医学
重症监护医学
流行病学
肺炎
社区获得性肺炎
感染性休克
败血症
重症监护室
医疗保健
死亡率
梅德林
病理
内科学
法学
经济
经济增长
政治学
作者
P. Silva,Luiz Alberto Cerqueira Batista Filho,Ismael Pérez Flores,Victoria Vilins e Silva,Alexandre Toledo Maciel,Larissa Seraphim Medeiros
出处
期刊:Medwave
[Medwave Estudios Limitada]
日期:2023-12-13
卷期号:23 (11): e2719-e2719
标识
DOI:10.5867/medwave.2023.11.2719
摘要
This narrative review article explores the current scientific knowledge on the definition, epidemiology, diagnostic criteria, microbiology, treatment, and prevention of severe community-acquired pneumonia (SCAP) in immunocompetent adults. At present, despite major scientific advances in diagnostic evaluation, clinical management, antimicrobial therapy, and prevention, severe community-acquired pneumonia remains a major cause of morbidity and mortality, as well as having a major economic impact in terms of increased healthcare expenditure worldwide. This pathology is considered one of the leading causes of sepsis/septic shock, with an extremely high overall mortality rate, which justifies all the effort in early diagnosis, proper management, and prompt initiation of antimicrobial therapy. Including biomarkers (isolated or in combination) associated with applying diagnostic criteria and prognostic severity scales in clinical practice helps identify patients with severe community-acquired pneumonia, defines immediate admission to the intensive care unit, and, thus, minimizes the adverse outcomes of this serious pathology.
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