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 - PubMed (original) (raw)

Practice Guideline

. 2019 Oct 1;200(7):e45-e67.

doi: 10.1164/rccm.201908-1581ST.

Grant W Waterer, Ann C Long, Antonio Anzueto, Jan Brozek, Kristina Crothers, Laura A Cooley, Nathan C Dean, Michael J Fine, Scott A Flanders, Marie R Griffin, Mark L Metersky, Daniel M Musher, Marcos I Restrepo, Cynthia G Whitney

• PMID: 31573350
• PMCID: PMC6812437
• DOI: 10.1164/rccm.201908-1581ST

Practice Guideline

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

Joshua P Metlay et al. Am J Respir Crit Care Med. 2019.

Abstract

Background: This document provides evidence-based clinical practice guidelines on the management of adult patients with community-acquired pneumonia.Methods: A multidisciplinary panel conducted pragmatic systematic reviews of the relevant research and applied Grading of Recommendations, Assessment, Development, and Evaluation methodology for clinical recommendations.Results: 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.Conclusions: The panel formulated and provided the rationale for recommendations on selected diagnostic and treatment strategies for adult patients with community-acquired pneumonia.

Keywords: community-acquired pneumonia; pneumonia; patient management.

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Comment in

• Summary for Clinicians: Clinical Practice Guideline for the Diagnosis and Treatment of Community-acquired Pneumonia.
  Jones BE, Herman DD, Dela Cruz CS, Waterer GW, Metlay JP, Ruminjo JK, Thomson CC. Jones BE, et al. Ann Am Thorac Soc. 2020 Feb;17(2):133-138. doi: 10.1513/AnnalsATS.201909-704CME. Ann Am Thorac Soc. 2020. PMID: 31770496 No abstract available.
• Multidisciplinary Authorship in Clinical Practice Guidelines: An Opportunity for Inclusion.
  Chahine EB. Chahine EB. Am J Respir Crit Care Med. 2020 Mar 15;201(6):743-744. doi: 10.1164/rccm.201910-1908LE. Am J Respir Crit Care Med. 2020. PMID: 31800259 Free PMC article. No abstract available.
• Viewing the Community-acquired Pneumonia Guidelines through an Antibiotic Stewardship Lens.
  Fabre V, Spivak ES, Keller SC. Fabre V, et al. Am J Respir Crit Care Med. 2020 Mar 15;201(6):745-746. doi: 10.1164/rccm.201910-2026LE. Am J Respir Crit Care Med. 2020. PMID: 31800265 Free PMC article. No abstract available.
• Reply to Chahine, to Schuetz, and to Fabre et al.
  Metlay JP, Waterer GW. Metlay JP, et al. Am J Respir Crit Care Med. 2020 Mar 15;201(6):746-747. doi: 10.1164/rccm.201910-2000LE. Am J Respir Crit Care Med. 2020. PMID: 31800266 Free PMC article. No abstract available.
• 2019 Community-acquired Pneumonia Treatment Guidelines: There Is a Need for a Change toward More Parsimonious Antibiotic Use.
  Huttner B, Cappello B, Cooke G, Gandra S, Harbarth S, Imi M, Loeb M, Mendelson M, Moja L, Pulcini C, Sharland M, Tacconnelli E, Zeng M, Magrini N. Huttner B, et al. Am J Respir Crit Care Med. 2020 May 15;201(10):1315-1316. doi: 10.1164/rccm.201911-2226LE. Am J Respir Crit Care Med. 2020. PMID: 32069065 Free PMC article. No abstract available.
• Reply to Huttner et al.: 2019 Community-acquired Pneumonia Treatment Guidelines: There Is a Need for a Change toward More Parsimonious Antibiotic Use.
  Metlay JP, Waterer GW. Metlay JP, et al. Am J Respir Crit Care Med. 2020 May 15;201(10):1316-1317. doi: 10.1164/rccm.202001-0164LE. Am J Respir Crit Care Med. 2020. PMID: 32069069 Free PMC article. No abstract available.
• Antibiotic-resistant bacteria: COVID-19 hasn't made the challenge go away.
  Waterer G, Pickens CI, Wunderink R. Waterer G, et al. Respirology. 2021 Nov;26(11):1024-1026. doi: 10.1111/resp.14166. Epub 2021 Oct 1. Respirology. 2021. PMID: 34596927 Free PMC article. No abstract available.

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