军团菌
医学
军团病
阿奇霉素
左氧氟沙星
嗜肺军团菌
克拉霉素
肺炎
替加环素
医院获得性肺炎
抗生素
重症监护医学
内科学
微生物学
细菌
幽门螺杆菌
生物
遗传学
作者
María Luisa Pedro‐Botet,Victor L. Yu
标识
DOI:10.1517/14656560902900820
摘要
Given the nonspecific clinical manifestations of Legionnaires' disease and the high mortality of untreated Legionnaires' disease, we recommend routine use of Legionella testing, especially the Legionella urinary antigen test, for all patients with community-acquired pneumonia. This includes patients with ambulatory pneumonia and hospitalized children. Legionella cultures should be more widely available, especially in hospitals where the drinking water is colonized with Legionella. Azithromycin or levofloxacin can be considered as first-line therapy. Other antibiotics including tetracyclines, tigecycline, other fluoroquinolones and other macrolides (especially clarithromycin) are also effective. The clinical response of quinolones may be somewhat more favorable compared to macrolides, but the outcome is similar. If the Legionnaires' disease is hospital-acquired, culturing of the hospital drinking water for Legionella is indicated.
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