What guidelines have been released for the treatment of community-acquired pneumonia (CAP)?

Updated: Oct 31, 2019
  • Author: Stephanie L Baer, MD; Chief Editor: Michael Stuart Bronze, MD  more...
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Most experts feel that antimicrobial coverage should be divided against typical and atypical CAP pathogens with consideration for risk of viral infection such as influenza, based on the season. [69] Excellent practice guidelines have been promulgated by the Infectious Diseases Society of America (IDSA) and the American Thoracic Society (ATS). These resources provide evidence-based guidelines for the treatment of outpatients, inpatients, and ICU patients with CAP. [7]

A 2017 review presented a CAP bundle that is in line with international guidelines and IDSA/ATS guidelines. The 2019 updated IDSA/ATS guidelines also support these components. The bundle includes the following: [5, 7]

  • Use of PSI and clinical criteria to the determine CAP severity and appropriate level of care
  • Rapid empiric appropriate antibiotics started promptly
  • Rapid fluid and electrolyte resuscitation, thromboembolic prophylaxis, and management of hypoxia
  • Early ambulation
  • Assessment of cardiovascular risk with appropriate initiation of aspirin or other prophylaxis

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