GuidelineCurrent
ATS/IDSA 2019 — Diagnosis and Treatment of Adults with Community-Acquired Pneumonia
Infectious Diseases Society of America / American Thoracic Society, 2019
Severe CAP requires ICU admission based on major/minor criteria. Empiric therapy should combine a potent beta-lactam with a macrolide or respiratory fluoroquinolone. Empiric MRSA or Pseudomonas coverage should only be added if validated local risk factors or prior respiratory isolation exist.
Strong recommendationModerate certainty
View source guidelineClinical Context & Relevant Topics (2)
Disease ReferenceSevere Community-Acquired Pneumonia (Severe CAP)
IDSA/ATS severe CAP criteria, rapid microbiology, targeted empiric antimicrobial regimens, and landmark adjunctive hydrocortisone evidence (CAPE COD).
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Pneumonia Variants in the ICU
Pattern-based ICU pneumonia approach: severe CAP, HAP/VAP, aspiration, viral, necrotizing, immunocompromised and nonresolving pneumonia.
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