What is included in emergency department (ED) care of Legionnaires disease?

Updated: Aug 24, 2018
  • Author: Burke A Cunha, MD; Chief Editor: Michael Stuart Bronze, MD  more...
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Answer

Patient management includes the following:

  • Control the airway as indicated clinically; support ventilation and oxygenation

  • Rehydrate the patient as indicated, especially in shock or diarrheal disease

  • Antipyretics may be used as indicated

  • Cardiac monitoring may be required if chest pain, hypotension, bradycardia, or other indicators are present

  • Obtain laboratory specimens (respiratory culture and urine antigen testing), chest radiographs, computed tomography (CT) scans, and cerebrospinal fluid (CSF), as indicated

  • Begin empiric antibiotic therapy

Also see the Legionella home page from the Centers for Disease Control and Prevention (CDC), as well as the Infectious Diseases Society of America/American Thoracic Society Consensus Guidelines on the Management of Community-Acquired Pneumonia in Adults. [13]


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