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A pneumonia adquirida na comunidade PAC constitui a principal causa de morte no mundo. A pneumonia adquirida na comunidade PAC constitui a principal causa de morte no mundo, com significativo impacto nas taxas de morbidade. Num estudo observacional em pacientes com PAC hospitalizados, obtiveram-se amostras de escarro de boa qualidade de um total de amostras. Johansson et al. Quadro 5. Dentre 1. Grupo A , Legionella sp. Murray et al. Recomenda-se que para a PAC de baixa gravidade e com tratamento ambulatorial, esse seja feito com monoterapia e por 5 dias.

A Tabela 2 mostra os principais esquemas de tratamento com corticoides utilizados para o tratamento da PAC. Blum et al. Adultos com idade igual ou superior a 60 anos. Clinical and economic burden of community-acquired pneumonia among adults in Europe. The role of Streptococcus pneumoniae in community-acquired pneumonia among adults in Europe: a meta-analysis.

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Am J Emerg Med. Systematic review and meta-analysis for the use of ultrasound versus radiology in diagnosing of pneumonia. Crit Ultrasound J. Lung ultrasound for the diagnosis of pneumonia in adults: A meta-analysis.

Medicine Baltimore. Accuracy of lung ultrasound for the diagnosis of consolidations when compared to chest computed tomography. Lung ultrasound and chest x-ray for detecting pneumonia in an acute geriatric ward. Intensive-care unit lung infections: The role of imaging with special emphasis on multi-detector row computed tomography. Eur J Radiol. Impact of chest CT on the clinical management of immunocompetent emergency department patients with chest radiographic findings of pneumonia.

Emerg Radiol. Community-acquired pneumonia. Community-acquired pneumonia: a correlative study between chest radiographic and HRCT findings. Jpn J Radiol. Diagnosis and treatment of community-acquired pneumonia in adults: clinical practice guidelines by the Chinese Thoracic Society, Chinese Medical Association.

Clin Respir J. Community-acquired pneumonia requiring hospitalization: rational decision making and interpretation of guidelines. Curr Opin Pulm Med. Front Microbiol. Validation of sputum Gram stain for treatment of community-acquired pneumonia and healthcare-associated pneumonia: a prospective observational study.

BMC Infect Dis. Semin Respir Crit Care Med. What is the role of newer molecular tests in the management of CAP? Infect Dis Clin North Am. Viral pneumonia. Can an etiologic agent be identified in adults who are hospitalized for community-acquired pneumonia: results of a one-year study. J Infect. Identification of respiratory viruses in asymptomatic subjects: asymptomatic respiratory viral infections. Pediatr Infect Dis J. Clinical impact of combined viral and bacterial infection in patients with community-acquired pneumonia.

Scand J Infect Dis. Pneumonia with bacterial and viral coinfection. Curr Opin Crit Care. Epidemiology, pathogenesis, and microbiology of community-acquired pneumonia in adults.

In: UpToDate. Bond S, editor. Waltam MA; [cited Dec 1]. Community-Acquired Pneumonia. N Engl J Med. Late admission to the ICU in patients with community-acquired pneumonia is associated with higher mortality. Prediction of severe community-acquired pneumonia: a systematic review and meta-analysis. Crit Care. Value of severity scales in predicting mortality from community-acquired pneumonia: systematic review and meta-analysis.

A prediction rule to identify low-risk patients with community-acquired pneumonia. Severity prediction rules in community acquired pneumonia: a validation study. Validation of a predictive rule for the management of community-acquired pneumonia. Eur Respir J. Clin Infect Dis. Validation and comparison of SCAP as a predictive score for identifying low-risk patients in community-acquired pneumonia.

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Mortality prediction using serum biomarkers and various clinical risk scales in community-acquired pneumonia. Scand J Clin Lab Invest. Failure of CRP decline within three days of hospitalization is associated with poor prognosis of Community-acquired Pneumonia. Infect Dis Lond. Patterns of c-reactive protein RATIO response in severe community-acquired pneumonia: a cohort study. Procalcitonin to initiate or discontinue antibiotics in acute respiratory tract infections.

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In: A95 Acute Pneumonia: Clinical studies. Abstract Issue.

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Pneumonia severity index

A pneumonia adquirida na comunidade PAC constitui a principal causa de morte no mundo. A pneumonia adquirida na comunidade PAC constitui a principal causa de morte no mundo, com significativo impacto nas taxas de morbidade. Num estudo observacional em pacientes com PAC hospitalizados, obtiveram-se amostras de escarro de boa qualidade de um total de amostras. Johansson et al. Quadro 5. Dentre 1.

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Pneumonia Severity Index (PORT Score)

A prediction rule to identify low-risk patients with community-acquired pneumonia. New England Journal of Medicine ; 4 Thorax ;iv1-iv Severe community-acquired pneumonia. Etiology, prognosis, and treatment.

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Concordancia de las escalas de Neumonía Aguda de la Comunidad

The pneumonia severity index PSI or PORT Score is a clinical prediction rule that medical practitioners can use to calculate the probability of morbidity and mortality among patients with community acquired pneumonia. This prediction rule may help physicians make more rational decisions about hospitalization for patients with pneumonia. Mortality prediction is similar to that when using CURB The rule uses demographics whether someone is older, and is male or female , the coexistence of co-morbid illnesses, findings on physical examination and vital signs , and essential laboratory findings. This study demonstrated that patients could be stratified into five risk categories, Risk Classes I-V, and that these classes could be used to predict day survival. The purpose of the PSI is to classify the severity of a patient's pneumonia to determine the amount of resources to be allocated for care. Most commonly, the PSI scoring system has been used to decide whether patients with pneumonia can be treated as outpatients or as hospitalized inpatients.

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