Community-acquired pneumonia: Difference between revisions

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[[Image:Streptococcus pneumoniae.jpg|right|200px]]
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{{Infobox Disease |
  Name          = Pneumonia |
  Image          = |
  Caption        = |
  DiseasesDB    = 10166 |
  ICD10          = {{ICD10|J|12||j|09}}, {{ICD10|J|13||j|09}}, {{ICD10|J|14||j|09}}, {{ICD10|J|15||j|09}}, {{ICD10|J|16||j|09}}, {{ICD10|J|17||j|09}}, {{ICD10|J|18||j|09}}, {{ICD10|P|23||p|20}} |
  ICD9          = {{ICD9|480}}-{{ICD9|486}}, {{ICD9|770.0}} |
  ICDO          = |
  OMIM          = |
  MedlinePlus    = |
  MeshName      = Pneumonia |
  MeshNumber    = C08.381.677 |
}}
{{Pneumonia}}
{{Pneumonia}}
{{CMG}}; '''Associate Editor(s)-In-Chief:''' [[Priyamvada Singh|Priyamvada Singh, M.D.]] [mailto:psingh@perfuse.org]; [[Philip Marcus, M.D., M.P.H.]][mailto:pmarcus192@aol.com]
 
'''For patient information click [[{{PAGENAME}} (patient information)|here]]'''
 
'''Editor(s)-in-Chief:''' [[C. Michael Gibson, M.S., M.D.]] [mailto:mgibson@perfuse.org] Phone:617-632-7753; [[Philip Marcus, M.D., M.P.H.]][mailto:pmarcus192@aol.com]


==[[Pneumonia overview#Community-acquired pneumonia|Overview]]==
==[[Pneumonia overview#Community-acquired pneumonia|Overview]]==
==[[Pneumonia historical perspective|Historical Perspective]]==


==[[Pneumonia pathophysiology|Pathophysiology]]==
==[[Pneumonia pathophysiology|Pathophysiology]]==


==[[Pneumonia epidemiology and demographics|Epidemiology & Demographics]]==
==[[Pneumonia causes|Causes]]==
:'''Specific causes:''' [[bacterial pneumonia|Bacterial]] | [[fungal pneumonia|Fungal]] | [[parasitic pneumonia|Parasitic]] | [[viral pneumonia|Viral]]
:'''Classification scheme:''' [[Community-acquired pneumonia]] | [[Hospital-acquired pneumonia|Health-care associated pneumonia]]
:'''Other types:''' [[Severe acute respiratory syndrome]] | [[Bronchiolitis obliterans organizing pneumonia]] | [[Eosinophilic pneumonia]] | [[Chemical pneumonia]] | [[Aspiration pneumonia]]
 
==[[Pneumonia differential diagnosis|Differentiating Pneumonia from other Diseases]]==


==[[Pneumonia risk factors|Risk Factors]]==
==[[Pneumonia epidemiology and demographics|Epidemiology and Demographics]]==


==[[Pneumonia natural history, complications, and prognosis|Natural History, Complications & Prognosis]]==
==[[Pneumonia risk factors|Risk factors]]==


==[[Pneumonia causes|Causes of Pneumonia]]==
==[[Pneumonia natural history, complications, and prognosis|Natural History, Complications and Prognosis]]==
'''Prognosis predictor scores:''' [[CURB-65]] | [[Pneumonia severity index]] | [[Pneumonia medical therapy#Criteria for severe community acquired pneumonia|Criteria for severe community acquired pneumonia]]


==[[Pneumonia differential diagnosis|Differentiating Pneumonia from other Diseases]]==
==Diagnosis==  


==[[Pneumonia physical examination|Physical Examination]]==
[[Pneumonia history and symptoms| History and Symptoms]] | [[Pneumonia physical examination | Physical Examination]] | [[Pneumonia laboratory studies |Laboratory Findings]] | [[Pneumonia chest x ray|Chest X Ray]] | [[Pneumonia CT|CT]]


