woocy的秘密基地

來 自Lancet 2008 的一篇評論性文章

內容針對2007年的指引作評論,也講到一些評估CAP的量表包括PSI及CURB/CURB-65,除此之外也說到給第一劑抗生素的時間應在診斷CAP後8小時內給予,給藥時間與outcome並無關聯性,最重要的是正確診斷CAP大於給藥時間!!!

感謝本部蔡明瀚醫師整理的簡報檔

Abstract:

Community-acquired pneumonia (CAP) is an important cause of hospitalisation and death. Annual incidence in the USA is between five and 11 cases per 1000 adults, and more than 20 cases per 1000 in adults over 65 years of age. Up to 80% of patients with CAP are treated as outpatients, and mortality in these patients is usually less than 1%. The remaining patients require inpatient management, and the mortality is 12—36% for those admitted to intensive-care units.