[Update pneumonia 2012]

Dtsch Med Wochenschr. 2012 Nov;137(44):2265-80; quiz 2281-4. doi: 10.1055/s-0032-1305297. Epub 2012 Oct 23.
[Article in German]

Abstract

Pneumonia is an infection of the lung parenchyma and defined as combination of a novel radiological infiltrate with typical signs and symptoms. There are 3 distinguished entities of pneumonia: community-acquired pneumonia (CAP), hospital-acquired pneumonia (HAP), and pneumonia in the immunocompromised patient. The spectrum of pathogens is increasing from CAP, mostly caused by pneumococci, over HAP (additional multi-drug resistant pathogens) to pneumonia in the immunocompromised (additional opportunistic pathogens). Therefore, each entity demands a specific diagnostic and therapeutic approach. This review compares the 3 forms of pneumonia and presents a guideline based clinical approach in the context of current studies.

Publication types

  • English Abstract
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Anti-Bacterial Agents / adverse effects
  • Anti-Bacterial Agents / therapeutic use
  • Coinfection / diagnosis
  • Coinfection / drug therapy
  • Coinfection / epidemiology
  • Community-Acquired Infections / diagnosis*
  • Community-Acquired Infections / drug therapy
  • Community-Acquired Infections / epidemiology
  • Cross Infection / diagnosis*
  • Cross Infection / drug therapy
  • Cross Infection / epidemiology
  • Cross-Sectional Studies
  • Drug Resistance, Multiple, Bacterial
  • Germany
  • Humans
  • Intensive Care Units
  • Opportunistic Infections / diagnosis*
  • Opportunistic Infections / drug therapy
  • Opportunistic Infections / epidemiology
  • Pneumonia, Bacterial / diagnosis*
  • Pneumonia, Bacterial / drug therapy
  • Pneumonia, Bacterial / epidemiology
  • Pneumonia, Pneumococcal / diagnosis
  • Pneumonia, Pneumococcal / drug therapy
  • Pneumonia, Pneumococcal / epidemiology
  • Pneumonia, Viral / diagnosis
  • Pneumonia, Viral / drug therapy
  • Pneumonia, Viral / epidemiology
  • Prognosis
  • Risk Factors

Substances

  • Anti-Bacterial Agents