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Management of community aquired pneumonia

저작시기 2010.03 |등록일 2010.04.08 파워포인트파일MS 파워포인트 (pptx) | 14페이지 | 가격 800원

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HE CLINICAL PROBLEM
Diagnosis of Pneumonia
Causes of pneumonia
Decision to Hospitalization
Risk Stratification
Treatment of Pneumonia
Clinical Stability and Discharge
AREAS OF UNCERTAINTY
CONCLUSIONS AND RECOMMENDATIONS

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4 million cases of community-acquired pneumonia
About 1 million hospitalizations
Inpatient management is 20 times as expensive as outpatient care
Length of hospitalization is the key of inpatient costs.
Wide variations in the rates and lengths of hospitalization among patients with pneumonia
Focuses on the initial management of community-acquired pneumonia in immunocompetent adults.
Diagnosis of Pneumonia
Patients with pneumonia usually present with
Cough (more than 90 percent)
dyspnea (66 percent)
Sputum production (66 percent)
pleuritic chest pain (50percent)
nonrespiratory symptoms can also predominate.
Elderly patients may report fewer symptoms.
History or physical exam cannot r/i or r/o pneumonia with adequate accuracy
All rigorous definitions of pneumonia



An extended course of intravenous Abt.
for patients with legionella infection
bacteremia due to high-risk organisms
suppurative complications (e.g.empyema).
Nearly all the studies excluded patients with HIV infection.
The discharge criteria we highlight are from studies that defined stability
by a 24-hour period of normal vital signs
Other required an 8-hour or 16-hour period
CONCLUSIONS AND RECOMMENDATIONS
Most low-risk patients can be treated at home
Admitted low risk patients are likely
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