What guidelines have been released for the treatment of community-acquired pneumonia (CAP)?

Updated: Oct 31, 2019
  • Author: Stephanie L Baer, MD; Chief Editor: Michael Stuart Bronze, MD  more...
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Answer

Answer

Most experts feel that antimicrobial coverage should be divided against typical and atypical CAP pathogens with consideration for risk of viral infection such as influenza, based on the season. [69] Excellent practice guidelines have been promulgated by the Infectious Diseases Society of America (IDSA) and the American Thoracic Society (ATS). These resources provide evidence-based guidelines for the treatment of outpatients, inpatients, and ICU patients with CAP. [7]

A 2017 review presented a CAP bundle that is in line with international guidelines and IDSA/ATS guidelines. The 2019 updated IDSA/ATS guidelines also support these components. The bundle includes the following: [5, 7]

  • Use of PSI and clinical criteria to the determine CAP severity and appropriate level of care
  • Rapid empiric appropriate antibiotics started promptly
  • Rapid fluid and electrolyte resuscitation, thromboembolic prophylaxis, and management of hypoxia
  • Early ambulation
  • Assessment of cardiovascular risk with appropriate initiation of aspirin or other prophylaxis

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