==Diagnosis==
==Treatment==
==[[Pneumonia diagnostic criteria|Diagnostic criteria]]==


== Treatment ==
[[Pneumonia medical therapy#Pneumonia site of care decision|Site of care decision]] | [[Pneumonia medical therapy|Medical Therapy]] | [[Pneumonia medical therapy#Other treatments consideration|Other treatments consideration]] | [[Pneumonia prevention|Prevention]] | [[Pneumonia medical therapy#Management of non-responding pneumonia|Management of non-responding pneumonia]]
==[[Pneumonia medical therapy|Medical Therapy]]==
[[Category:Diseaase]]
[[Category:Pulmonology]]
[[Category:Infectious disease]]
[[Category:Pneumonia|Pneumonia]]
[[Category:Emergency medicine]]


==[[Pneumonia prevention|Prevention]]==
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==References==
{{Reflist}}
#{{note|Metaly}} Metaly JP, Schulz R, Li Y-H, Singer DE, Marrie TJ, Coley CM, Hough LJ, Obrosky DS, Kapoor WN, Fine MJ. ''Influence of age on symptoms at presentation in patients with community-acquired pneumonia.'' Arch Intern Med 1997; 157: 1453-1459 PMID 9224224
#{{note|Metlay}} Metlay, JP, Kapoor, WN, Fine, MJ. D''oes this patient have community-acquired pneumonia? Diagnosing pneumonia by history and physical examination.'' JAMA 1997; 278:1440. PMID 9356004
#{{note|Syrjala}} Syrjala H, Broas M, Suramo I, Ojala A, Lahde S. ''High resolution computed tomography for the diagnosis of community-acquired pneumonia.'' Clin Infect Dis 1998; 27: 358-363 PMID 9709887
#{{note|Webber}} Webber, S, Wilkinson, AR, Lindsell, D, et al. ''Neonatal pneumonia.'' Arch Dis Child 1990; 65:207.PMID 2107797
#{{note|Abzug}} Abzug, MJ, Beam, AC, Gyorkos, EA, Levin, MJ. ''Viral pneumonia in the first month of life.'' Pediatr Infect Dis J 1990; 9:881. PMID 2177540
#{{note|Wubbel}} Wubbel, L, Muniz, L, Ahmed, A, et al. ''Etiology and treatment of community-acquired pneumonia in ambulatory children. Pediatr Infect Dis J 1999; 18:98.'' PMID 10048679
#{{note|Roux}} de Roux, A, Marcos, MA, Garcia, E, et al. ''Viral community-acquired pneumonia in nonimmunocompromised adults.'' Chest 2004; 125:1343.PMID 15078744
#{{note|Ruhe}} Ruhe, JJ, Myers, L, Mushatt, D, Hasbun, R. ''High-level penicillin-nonsusceptible Streptococcus pneumoniae bacteremia: identification of a low-risk subgroup.'' Clin Infect Dis 2004; 38:508 PMID 14765343
#{{note|Lieberman}} Lieberman D, Schlaeffer F, Boldur I, Lieberman D, Horowitz S, Friedman MG, Leiononen M, Horovitz O, Manor E, Porath A. ''Multiple pathogens in adult patients admitted with community-acquired pneumonia: a one year prospective study of 346 consecutive patients.'' Thorax 1996; 51: 179-184 PMID 8711652
#{{note|Bradley}} Bradley, JS. ''Management of community-acquired pediatric pneumonia in an era of increasing antibiotic resistance and conjugate vaccines.'' Pediatr Infect Dis J 2002; 21:592. PMID 12182396
#{{note|Neiderman}} Niederman MS, Mandell LA, Anzueto A, Bass JB, Broughton WA, Campbell GD, Dean N, File T, Fine MJ, Gross PA, et al. ''Guidelines for the management of adults with community-acquired pneumonia: diagnosis, assessment of severity, antimicrobial therapy, and prevention.'' Am J Respir Crit Care Med 2001;163:1730–1754 PMID 11401897
#{{note|Mundy}} Mundy, LM, Auwaerter, PG, Oldach, D, et al. ''Community-acquired pneumonia: impact of immune status.'' Am J Respir Crit Care Med 1995; 152:1309. PMID 7551387
#{{note|Fine}} Fine MJ, Auble TE, Yealy DM, Hanusa BH, Weissfeld LA, Singer DE, Coley CM, Marrie TJ, Kapoor WN. ''A prediction rule to identify low-risk patients with community-acquired pneumonia.'' N Engl J Med 1997; 336: 243-250 PMID 8995086
#{{note|Woodhead}} Woodhead MA, MacFarlane JT, McCracken JS, Rose DH, Finch RG. ''Prospective study of the aetiology and outcome of pneumonia in the community.'' Lancet 1987; i: 671-674. PMID 2882091
#{{note|Garenne}} Garenne, M, Ronsmans, C, Campbell, H. ''The magnitude of mortality from acute respiratory infections in children under 5 years in developing countries.'' World Health Stat Q 1992; 45:180. PMID 1462653
#{{note|Almirall}} Almirall, J, Bolibar, I, Balanzo, X, Gonzalez, CA. ''Risk factors for community-acquired pneumonia in adults: A population-based case-control study.'' Eur Respir J 1999; 13:349. PMID 10065680
#{{note|Butler}} Butler JC, Breiman RF, Campbell JF, Lipman HB, Broome CV, Facklam RR. ''Pneumococcal polysaccharide vaccine efficacy: an evaluation of current recommendations.'' JAMA 1993; 270: 1826-1831. PMID 8411526
#{{note|CDC}} Centers for Disease Control and Prevention. ''Prevention and control of influenza: recommendations of the Advisory Committee on Immunization Practices (ACIP)''. MMWR 1999;48(RR-4):1-28.
#{{note|Hayden}} Hayden FG, Atmar RL, Schilling M, Johnson C, Poretz D, Paar D, Huson L, Ward P, Mills RG. ''Use of the selective oral neuraminidase inhibitor oseltamivir to prevent influenza.'' N Engl J Med 1999; 341: 1336-1343 PMID 10536125


