Diagnosis and Treatment of Adults with Community-acquired Pneumonia. An Official Clinical Practice Guideline of the American Thoracic Society and Infectious Diseases Society of America

2019 American Journal of Respiratory and Critical Care Medicine 3,208 citations

Abstract

<b>Background:</b> This document provides evidence-based clinical practice guidelines on the management of adult patients with community-acquired pneumonia.<b>Methods:</b> A multidisciplinary panel conducted pragmatic systematic reviews of the relevant research and applied Grading of Recommendations, Assessment, Development, and Evaluation methodology for clinical recommendations.<b>Results:</b> The panel addressed 16 specific areas for recommendations spanning questions of diagnostic testing, determination of site of care, selection of initial empiric antibiotic therapy, and subsequent management decisions. Although some recommendations remain unchanged from the 2007 guideline, the availability of results from new therapeutic trials and epidemiological investigations led to revised recommendations for empiric treatment strategies and additional management decisions.<b>Conclusions:</b> The panel formulated and provided the rationale for recommendations on selected diagnostic and treatment strategies for adult patients with community-acquired pneumonia.

Keywords

MedicineGuidelineIntensive care medicineCommunity-acquired pneumoniaMultidisciplinary approachPneumoniaGrading (engineering)EpidemiologyMEDLINEEmpiric therapyClinical trialFamily medicineAlternative medicinePathologyInternal medicine

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Publication Info

Year
2019
Type
article
Volume
200
Issue
7
Pages
e45-e67
Citations
3208
Access
Closed

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Joshua P. Metlay, Grant Waterer, Ann C. Long et al. (2019). Diagnosis and Treatment of Adults with Community-acquired Pneumonia. An Official Clinical Practice Guideline of the American Thoracic Society and Infectious Diseases Society of America. American Journal of Respiratory and Critical Care Medicine , 200 (7) , e45-e67. https://doi.org/10.1164/rccm.201908-1581st

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DOI
10.1164/rccm.201908-1581st