Bartlett J G, Breiman R F, Mandell L A, File T M
Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Clin Infect Dis. 1998 Apr;26(4):811-38. doi: 10.1086/513953.
This is part of the series of practice guidelines commissioned by the Infectious Diseases Society of America through its Practice Guidelines Committee. The purpose of this guideline is to provide assistance to clinicians in the diagnosis and treatment of community-acquired pneumonia. The targeted providers are internists and family practitioners. The targeted groups are immunocompetent adult patients. Criteria are specified for determining whether the inpatient or outpatient setting is appropriate for treatment. Differences from other guidelines written on this topic include use of laboratory criteria for diagnosis and approach to antimicrobial therapy. Panel members and consultants are experts in adult infectious diseases. The guidelines are evidence based where possible. A standard ranking system is used for the strength of the recommendations and the quality of the evidence cited in the literature reviewed. The document has been subjected to external review by peer reviewers as well as by the Practice Guidelines Committee and was approved by the IDSA Council. An executive summary and tables highlight the major recommendations. The guidelines will be listed on the IDSA home page at http://www.idsociety.org.
这是美国传染病学会通过其实践指南委员会委托制定的一系列实践指南的一部分。本指南的目的是为临床医生诊断和治疗社区获得性肺炎提供帮助。目标受众是内科医生和家庭医生。目标群体是免疫功能正常的成年患者。明确了确定住院或门诊治疗是否合适的标准。与关于该主题的其他指南的不同之处包括诊断的实验室标准和抗菌治疗方法。小组成员和顾问均为成人传染病领域的专家。指南尽可能以证据为基础。对所审查文献中引用的推荐强度和证据质量采用了标准的分级系统。该文件已经过同行评审人员以及实践指南委员会的外部审查，并得到了美国传染病学会理事会的批准。一份执行摘要和表格突出了主要建议。这些指南将列在美国传染病学会的主页上，网址为http://www.idsociety.org。
