抗生素使用的最新研究进展(英文课件)Update on use of antibiotics in GP.pptVIP

How to assess the severity of patient with CAP? Severity assessment :adverse prognostic features “Core” clinical adverse prognostic factors (CRB-65/ CURB-65) Confusion (Urea: 7mmol/l) Respiratory rate 30/min BP: low BP (SBP 90mmHg and/or DBP 60mmHg) Age =/ 65 yo “Additional” clinical adverse prognostic factors Hypoxaemia (SaO2 92% or PaO2 8kpa) bilateral or multilobe involvement on the CXR Identifying those patients who can usually be safely treated at home CRB-65 score of 0 low risk of death and do not normally require hospitalisation for clinical reasons CRB-65 score of 1 or 2 at incr