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Community-Acquired Pneumonia in Adults: Diagnosis and Management - American Family ...

Nov 1, 2016 - Community-acquired pneumonia is a leading cause of death. Risk factors include older age and medical comorbidities. Diagnosis is suggested by a history of cough, dyspnea, pleuritic pain, or acute functional or cognitive decline, with abnormal vital signs (e.g., fever, tachycardia) and ...

American Family Physician : Article

https://www.aafp.org/afp/2016/1101/p698.html

Pneumonia - American Family Physician

Aug 15, 2019 - This collection features AFP content on pneumonia and related issues, including community-acquired pneumonia, and nursing home care. This collection features AFP content on pneumonia and related issues, including community-acquired pneumonia, and nursing home care.

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=22

Community-Acquired Pneumonia in Children - American Family Physician

Oct 1, 2012 - Community-acquired pneumonia is a potentially serious infection in children and often results in hospitalization. The diagnosis can be based on the history and physical examination results in children with fever plus respiratory signs and symptoms. Chest radiography and rapid viral ...

American Family Physician : Article

https://www.aafp.org/afp/2012/1001/p661.html

Diagnosis and Management of Community-Acquired Pneumonia in Adults - American Family ...

Jun 1, 2011 - Community-acquired pneumonia is diagnosed by clinical features (e.g., cough, fever, pleuritic chest pain) and by lung imaging, usually an infiltrate seen on chest radiography. Initial evaluation should determine the need for hospitalization versus outpatient management using validated ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0601/p1299.html

Common Questions About Pneumonia in Nursing Home Residents - American Family Physician

Oct 1, 2015 - Pneumonia in older adults residing in nursing homes can be challenging to diagnose and treat. Pneumococcal and influenza immunizations decrease the risk of pneumonia and are recommended for all nursing home patients. Older adults with pneumonia may not display classic signs and symptoms...

American Family Physician : Article

https://www.aafp.org/afp/2015/1001/p612.html

Diagnosis and Treatment of Community-Acquired Pneumonia - American Family Physician

Feb 1, 2006 - Patients with community-acquired pneumonia often present with cough, fever, chills, fatigue, dyspnea, rigors, and pleuritic chest pain. When a patient presents with suspected community-acquired pneumonia, the physician should first assess the need for hospitalization using a mortality ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0201/p442.html

Respiratory Syncytial Virus Infection in Children - American Family Physician

Jan 15, 2011 - Respiratory syncytial virus (RSV) is an RNA virus that causes respiratory tract infections in children. In the North- ern Hemisphere, the peak infection season is November through April. By two years of age, most children will have had an RSV infection. Bronchiolitis, a lower ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0115/p141.html

Community-Acquired Pneumonia: Determining Safe Treatment in the Outpatient Setting - ...

Jun 15, 2019 - When is it safe to treat a patient with community-acquired pneumonia a an outpatient?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2019/0615/p768.html

Identifying Outpatients with Acute Cough at Very Low Risk of Pneumonia - Point-of-Care ...

Aug 15, 2019 - In patients with acute cough, is it possible to identify a subset with a very low likelihood of community-acquired pneumonia?

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2019/0815/p246.html

Community-Acquired Pneumonia in Infants and Children - American Family Physician

Sep 1, 2004 - Community-acquired pneumonia is one of the most common serious infections in children, with an annual incidence of 34 to 40 cases per 1,000 children in Europe and North America. When diagnosing community-acquired pneumonia, physicians should rely mainly on the patient's history and ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0901/p899.html

Treatment of Nursing Home-Acquired Pneumonia - American Family Physician

Jun 1, 2009 - Pneumonia is an important cause of morbidity and mortality in nursing home residents, with 30-day mortality rates ranging from 10 to 30 percent. Streptococcus pneumoniae is the most common cause of nursing home-acquired pneumonia, although Staphylococcus aureus and gram-negative ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0601/p976.html

Normal Vital Signs and Pulmonary Examination Results Rule Out CAP in Adults with Acute ...

