Respiratory and Allergy
Quick guide of pneumonia
P neumonia is an inflammatory condition of the pulmonary parenchyma caused by an infection. The symptoms, treatment, and morbidity associated with the infection vary by the setting in which it is acquired. A classification system for pneumonia has been adopted by the Infectious Disease Society of America (IDSA) and the American Thoracic Society (ATS) as below (see t…
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Respiratory and Allergy
Don't automatically add empiric anaerobic coverage for aspiration pneumonia
A SPIRATION PNEUMONIA is difficult to diagnose and differentiate from other aspiration syndromes, community-acquired pneumonia , and hospital-acquired pneumonia . Aspiration pneumonia is linked to a higher mortality rate (29.4%) compared to community-acquired pneumonia (11.6%). Choice of antibiotics will depend on where the pneumonia developed ( e.g., community, h…
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Respiratory and Allergy
Management of community-acquired pneumonia (CAP)
T he need for hospitalization should be based on clinical judgment plus results of a validated prognostic tool. Use of the pneumonia severity index (PSI) is recommended over CURB-65. PSI is better than the CURB-65 at identifying patients who can safely be treated as outpatients, but CURB-65 is easier to use. PSI may underestimate sever…
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