Pulmonary Infections in Adults: Pulmonary Infections in Immunocompromised Patients.

Q3 Medicine
FP essentials Pub Date : 2025-03-01
Julio A Ramirez, Thomas M File
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引用次数: 0

Abstract

Immunocompromised patients with pneumonia can have infection with both common pulmonary pathogens and opportunistic pathogens. A basic microbiological workup should be performed in all immunocompromised patients who are hospitalized and considered for outpatients. The need for a more extensive and invasive workup (eg, bronchoscopy for bronchoalveolar lavage transbronchial lung biopsy) should be individualized, considering risk factors for opportunistic pathogens. As part of treating immunocompromised patients with pneumonia, it is important to evaluate whether any immunosuppressive medications can be discontinued or decreased to improve the patient's level of immunity. Empiric therapy for opportunistic pathogens should be considered in patients who have risk factors for a particular pathogen and when delaying appropriate therapy would increase mortality risk.

成人肺部感染:免疫功能低下患者的肺部感染
免疫功能低下的肺炎患者可能同时感染常见的肺部病原体和机会性病原体。所有住院和考虑门诊的免疫功能低下患者都应进行基本的微生物检查。需要更广泛和侵入性的检查(例如,支气管镜检查支气管肺泡灌洗经支气管肺活检)应个体化,考虑机会性病原体的危险因素。作为治疗肺炎免疫功能低下患者的一部分,评估是否可以停用或减少免疫抑制药物以提高患者的免疫水平是很重要的。对于具有特定病原体危险因素的患者,当延迟适当治疗会增加死亡风险时,应考虑对机会性病原体进行经验性治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
FP essentials
FP essentials Medicine-Medicine (all)
CiteScore
1.00
自引率
0.00%
发文量
58
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