Sep 15, 2019 - Community-dwelling adults who present to a primary care office with acute respiratory infection symptoms but normal vital signs and normal findings on a pulmonary examination have only a 0.4% likelihood of community-acquired pneumonia (CAP).

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0915/p375.html

Procalcitonin to Guide Antibiotic Therapy in Acute Respiratory Infections - Cochrane ...

Jul 1, 2018 - Procalcitonin-guided antibiotic therapy, when compared with routine treatments, results in decreased mortality in patients with acute respiratory infections (absolute risk reduction [ARR] = 1.4%; number needed to treat [NNT] = 71).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2018/0701/p20.html

Pneumococcal Vaccines in Chronic Obstructive Pulmonary Disease - Medicine by the ...

Apr 1, 2018 - Pneumococcal vaccines had no significant effect on mortality from cardiorespiratory disease when compared with control and had no significant effect on all-cause mortality. Find out more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2018/0401/p463.html

Effectiveness of Pneumococcal Vaccines - FPIN's Help Desk Answers - American Family ...

May 1, 2018 - The 23-valent pneumococcal polysaccharide vaccine (PPSV23; Pneumovax 23) decreases the relative risk of community-acquired pneumonia in adults by 13%. The risk is reduced by 28% in the population that includes adults older than 65 years, those with lung disease, and those living in a ...

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0501/od3.html

Oral Steroids Not Helpful for Acute Lower Respiratory Tract Infection in Nonasthmatic ...

Jan 1, 2018 - This study found no clinically significant benefit of steroids for the treatment of acute LRTI in adults without asthma, including those presenting with wheezing or shortness of breath.

American Family Physician : POEMs

https://www.aafp.org/afp/2018/0101/p55.html

In Hospitalized Patients with Influenza and an Infiltrate, Adding Clarithromycin and ...

Dec 15, 2017 - Adding clarithromycin and naproxen to oseltamivir significantly lowered all-cause mortality at 30 days and at 90 days. This study was limited by its open-label design. The outcome of mortality would not be subject to observer bias, though, and the groups were balanced.

American Family Physician : POEMs

https://www.aafp.org/afp/2017/1215/od5.html

Atypical Pathogens and Challenges in Community-Acquired Pneumonia - American Family ...

Apr 1, 2004 - Atypical organisms such as Mycoplasma pneumoniae, Chlamydia pneumoniae, and Legionella pneumophila are implicated in up to 40 percent of cases of community-acquired pneumonia. Antibiotic treatment is empiric and includes coverage for both typical and atypical organisms. Doxycycline, a ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0401/p1699.html

Evidence Poses a Challenge to Imaging Standards in the Diagnosis of Pneumonia - Letters...

Feb 1, 2018 - Advertisement << Previous article Next article >> Feb 1, 2018 Issue Letters to the Editor Evidence Poses a Challenge to Imaging Standards in the Diagnosis of Pneumonia Am Fam Physician. 2018 Feb 1;97(3):158-159. Original Article: Community-Acquired Pneumonia in Adults: Diagnosis and...

American Family Physician : Letter

https://www.aafp.org/afp/2018/0201/p158.html

Corticosteroids for Community-Acquired Pneumonia - Medicine by the Numbers - American ...

Jun 1, 2016 - Studies show that 1 in 20 patients avoided mechanical ventilation and 1 in 16 patients avoided ARDS; 1 in 29 patients developed hyperglycemia requiring treatment. Read more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2016/0601/od1.html

Steroids Beneficial As Adjunctive Treatment for Community-Acquired Pneumonia - POEMs - ...

Feb 1, 2016 - Moderate-quality to high-quality evidence suggests that steroids, when added to antibiotics and usual care, can improve outcomes in the treatment of CAP. Benefits include reduced hospital length of stay, decreased time to clinical stability, and lower rates of mechanical ventilation and...

American Family Physician : POEMs

https://www.aafp.org/afp/2016/0201/p227.html

Prednisone Speeds Recovery, Shortens Stay in Patients Hospitalized with CAP - POEMs - ...

Sep 15, 2015 - Among patients hospitalized with CAP, adjunctive prednisone speeds time to recovery by 1.5 days and shortens hospital length of stay by approximately one day, but produces no difference in pneumonia complications at 30 days.

