Community acquired pneumonia
The community-acquired pneumonia ( engl. Community-acquired pneumonia ( CAP )) determines such pneumonia whose causative pathogen outside the hospital were included.
The classification used divides pneumonia according to clinical practical aspects. She found her establishment to a publication by M. Woodhead in 1997. After that there is next to the community-acquired pneumonia ( CAP ), the nosocomial pneumonia ( Engl. Hospital-acquired pneumonia ( HAP )), pneumonia a ventilated patient ( Engl. Ventilator -associated pneumonia ( VAP )) and pneumonia in immunosuppressed patients. A prognosis for the course of the disease can be given.
properties
According to the above classification, the presumed spectrum of pneumonia pathogens can be estimated and the calculated antibiotic therapy can be adjusted accordingly. The most common pathogens (as of 3/2013) are Streptococcus pneumoniae and Haemophilus influenzae .
meaning
As a significant popular disease ( incidence 2 to 5 per 1000), community-acquired pneumonia is the subject of studies by the Competence Network for Community- Acquired Pneumonia ( CAPNETZ ), which is funded by the Federal Ministry of Education and Research .
Since 2005, in accordance with the resolution of the Federal Joint Committee , pneumonia acquired on an outpatient basis has been one of the services that require documentation for the external quality assurance of hospitals, which is professionally supervised by the Federal Office of Quality Assurance . The BQS contract for this ended in 2010 and was taken over by AQUA-Institut GmbH.
further reading
- JA Ramirez, AR Anzueto: Changing needs of community-acquired pneumonia. In: Journal of Antimicrobial Chemotherapy . Volume 66 Suppl 3, April 2011, pp. Iii3-iii9, ISSN 1460-2091 . doi : 10.1093 / jac / dkr094 . PMID 21482567 . PMC 3143426 (free full text). (Review).
- MW Pletz, G. Rohde u. a .: Etiology and management of CAP for everyday clinical practice. In: German Medical Weekly . Volume 136, Number 15, April 2011, pp. 775-780, ISSN 1439-4413 . doi : 10.1055 / s-0031-1275806 . PMID 21469047 . (Review).
- JG Bartlett: Diagnostic tests for agents of community-acquired pneumonia. In: Clinical Infectious Diseases . Volume 52 Suppl 4, May 2011, pp. S296-S304, ISSN 1537-6591 . doi : 10.1093 / cid / cir045 . PMID 21460288 . (Review).
- S. Butt, E. Swiatlo: Treatment of community-acquired pneumonia in an ambulatory setting. In: The American journal of medicine. Volume 124, Number 4, April 2011, pp. 297-300, ISSN 1555-7162 . doi : 10.1016 / j.amjmed.2010.06.027 . PMID 21435417 . (Review).
- E. Polverino, A. Torres Marti: Community-acquired pneumonia. In: Minerva anestesiologica. Volume 77, Number 2, February 2011, pp. 196-211, ISSN 1827-1596 . PMID 21242952 . (Review).
- NK Brar, MS Niederman: Management of community-acquired pneumonia: a review and update. In: Therapeutic advances in respiratory disease. Volume 5, Number 1, February 2011, pp. 61-78, ISSN 1753-4666 . doi : 10.1177 / 1753465810381518 . PMID 20935033 . (Review).
- M. Christ-Crain, SM Opal: Clinical review: the role of biomarkers in the diagnosis and management of community-acquired pneumonia. In: Critical care. Volume 14, Number 1, 2010, p. 203, ISSN 1466-609X . doi : 10.1186 / cc8155 . PMID 20236471 . PMC 2875480 (free full text). (Review).
Individual evidence
- ↑ A. Torres, M. Woodhead (Eds.): Pneumonia. Volume 3 of European respiratory monograph, published by European Respiratory Society Journals, 1997, ISBN 1-904-09704-9
- ^ KBV: Rational Antibiotic Therapy, in Current Active Ingredients, Deutsches Aerzteblatt 3/2013