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7 - Pneumonia

from Section 2 - Infectious Disease Emergencies

Published online by Cambridge University Press:  02 November 2023

By
Navdeep Sekhon  and
Calvin Lee
Edited by
Kaushal Shah  and
Jarone Lee
Edited in association with
Clark G. Owyang  and
Benjamin Christian Renne
Kaushal Shah
Affiliation:
Weill Cornell Medical Center, New York
Jarone Lee
Affiliation:
Massachusetts General Hospital, Boston
Clark G. Owyang
Affiliation:
Weill Cornell Medical Center, New York
Benjamin Christian Renne
Affiliation:
Massachusetts General Hospital, Boston
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Summary

  • Community-acquired pneumonia (CAP) is a pneumonia that is not acquired in a hospital but, as the name suggests, is acquired elsewhere. Usual pathogens include Streptococcus pneumoniae, Haemophilus influenzae, Mycoplasma pneumoniae, Staphylococcus aureus, Chlamydophila pneumoniae, Legionella pneumophila and Moraxella catarrhalis.

Healthcare-associated pneumonia (HCAP) is no longer recognized as a clinical entity by the 2019 ATS/IDSA Guidelines on the Management of Community-Acquired Pneumonia. HCAP designation did not uniformly predict drug-resistant organisms, so management is driven on an individual basis.

Keywords

lung infectionchest X–rayantibioticsCURB–65
Type
Chapter
Information
Practical Emergency Resuscitation and Critical Care , pp. 63 - 69
Publisher: Cambridge University Press
Print publication year: 2023

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References

Kalil, AC, Metersky, ML, Klompas, M, et al. Management of adults with hospital-acquired and ventilator-associated pneumonia: 2016 Clinical Practice Guidelines by the Infectious Diseases Society of America and the American Thoracic Society [published correction appears in Clin Infect Dis 2017;64(9):1298] [published correction appears in Clin Infect Dis 2017;65(8):1435] [published correction appears in Clin Infect Dis 2017;65(12):2161]. Clin Infect Dis 2016;63(5):e61–e111. https://doi.org/10.1093/cid/ciw353Google Scholar
Metlay, J P, Waterer, GW, Long, AC, et al. 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. Am J Resp Crit Care Med 2019;200(7):e45–e67. https://doi.org/10.1164/rccm.201908-1581STCrossRefGoogle ScholarPubMed
Walls, RM, Hockberger, RS, & Gausche-Hill, M. Rosen’s Emergency Medicine: Concepts and Clinical Practice, 9th ed. Philadelphia, PA: Elsevier, 2018.Google Scholar

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