Corticosteroids for the management of severe community-acquired pneumonia: A UK-wide survey.

IF 2.1 Q3 CRITICAL CARE MEDICINE

Journal of the Intensive Care Society Pub Date : 2025-03-31 DOI:10.1177/17511437251330145

Isis Terrington, Olivia Cox, Elizabeth Webb, Benjamin Eastwood, Patrick Copley, Kordo Saeed, Andrew Conway Morris, Michael Pw Grocott, Ahilanandan Dushianthan

引用次数: 0

Abstract

The use of corticosteroids in severe community-acquired pneumonia (sCAP) management is a contentious issue with current practices of United Kingdom (UK) intensivists largely unknown. To investigate this, we surveyed UK intensive care clinicians from 20 September 2024 to 19 December 2024, collecting 160 responses from 115 intensive care units (response rate 48.3%). 56.1% of responders use corticosteroids in the treatment of sCAP. There were large variabilities in practice. Hydrocortisone started within 24 h of admission 50 mg four times a day for 4-5 days was the most reported regime. The variation in practice coupled with relative equipoise requires further evaluation and guidance.

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在重症社区获得性肺炎（sCAP）治疗中使用皮质类固醇是一个有争议的问题，英国重症监护医生目前的做法在很大程度上是未知的。为了调查这一问题，我们在 2024 年 9 月 20 日至 2024 年 12 月 19 日期间对英国重症监护临床医生进行了调查，共收集到来自 115 个重症监护病房的 160 份回复（回复率为 48.3%）。56.1%的回复者在治疗sCAP时使用皮质类固醇。在实践中存在很大差异。报告最多的治疗方案是在入院 24 小时内开始使用氢化可的松，每次 50 毫克，每天 4 次，连续使用 4-5 天。实践中的差异以及相对的等效性需要进一步评估和指导。

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

Journal of the Intensive Care Society Nursing-Critical Care Nursing

CiteScore

4.40

自引率

0.00%

发文量

期刊介绍： The Journal of the Intensive Care Society (JICS) is an international, peer-reviewed journal that strives to disseminate clinically and scientifically relevant peer-reviewed research, evaluation, experience and opinion to all staff working in the field of intensive care medicine. Our aim is to inform clinicians on the provision of best practice and provide direction for innovative scientific research in what is one of the broadest and most multi-disciplinary healthcare specialties. While original articles and systematic reviews lie at the heart of the Journal, we also value and recognise the need for opinion articles, case reports and correspondence to guide clinically and scientifically important areas in which conclusive evidence is lacking. The style of the Journal is based on its founding mission statement to ‘instruct, inform and entertain by encompassing the best aspects of both tabloid and broadsheet''.