Diagnosis and treatment of community-acquired pneumonia

M. Nawal Lutfiyya, Eric Henley, Linda F. Chang, Stephanie Wessel Reyburn

Research output: Contribution to journalReview articlepeer-review

80 Scopus citations

Abstract

Patients with community-acquired pneumonia often present with cough, fever, chills, fatigue, dyspnea, rigors, and pleuritic chest pain. When a patient presents with suspected community-acquired pneumonia, the physician should first assess the need for hospitalization using a mortality prediction tool, such as the Pneumonia Severity Index, combined with clinical judgment. Consensus guidelines from several organizations recommend empiric therapy with macrolides, fluoroquinolones, or doxycycline. Patients who are hospitalized should be switched from parenteral antibiotics to oral antibiotics after their symptoms improve, they are afebrile, and they are able to tolerate oral medications. Clinical pathways are important tools to improve care and maximize cost-effectiveness in hospitalized patients.

Original languageEnglish (US)
Pages (from-to)442-450
Number of pages9
JournalAmerican family physician
Volume73
Issue number3
StatePublished - Jan 2 2006

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