Ten Issues for Updating in Community-Acquired Pneumonia: An Expert Review

Francisco Javier Candel, Miguel Salavert, Miren Basaras, Marcio Borges, Rafael Cantón, Emilia Cercenado, Catian Cilloniz, Ángel Estella, Juan M. García-Lechuz, José Garnacho Montero, Federico Gordo, Agustín Julián-Jiménez, Francisco Javier Martín-Sánchez, Emilio Maseda, Mayra Matesanz, Rosario Menéndez, Manuel Mirón-Rubio, Raúl Ortiz de Lejarazu, Eva Polverino, Pilar Retamar-GentilLuis Alberto Ruiz-Iturriaga, Susana Sancho, Leyre Serrano

Producción científica: Artículo CientíficoArtículo de revisiónrevisión exhaustiva

Resumen

Community-acquired pneumonia represents the third-highest cause of mortality in industrialized countries and the first due to infection. Although guidelines for the approach to this infection model are widely implemented in international health schemes, information continually emerges that generates controversy or requires updating its management. This paper reviews the most important issues in the approach to this process, such as an aetiologic update using new molecular platforms or imaging techniques, including the diagnostic stewardship in different clinical settings. It also reviews both the Intensive Care Unit admission criteria and those of clinical stability to discharge. An update in antibiotic, in oxygen, or steroidal therapy is presented. It also analyzes the management out-of-hospital in CAP requiring hospitalization, the main factors for readmission, and an approach to therapeutic failure or rescue. Finally, the main strategies for prevention and vaccination in both immunocompetent and immunocompromised hosts are reviewed.

Idioma originalInglés estadounidense
-6864
PublicaciónJournal of Clinical Medicine
Volumen12
N.º21
DOI
EstadoIndizado - nov. 2023

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