Community-acquired pneumonia

Luis Felipe Reyes1, Andrew Conway Morris2, Cristian Serrano-Mayorga3

  • 1Unisabana Center for Translational Science, School of Medicine, Universidad de La Sabana, Chía, Colombia; Clinica Universidad de La Sabana, Chía, Colombia; International Severe Acute Respiratory and Emerging Infection Consortium, Pandemic Sciences Institute, University of Oxford, Oxford, UK.

Lancet (London, England)
|October 19, 2025
PubMed

Insights

Community-acquired pneumonia (CAP) poses a global health threat with long-term complications. Advances in diagnostics and personalized treatments, including nucleic acid amplification tests (NAATs), offer improved outcomes for CAP management.

Area of Science:

  • Infectious Diseases
  • Pulmonology
  • Public Health

Background:

  • Community-acquired pneumonia (CAP) is a significant global health issue, particularly impacting vulnerable groups.
  • Previously viewed as acute, CAP is now understood to have long-term consequences like cardiovascular events and cognitive decline.

Purpose of the Study:

  • To review current understanding and future directions in CAP management.
  • To highlight the evolving role of diagnostics and personalized therapies in combating CAP.

Main Methods:

  • Literature review focusing on recent advancements in CAP diagnostics and treatment.
  • Analysis of the integration of new technologies like nucleic acid amplification tests (NAATs) and lung ultrasound.
  • Evaluation of the role of adjunctive therapies and preventive strategies.

Main Results:

  • Nucleic acid amplification tests (NAATs) and point-of-care lung ultrasound enable rapid pathogen detection and tailored treatment.
  • Uncertainties persist regarding the clinical utility of NAATs, lung ultrasounds, and serum biomarkers.
  • The roles of adjunctive therapies like corticosteroids and immunomodulators require further definition.

Conclusions:

  • Comprehensive CAP management necessitates personalized treatment, post-acute rehabilitation, and cardiovascular screening.
  • Integrating advanced diagnostics and tailored therapies is crucial for improving outcomes and reducing the global burden of CAP.
  • Strengthening preventive measures, such as vaccination, remains essential.

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