adults: findings from a community-wide survey of emergency room and family physicians.
BMC Fam Pract. 2005 Aug 2;6:32. doi: 10.1186/1471-2296-6-32.
10
[To treat cap: there is something important other than antibiotics].
Zhonghua Jie He He Hu Xi Za Zhi. 2011 Nov;34(11):807-8.
本文引用的文献
1
Methicillin-resistant and community acquired pneumonia: Prevalence and locally derived risk factors in a single hospital system.
J Am Coll Emerg Physicians Open. 2023 Nov 1;4(6):e13061. doi: 10.1002/emp2.13061. eCollection 2023 Dec.
2
The diagnostic utility of microscopic quality assessment of sputum samples in the era of rapid syndromic PCR testing.
Microbiol Spectr. 2023 Sep 29;11(5):e0300223. doi: 10.1128/spectrum.03002-23.
3
Diagnostic utility of oropharyngeal swabs as an alternative to lower respiratory tract samples for PCR-based syndromic testing in patients with community-acquired pneumonia.
J Clin Microbiol. 2023 Sep 21;61(9):e0050523. doi: 10.1128/jcm.00505-23. Epub 2023 Aug 16.
4
Delayed diagnosis of pneumonia in the emergency department: factors associated and prognosis.
Front Med (Lausanne). 2023 May 12;10:1042704. doi: 10.3389/fmed.2023.1042704. eCollection 2023.
5
Correction: ERS/ESICM/ESCMID/ALAT guidelines for the management of severe community-acquired pneumonia.
Intensive Care Med. 2023 Aug;49(8):1040-1041. doi: 10.1007/s00134-023-07082-z.
6
COVID-19 Mortality Update - United States, 2022.
MMWR Morb Mortal Wkly Rep. 2023 May 5;72(18):493-496. doi: 10.15585/mmwr.mm7218a4.
7
Lung Ultrasound: A Complementary Imaging Tool for Chest X-Ray in the Evaluation of Dyspnea.
Indian J Radiol Imaging. 2023 Jan 6;33(2):162-172. doi: 10.1055/s-0042-1759850. eCollection 2023 Apr.
8
Hydrocortisone in Severe Community-Acquired Pneumonia.
N Engl J Med. 2023 May 25;388(21):1931-1941. doi: 10.1056/NEJMoa2215145. Epub 2023 Mar 21.
9
The Clinical Significance of Anaerobic Coverage in the Antibiotic Treatment of Aspiration Pneumonia: A Systematic Review and Meta-Analysis.
J Clin Med. 2023 Mar 2;12(5):1992. doi: 10.3390/jcm12051992.
10
COVID-19 bacteremic co-infection is a major risk factor for mortality, ICU admission, and mechanical ventilation.
Crit Care. 2023 Jan 23;27(1):34. doi: 10.1186/s13054-023-04312-0.
Zotero 插件