从初级保健升级肺炎方法

IF 0.9 Q4 PRIMARY HEALTH CARE
M. Carmona González , G. Rodríguez Parejo , D. Murillo García , C. Montero Peña
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引用次数: 0

摘要

社区获得性肺炎(CAP)是一种传染性肺实质的急性炎症,在男性、极端年龄和有合并症的人群中发病率较高。临床分为典型和非典型,表现出不同的放射学模式,其中肺超声诊断比放射学更敏感,对有针对性的治疗具有重要的微生物学研究意义。因此,CAP的经验性治疗应及早开始,考虑危险因素,并根据儿童的年龄和体重进行调整,其预防包括肺炎球菌和流感疫苗接种。决定住院或ICU的尺度有多种。本文综述了CAP的流行病学、诊断、治疗和预防的最新进展,并强调了其管理的最相关方面。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Actualización en el abordaje de las neumonías desde atención primaria
Community-acquired pneumonia (CAP) is an acute inflammation of the lung parenchyma of infectious origin, with higher incidence in males, extremes of age and people with comorbidities. Clinically classified as typical and atypical, it presents different radiological patterns, where lung ultrasound is more sensitive than radiography for its diagnosis, being important the microbiological study for a directed treatment. Thus, empirical treatment of CAP should be started early, considering risk factors and adjusting according to age and weight in children, whose prevention includes pneumococcal and influenza vaccination. There are various scales for deciding hospital or ICU admission. This review provides an update on the epidemiology, diagnosis, treatment and prevention of CAP, highlighting the most relevant aspects for its management.
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来源期刊
Medicina de Familia-SEMERGEN
Medicina de Familia-SEMERGEN PRIMARY HEALTH CARE-
CiteScore
1.40
自引率
18.20%
发文量
83
审稿时长
39 days
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