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Guidelines and Critical Pathways for Severe Hospital-Acquired Pneumonia
Journal article   Peer reviewed

Guidelines and Critical Pathways for Severe Hospital-Acquired Pneumonia

Stanley Fiel
Chest, v 119(2), pp 412S-418S
Feb 2001
PMID: 11171778

Abstract

American Thoracic Society guidelines antibiotic resistance antibiotics empiric therapy hospital-acquired pneumonia nosocomial pneumonia patient quality of care
Hospital-acquired pneumonia (HAP) is associated with high morbidity and mortality. Early, appropriate, and adequate empiric therapy can increase the chance of survival. In 1995, the American Thoracic Society provided guidelines for the initial treatment of immunocompetent HAP patients, which is one of the principal HAP management approaches available to physicians today. However, these guidelines have several important limitations, including a lack of recommendations for duration of therapy and no recognition of newer drugs such as cefepime, trovafloxacin, and meropenem. Furthermore, they fail to distinguish among similar compounds (ie, β-lactam/β-lactamase inhibitor combinations) or to recommend specific antibiotics. The clinician using these guidelines needs to address local patterns of antimicrobial resistance, especially in ICUs. Effective computerized antibiotic management programs that incorporate information on local patterns of antimicrobial resistance can assist physicians in empiric therapy decision making, improve patient quality of care, and reduce medical costs.

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Web of Science research areas
Critical Care Medicine
Respiratory System
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