Management of community-acquired pneumonia in immunocompromised adults: a consensus statement regarding initial strategies".

Title

Management of community-acquired pneumonia in immunocompromised adults: a consensus statement regarding initial strategies".

Creator

Ramirez JA; Musher DM; Evans SE; Dela CC; Crothers KA; Hage CA; Aliberti S; Anzueto A; Arancibia F; Arnold F; Azoulay E; Blasi F; Bordon J; Burdette S; Cao B; Cavallazzi R; Chalmers J; Charles P; Chastre J; Claessens Y; Dean N; Duval X; Fartoukh M; Feldman C; File T; Froes F; Furmanek S; Gnoni M; Lopardo G; Luna C; Maruyama T; Menendez R; Metersky M; Mildvan D; Mortensen E; Niederman MS; Pletz M; Rello J; Restrepo MI; Shindo Y; Torres A; Waterer G; Webb B; Welte T; Witzenrath M; Wunderink R

Publisher

Chest

Date

2020
2020-06

Description

BACKGROUND: Community-acquired pneumonia (CAP) guidelines have improved the management and outcomes of patients with CAP, primarily by standardization of initial empiric therapy. But current society-published guidelines exclude immunocompromised patients. RESEARCH QUESTION: There is no concensus regarding the initial management of immunocompromised patients with suspected CAP. STUDY DESIGN AND METHODS: This consensus document was created by a multidisciplinary panel of 45 physicians with experience in the management of CAP in immunocompromised patients. The Delphi survey methodology was used to reach consensus. RESULTS: The panel focused on 21 questions addressing initial management strategies. The panel achieved consensus in defining the population, site of care, likely pathogens, microbiological work-up, general principles of empiric therapy, and empiric therapy for specific pathogens. INTERPRETATION: This document offer general suggestions for the initial management of the immunocompromised patient who arrives at the hospital with pneumonia.

Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Format

journalArticle

Search for Full-text

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NEOMED College

NEOMED College of Medicine

NEOMED Department

Department of Internal Medicine

Update Year & Number

July 2020 List

Affiliated Hospital

Summa Health System Akron City Hospital

Citation

Ramirez JA; Musher DM; Evans SE; Dela CC; Crothers KA; Hage CA; Aliberti S; Anzueto A; Arancibia F; Arnold F; Azoulay E; Blasi F; Bordon J; Burdette S; Cao B; Cavallazzi R; Chalmers J; Charles P; Chastre J; Claessens Y; Dean N; Duval X; Fartoukh M; Feldman C; File T; Froes F; Furmanek S; Gnoni M; Lopardo G; Luna C; Maruyama T; Menendez R; Metersky M; Mildvan D; Mortensen E; Niederman MS; Pletz M; Rello J; Restrepo MI; Shindo Y; Torres A; Waterer G; Webb B; Welte T; Witzenrath M; Wunderink R, “Management of community-acquired pneumonia in immunocompromised adults: a consensus statement regarding initial strategies".,” NEOMED Bibliography Database, accessed May 21, 2022, https://neomed.omeka.net/items/show/11159.

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