American Family Physician : POEMs

https://www.aafp.org/afp/2015/0915/p528a.html

Beta-Lactam Not as Effective as Beta-Lactam Plus Macrolide for Treating CAP in the ...

May 15, 2015 - In this noninferiority trial, monotherapy with a beta-lactam was not as effective as combination therapy with a beta-lactam and a macrolide for achieving clinical stability in seven days for hospitalized patients with moderately severe CAP.

American Family Physician : POEMs

https://www.aafp.org/afp/2015/0515/p720.html

Evidence Does Not Show Benefit of Treating Mycoplasma Pneumonia in Children - POEMs - ...

Jan 15, 2015 - After all these years of knowing about Mycoplasma pneumoniae as a cause of lower respiratory tract infections and the effectiveness of various antibiotics against it in a Petri dish, we still do not know whether treating mycoplasma pneumonia in children is effective. This study does not...

American Family Physician : POEMs

https://www.aafp.org/afp/2015/0115/p132.html

Net Benefit with Azithromycin Use in Older Hospitalized Patients with Pneumonia - POEMs...

Nov 1, 2014 - For older patients hospitalized with pneumonia, the use of combination antibiotic therapy including azithromycin is associated with decreased mortality but an increased risk of myocardial infarction (MI). You would need to treat 21 patients with azithromycin to prevent one death within ...

American Family Physician : POEMs

https://www.aafp.org/afp/2014/1101/p661.html

Pneumonia in Older Residents of Long-Term Care Facilities - American Family Physician

Oct 15, 2004 - Compared with community-dwelling persons, residents in long-term care facilities have more functional disabilities and underlying medical illnesses and are at increased risk of acquiring infectious diseases. Pneumonia is the leading cause of morbidity and mortality in this group. Risk ...

American Family Physician : Article

https://www.aafp.org/afp/2004/1015/p1495.html

Corticosteroids for Presumed Pneumocystis Pneumonia in Patients with HIV Infection - ...

Jul 15, 2013 - Adjunctive corticosteroids decrease mortality in patients with HIV infection who have moderate to severe hypoxemia and suspected or confirmed pneumocystis pneumonia. Corticosteroids lead to a higher incidence of herpetic lesions, but not other opportunistic conditions.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2013/0715/od1.html

PIDS and IDSA Issue Management Guidelines for Community-Acquired Pneumonia in Infants ...

Jul 15, 2012 - Previously published guidelines for the management of community-acquired pneumonia (CAP) in adults have been shown to decrease morbidity and mortality rates. The Pediatric Infectious Diseases Society (PIDS) and the Infectious Diseases Society of America (IDSA) have created new ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/0715/p196.html

Pneumocystis carnii Pneumonia: A Clinical Review - American Family Physician

Oct 15, 1999 - Pneumocystis carinii pneumonia (PCP) is an opportunistic infection that occurs in immunosuppressed populations, primarily patients with advanced human immunodeficiency virus infection. The classic presentation of nonproductive cough, shortness of breath, fever, bilateral interstitial ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1015/p1699.html

Common Infections in Older Adults - American Family Physician

Jan 15, 2001 - Infectious diseases account for one third of all deaths in people 65 years and older. Early detection is more difficult in the elderly because the typical signs and symptoms, such as fever and leukocytosis, are frequently absent. A change in mental status or decline in function may be ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0115/p257.html

Community-Acquired Pneumonia - Clinical Evidence Handbook - American Family Physician

Jul 15, 2011 - What are the effects of interventions to prevent community-acquired pneumonia? What are the effects of treatments for community-acquired pneumonia in outpatient settings and in persons admitted to a hospital or receiving instensive care?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2011/0715/p218.html

Chest Physiotherapy for Pneumonia in Adults - Cochrane for Clinicians - American Family...

