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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.

DOI:10.1016/j.emc.2024.02.001
PMID:38641389
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11212456/
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。

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本文引用的文献

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Methicillin-resistant and community acquired pneumonia: Prevalence and locally derived risk factors in a single hospital system.耐甲氧西林与社区获得性肺炎：单一医院系统中的患病率及本地衍生风险因素
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.快速综合征聚合酶链反应检测时代痰标本显微镜质量评估的诊断效用
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.口咽拭子作为替代下呼吸道样本用于基于 PCR 的综合征检测在社区获得性肺炎患者中的诊断效用。
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.急诊科肺炎的延迟诊断：相关因素及预后
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.更正：欧洲呼吸学会/欧洲重症监护医学学会/欧洲临床微生物与感染性疾病学会/拉丁美洲胸科协会重症社区获得性肺炎管理指南
Intensive Care Med. 2023 Aug;49(8):1040-1041. doi: 10.1007/s00134-023-07082-z.
6
COVID-19 Mortality Update - United States, 2022.2022 年美国 COVID-19 死亡率更新。
MMWR Morb Mortal Wkly Rep. 2023 May 5;72(18):493-496. doi: 10.15585/mmwr.mm7218a4.
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Lung Ultrasound: A Complementary Imaging Tool for Chest X-Ray in the Evaluation of Dyspnea.肺部超声：用于评估呼吸困难时胸部X线检查的辅助成像工具。
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.严重社区获得性肺炎的氢化可的松治疗。
N Engl J Med. 2023 May 25;388(21):1931-1941. doi: 10.1056/NEJMoa2215145. Epub 2023 Mar 21.
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Crit Care. 2023 Jan 23;27(1):34. doi: 10.1186/s13054-023-04312-0.