Community-Acquired Pneumonia in Adults: Guidelines on Diagnosis, Treatment and Prophylaxis

Clinical Microbiology and Antimicrobial Chemotherapy. 2006; 8(1):54-86

Journal article


These guidelines are a result of consensus expert opinion based on peer review of the literature published over the last 10 years. References include a number of international guidelines for the management of adults in community-acquired pneumonia (CAP): British Thoracic Society (BTS, 2001, 2004), European Respiratory Society (ERS, 1998, 2005), Infectious Diseases Society of America (IDSA, 2000, 2003), American Thoracic Society (ATS, 2001), Canadian Infectious Diseases Society/Canadian Thoracic Society (CIDS/CTS, 2000), US Centers for Disease Control and Prevention (CDC, 2001). The national consensus guidelines for the management of CAP in adults, developed by the experts of Russian Respiratory Society, Interregional Association of Clinical Microbiology and Antimicrobial Chemotherapy (IACMAC), and Alliance of Clinical Chemotherapy and Microbiology, were first issued in 2003. However, authors realized that this document needs to be revised and updated because of changing concept of CAP. The second issue of the national guidelines contains data on epidemiology of CAP and new information about resistance of key respiratory pathogens in Russia (Streptococcus pneumoniae and Haemophilus influenzae). Moreover, sections about etiology and diagnosis of CAP were updated, and new sections including the description of the main antimicrobial classes, review of real clinical practice of the CAP management, and quality indicators were also added.

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