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3.6.4 - Pneumonia

from Section 3.6 - Acute Respiratory Failure

Published online by Cambridge University Press:  27 July 2023

By
Mahmoud Wagih
Edited by
Ned Gilbert-Kawai ,
Debashish Dutta  and
Carl Waldmann
Ned Gilbert-Kawai
Affiliation:
The Royal Liverpool Hospital
Debashish Dutta
Affiliation:
Princess Alexandra Hospital NHS Trust, Harlow
Carl Waldmann
Affiliation:
Royal Berkshire Hospital, Reading
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Summary

Key Learning Points

  1. 1. Diagnosis and treatment of pneumonia should be based on the clinical picture.

  2. 2. The CURB-65 score is a clinical prediction tool that has been validated for predicting mortality in community-acquired pneumonia, and it is recommended by the British Thoracic Society for assessment of the severity of pneumonia.

  3. 3. Chest radiographs have historically been perceived as a reliable tool for diagnosing pneumonia; however, despite their availability and widespread use, they have their limitations.

  4. 4. Antibiotics should be used early.

  5. 5. Nationally accepted protocols and the local antibiogram should be utilised when treating pneumonia.

Keywords

pneumoniaCURB-65British Thoracic SocietyCXR
Type
Chapter
Information
Intensive Care Medicine
The Essential Guide
 , pp. 229 - 233
Publisher: Cambridge University Press
Print publication year: 2021

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References

References and Further Reading

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. Clin Infect Dis 2016;63:e61–111.CrossRefGoogle Scholar
Kohno, S, Seki, M, Takehara, K, et al. Prediction of requirement for mechanical ventilation in community-acquired pneumonia with acute respiratory failure: a multicenter prospective study. Respiration 2013;85:27–35.CrossRefGoogle ScholarPubMed
Mackenzie, G. The definition and classification of pneumonia. Pneumonia (Nathan) 2016;8:14.CrossRefGoogle ScholarPubMed
Metlay, JP, Fine, MJ. Testing strategies in the initial management of patients with community-acquired pneumonia. Ann Intern Med 2003;138:109–18.CrossRefGoogle ScholarPubMed
World Health Organization. 2016. ICD-10 Version: 2016. apps.who.int/classifications/icd10/browse/2016/enGoogle Scholar

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