==References==
==References==

Revision as of 19:26, 7 September 2012

Pneumonia
ICD-10 J12, J13, J14, J15, J16, J17, J18, P23
ICD-9 480-486, 770.0
DiseasesDB 10166
MeSH C08.381.677

Pneumonia Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Pneumonia from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Criteria

Diagnostic Algorithm

History and Symptoms

Physical Examination

Laboratory Findings

Chest X Ray

CT

Other Imaging Findings

Treatment

Medical Therapy

Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Community-acquired pneumonia On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

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American Roentgen Ray Society Images of Community-acquired pneumonia

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X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Community-acquired pneumonia

CDC onCommunity-acquired pneumonia

Community-acquired pneumonia in the news

Blogs on Community-acquired pneumonia

Directions to Hospitals Treating Pneumonia

Risk calculators and risk factors for Community-acquired pneumonia

For patient information click here

Editor(s)-in-Chief: C. Michael Gibson, M.S., M.D. [1] Phone:617-632-7753; Philip Marcus, M.D., M.P.H.[2]

Overview

Historical Perspective

Pathophysiology

Causes

Specific causes: Bacterial | Fungal | Parasitic | Viral
Classification scheme: Community-acquired pneumonia | Health-care associated pneumonia
Other types: Severe acute respiratory syndrome | Bronchiolitis obliterans organizing pneumonia | Eosinophilic pneumonia | Chemical pneumonia | Aspiration pneumonia

Differentiating Pneumonia from other Diseases

Epidemiology and Demographics

Risk factors

Natural History, Complications and Prognosis

Prognosis predictor scores: CURB-65 | Pneumonia severity index | Criteria for severe community acquired pneumonia

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | Chest X Ray | CT

Treatment

Site of care decision | Medical Therapy | Other treatments consideration | Prevention | Management of non-responding pneumonia

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References

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