在社区获得的肺炎的诊断和管理. 一个官方的美国胸部协会临床实践指南
Barbara E Jones1,2, Julio A Ramirez3, Eyal Oren4
1The University of Utah Department of Internal Medicine, Pulmonary and Critical Care Medicine, Salt Lake City, Utah, United States.
更新的指南提供了基于证据的建议,用于诊断和治疗社区获得性肺炎 (CAP) 在成年人. 主要更新涵盖肺部超声波,病毒检测,抗生素持续时间和皮质类固醇在CAP管理中的使用.
科学领域:
- 传染性疾病 传染性疾病
- 肺部病理学 肺部病理学
- 临床实践指南 临床实践指南
背景情况:
- 随着证据的不断变化,需要更新成人社区获得性肺炎 (CAP) 的临床实践指南.
- 新技术和研究为CAP的诊断和治疗提供了信息.
- 本文档解决了成人农业政策管理中的关键问题.
研究的目的:
- 更新基于证据的临床实践指南,用于诊断和管理成人患者的CAP.
- 提供关于CAP护理四个关键方面的建议.
- 将最新的研究和临床经验整合到可行的指南中.
主要方法:
- 一个多学科小组进行了对比证据的系统审查.
- 综合了相关的研究和临床经验.
- 建议分级,评估,开发和评价 (GRADE) 方法采用了决定框架的证据.
主要成果:
- 在CAP诊断中制定了肺部超声波的建议.
- 当呼吸道病毒检测结果呈阳性时,就实证抗菌疗法提供指导.
- 建议涉及抗生素持续时间和在CAP中使用全身皮质类固醇.
结论:
- 该小组制定了针对成人CAP的特定诊断和治疗策略的建议.
- 提供了这些建议背后的逻辑.
- 这些指导方针旨在改善社区获得性肺炎的管理.
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