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Ten Issues for Updating in Community-Acquired Pneumonia: An Expert Review

by Mirón-Rubio, Manuel , Cilloniz, Catian , Estella, Ángel , Maseda, Emilio , Martín-Sánchez, Francisco Javier , Gordo, Federico , Ortiz de Lejarazu, Raúl , Salavert, Miguel , Ruiz-Iturriaga, Luis Alberto , Borges, Marcio , Cantón, Rafael , Garnacho Montero, José , Candel, Francisco Javier , García-Lechuz, Juan M. , Menéndez, Rosario , Polverino, Eva , Cercenado, Emilia , Retamar-Gentil, Pilar , Sancho, Susana , Serrano, Leyre , Basaras, Miren , Julián-Jiménez, Agustín , Matesanz, Mayra

in Antibiotics / Antimicrobial agents / Bacterial infections / Bacterial pneumonia / Care and treatment / Clinical medicine / Community-acquired infections / COVID-19 vaccines / Diagnosis / Etiology / Immunization / Laboratories / Methicillin / Microorganisms / Pandemics / Pathogens / Pneumonia / Practice guidelines (Medicine) / Prevention / Streptococcus infections / Viruses / World health

2023

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Ten Issues for Updating in Community-Acquired Pneumonia: An Expert Review

2023

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Ten Issues for Updating in Community-Acquired Pneumonia: An Expert Review

2023

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Journal Article

Ten Issues for Updating in Community-Acquired Pneumonia: An Expert Review

Mirón-Rubio, Manuel,

Cilloniz, Catian,

Estella, Ángel,

Maseda, Emilio,

Martín-Sánchez, Francisco Javier,

Gordo, Federico,

Ortiz de Lejarazu, Raúl,

Salavert, Miguel,

Ruiz-Iturriaga, Luis Alberto,

Borges, Marcio,

Cantón, Rafael,

Garnacho Montero, José,

Candel, Francisco Javier,

García-Lechuz, Juan M.,

Menéndez, Rosario,

Polverino, Eva,

Cercenado, Emilia,

Retamar-Gentil, Pilar,

Sancho, Susana,

Serrano, Leyre,

Basaras, Miren,

Julián-Jiménez, Agustín,

Matesanz, Mayra

2023

Overview

Community-acquired pneumonia represents the third-highest cause of mortality in industrialized countries and the first due to infection. Although guidelines for the approach to this infection model are widely implemented in international health schemes, information continually emerges that generates controversy or requires updating its management. This paper reviews the most important issues in the approach to this process, such as an aetiologic update using new molecular platforms or imaging techniques, including the diagnostic stewardship in different clinical settings. It also reviews both the Intensive Care Unit admission criteria and those of clinical stability to discharge. An update in antibiotic, in oxygen, or steroidal therapy is presented. It also analyzes the management out-of-hospital in CAP requiring hospitalization, the main factors for readmission, and an approach to therapeutic failure or rescue. Finally, the main strategies for prevention and vaccination in both immunocompetent and immunocompromised hosts are reviewed.

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Publisher

MDPI AG

Subject

Antibiotics

/ Antimicrobial agents

/ Bacterial infections

/ Bacterial pneumonia

/ Care and treatment

/ Clinical medicine

/ Community-acquired infections