成人下呼吸道感染管理准则(GUIDELINES FOR THE MANAGEMENT OF ADULT LOWER RESPIRATORY TRACT INFECTIONS).pptVIP

* Eur Respir J 2005; 26: 1138–1180 GUIDELINES FOR THE MANAGEMENT OF ADULT LOWER RESPIRATORY TRACT INFECTIONS Mark Woodhead, Francesco Blasi, Santiago Ewig, Gerard Huchon, Margareta Ieven, Ake Ortqvist, Tom Schaberg,Antoni Torres, Geert van der Heijden Theo J. M. Verheij European Respiratory GUIDELINES FOR THE MANAGEMENT OF ADULT LOWER RESPIRATORY TRACT INFECTIONS, ERJ 2005 Methods designed specific LRTI search filter systematic literature search 1966 – December 2002 critically appraised publications Evidence graded Recommendations developed and graded according to standard criteria GRADES OF RECOMMENDATIONS (RANGING FROM A1 TO C4) A Consistent evidence - Clear outcome B Inconsistent evidence - Unclear outcome C Insufficient evidence - Consensus SUFFIX FOR RECOMMENDATION GRADES FOR PREVENTIVE AND THERAPEUTIC INTERVENTION STUDIES (INCL HARM) 1 Systematic Review (SR) or Meta-Analysis (MA) of RCTs 2 1 RCT, or 1 RCT but no SR or MA 3 1 cohort study, or 1 cohort study but no SR or MA Other FOR DIAGNOSTIC, PROGNOSTIC, AETIOLOGIC AND OTHER TYPES OF STUDIES 1 SR or MA of cohort studies 2 1 cohort study, or 1 cohort study but no SR or MA 3 Other GRADES OF RECOMMENDATIONS (RANGING FROM A1 TO C4) GUIDELINES FOR THE MANAGEMENT OF ADULT LOWER RESPIRATORY TRACT INFECTIONS, ERJ 2005 GUIDELINES FOR THE MANAGEMENT OF ADULT LOWER RESPIRATORY TRACT INFECTIONS, ERJ 2005 MANAGEMENT OUTSIDE HOSPITAL DIAGNOSIS WHEN SHOULD ASPIRATION PNEUMONIA BE CONSIDERED? In patients with difficulties with swallowing who show signs of an acute LRTI. In these patients a chest X-ray should be performed. [C3] WHEN SHOULD CARDIAC FAILURE BE CONSIDERED? In patients above 65, with either orthopnoea, displaced apex beat and/or a history of myocardial infarction. [C3] GUIDELINES FOR THE MANAGEMENT OF ADULT LOWER RESPIRATORY TRACT INFECTIONS, ERJ 2005 MANAGEMENT OUTSIDE HOSPITAL DIAGNOSIS WHEN SHOULD PULMONARY EMBOLISM BE CONSIDERED? In patients with one of the