社区获得性肺炎（英文版）.ppt

Community-acquired Pneumonia;What is Your Specialty?;精品资料; 你怎么称呼老师？ 如果老师最后没有总结一节课的重点的难点，你是否会认为老师的教学方法需要改进？ 你所经历的课堂，是讲座式还是讨论式？ 教师的教鞭 “不怕太阳晒，也不怕那风雨狂，只怕先生骂我笨，没有学问无颜见爹娘 ……” “太阳当空照，花儿对我笑，小鸟说早早早……”;Primary Patient Care Site;How young are you?;How many cases of pneumonia have you cared for in the last year?;Community-acquired pneumonia;Community-Acquired Pneumonia;Recent Developments in C. A. P.;Microbiology of C. A. P.;Causative pathogens in 5,961 adults admitted to hospital with CAP identified in 26 prospective studies from 10 European countries;Strep. pneumoniae;Strep. pneumoniae (% Resistant);Hong Kong 1998Strep. Pneumoniae - 181 strains;Possible Diagnostic Tests;I routinely use a Gram stain;I routinely do a CBC;I often do a Chest x-ray;I commonly use pulse oximetry;Rapid Diagnostic studies; Antibiotics;Managed Care;Information Management;Applications of New Insights;Patient Pointscharacteristics assigned Demographic factors Age: males age (in yrs) females age (in yrs) -10 Nursing home resident +10 Comorbid illnesses Neoplastic disease +30 Liver disease +20 Congestive heart failure +10 Cerebrovascular disease +10 Renal disease +10;;;Do you routinely use an algorithm or guideline in decision making with C A P?;Hospital Admission Decisions ;Hospital Discharge Decisions;Patient Preference:Inpatient vs. Outpatient Therapy;Antibiotic Decision Making;Antibiotic Use;;Case;Answer;*;Case;*;Answer ;Case;*;Answer;Case;Answer;IDSA Empirical Antibiotic Selection for Patients with C.A.P.;;Summary ;Future Therapy of C. A. P.;I D Resources;IDSA Empirical Antibiotic Selection for Patients with C.A.P.;IDSA Empirical Antibiotic Selection for Patients with C.A.P.;;;;Algorithm;;;;Flow Chart Approach to Treating Outpatients and Inpatients with C.A.P.;;Antimicrobial Streamlining Techniques;Study of Antibiotic Switch Therapy: