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3.6.4 - Pneumonia
from Section 3.6 - Acute Respiratory Failure
- By Mahmoud Wagih
Edited by Ned Gilbert-Kawai, The Royal Liverpool Hospital, Debashish Dutta, Princess Alexandra Hospital NHS Trust, Harlow, Carl Waldmann, Royal Berkshire Hospital, Reading
Book:

Intensive Care Medicine

Published online:

27 July 2023

Print publication:

01 December 2021, pp 229-233
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Summary

Key Learning Points
1. Diagnosis and treatment of pneumonia should be based on the clinical picture.
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. 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. Antibiotics should be used early.
5. Nationally accepted protocols and the local antibiogram should be utilised when treating pneumonia.