慢性阻塞性肺病老年患者肺炎管理的进展与挑战。

Sebastian Ocrospoma, Antonio Anzueto, Marcos I Restrepo
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引用次数: 0

摘要

导言:慢性阻塞性肺病(COPD)是老年人易患肺炎的重要疾病,是肺功能障碍与感染风险之间复杂的相互作用:本文回顾了慢性阻塞性肺病对流行病学的重大影响,阐明了慢性阻塞性肺病和肺炎相互关联的病理生理学,并研究了影响这些患者感染的微生物环境。文章还评估了治疗方案以及治疗过程中遇到的多方面临床挑战:通过深入研究最新研究成果,我们强调了疫苗接种等预防措施的重要性,并提出了一种综合方法来管理慢性阻塞性肺病人群中的社区获得性肺炎(CAP)。该综述还提出了未来研究的战略方向,旨在通过深入了解慢性阻塞性肺病与肺炎之间的关系来提高患者的治疗效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Advancements and challenges in the management of pneumonia in elderly patients with COPD.

Introduction: Chronic Obstructive Pulmonary Disease (COPD) significantly predisposes the elderly to pneumonia, presenting a complex interplay of pulmonary dysfunction and infection risk.

Areas covered: This article reviews the substantial epidemiologic impact, elucidates the interlinked pathophysiology of COPD and pneumonia, and examines the microbial landscape shaping infection in these patients. It also evaluates management protocols and the multifaceted clinical challenges encountered during treatment.

Expert opinion: Delving into the latest research, we underscore the criticality of preventive measures such as vaccination and present an integrated approach to managing Community-Acquired Pneumonia (CAP) in the COPD demographic. The review also proposes strategic directions for future investigations aimed at enhancing patient outcomes through a deeper understanding of the COPD-pneumonia nexus.

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