Dec 1, 2010 - There is little evidence to support the effectiveness of chest physiotherapy for adults with pneumonia. In two small studies by the same investigator, only osteopathic manipulation was shown to improve some outcomes (i.e., length of stay and duration of antibiotic therapy).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2010/1201/p1340.html

Clinical Diagnosis of Pneumonia in Children - Point-of-Care Guides - American Family ...

Jul 15, 2010 - Pneumonia remains a common source of morbidity and mortality in children. A key question in the diagnostic evaluation of children with acute respiratory illness is whether chest radiography should be performed to rule in or rule out the diagnosis of pneumonia. Radiologically, pneumonia ...

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2010/0715/p192.html

Predicting Pneumonia in Adults with Respiratory Illness - Point-of-Care Guides - ...

Aug 15, 2007 - Identifying patients with pneumonia (defined as acute respiratory illness with an infiltrate seen on a chest radiograph) is important.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2007/0815/p560.html

CDC Reports on Antimicrobial-Resistant S. Pneumoniae - Practice Guidelines - American ...

Jul 1, 2008 - Treatment of invasive pneumococcal disease caused by infection with Streptococcus pneumoniae (pneumococcus) is complicated by antimicrobial resistance. The Centers for Disease Control and Prevention (CDC) analyzed surveillance data of invasive pneumococcal disease and examined the ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2008/0701/p135.html

Telithromycin (Ketek) for Treatment of Community-Acquired Pneumonia - STEPS - American ...

Dec 15, 2007 - Telithromycin is similar to clarithromycin with regard to dosing, drug interactions, and effectiveness. It has more frequent and severe adverse effects and is more expensive than other macrolides. Telithromycin should only be used in patients with mild to moderate community-acquired ...

American Family Physician : STEPS

https://www.aafp.org/afp/2007/1215/p1857.html

Treatment of Nursing Home-Acquired Pneumonia: Dogma vs. Data - Editorials - American ...

Jun 1, 2009 - Advertisement << Previous article Next article >> Jun 1, 2009 Issue Editorials Treatment of Nursing Home–Acquired Pneumonia: Dogma vs. Data JOSEPH M. MYLOTTE, MD, State University of New York at Buffalo, Buffalo, New York Am Fam Physician. 2009 Jun 1;79(11):945-948. Related Article...

American Family Physician : Editorials

https://www.aafp.org/afp/2009/0601/p945.html

ACCP Releases Consensus Statement on Outpatient Treatment for CAP - Practice Guidelines...

Oct 15, 2005 - The American College of Chest Physicians (ACCP) recently issued a clinical position statement on outpatient management of community-acquired pneumonia (CAP).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2005/1015/p1607.html

CDC and HICPAC Release Updated Guidelines on the Prevention of Health-Care-Associated ...

Aug 1, 2004 - Recommendations on reducing the incidence of pneumonia and other severe, acute lower respiratory tract infections in acute-care hospitals and in other health care settings have been released by the Centers for Disease Control and Prevention (CDC) and the Healthcare Infection Control ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/0801/p596.html

Telithromycin (Ketek) for Respiratory Tract Infections - STEPS - American Family Physician

Sep 15, 2004 - Telithromycin is similar to azithromycin and clarithromycin in side effects, dosing, and cost, but with enhanced activity against S. pneumoniae. Although 30 to 40 percent of S. pneumoniae cases are thought to be resistant to penicillin and/or macrolides, additional clinical trials are ...

American Family Physician : STEPS

https://www.aafp.org/afp/2004/0915/p1121.html

Community-Acquired Pneumonia - Clinical Evidence Handbook - American Family Physician

Jul 1, 2002 - What are the effects of antibiotics in outpatient settings? What are the effects of treatments in people admitted to the hospital? What are the effects of treatments in people in intensive care? What are the effects of guidelines? What are the effects of preventive interventions?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2002/0701/p135.html

Adult Immunization-Pneumococcal Vaccine - Putting Prevention into Practice - American ...

Apr 1, 2000 - Case study: JS is a 54-year-old white woman who comes to your office to establish herself as a patient. During a review of her medical history, several active medical problems come to light, including type 2 diabetes mellitus (formerly known as non–insulin-dependent diabetes mellitus) ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2000/0401/p2239.html

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