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  • Title: [Severe community-acquired and hospital-acquired pneumonia].
    Author: Witte L, Drömann D.
    Journal: Med Klin Intensivmed Notfmed; 2012 Mar; 107(2):151-8; quiz 159. PubMed ID: 22407447.
    Abstract:
    Severe community-acquired pneumonia and hospital-acquired pneumonia are common infectious diseases in Germany. They are associated with high mortality especially in the old and multimorbid patient and are thus a challenge in daily clinical practice. While the CRB65 is a thoroughly validated score for risk stratification in community-acquired pneumonia, there is no comparable score for hospital-acquired pneumonia yet. Early initiation of adequate antibiotic treatment is essential for a positive outcome. Hospital-acquired pneumonia is more often associated with multidrug-resistant bacteria, which should be considered in the choice of initial treatment especially if the patient can be considered a member of a risk group. This article focuses on severe pneumonia and gives an overview of the recent guidelines and discusses newly published results.
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