ITEMS IN AFP WITH KEYWORD:
Lefamulin may be considered for patients hospitalized with community-acquired bacterial pneumonia.
Sep 1, 2020 Issue
Corticosteroids for Hospitalized Patients with Community-Acquired Pneumonia [Cochrane for Clinicians]
For adults hospitalized with severe CAP, the use of corticosteroids may reduce the likelihood of mortality.
The American Thoracic Society (ATS) and the Infectious Diseases Society of America (IDSA) recently updated their recommendations on the diagnosis and treatment of community-acquired pneumonia.
Adding corticosteroid treatment to the management of CAP is beneficial for children and adults. Treatment decreases clinical failures, time in the hospital, and the risk of death in adults with severe pneumonia.
Aug 15, 2019 Issue
Identifying Outpatients with Acute Cough at Very Low Risk of Pneumonia [Point-of-Care Guides]
In patients with acute cough, is it possible to identify a subset with a very low likelihood of community-acquired pneumonia?
When is it safe to treat a patient with community-acquired pneumonia a an outpatient?
The pathogens that cause community-acquired pneumonia are increasingly varied, and common diagnostic methods are unlikely to identify many of them. Clinical suspicion, patient risk factors, and validated scoring systems are available to guide initial management decisions and selection of therapy.
Studies show that 1 in 20 patients avoided mechanical ventilation and 1 in 16 patients avoided ARDS; 1 in 29 patients developed hyperglycemia requiring treatment. Read more.
Moderate-quality to high-quality evidence suggests that steroids, when added to antibiotics and usual care, can improve outcomes in the treatment of CAP. Benefits include reduced hospital length of stay, decreased time to clinical stability, and lower rates of mechanical ventilation and acute respiratory distress syndrome.
How does pneumonia present clinically in these patients? How is the diagnosis confirmed? What is the recommended timing and duration of antibiotic therapy? Which patients should be transferred to the hospital? Review the answers to these questions and more.