title: [Optimization of the antibiotics policy in the Netherlands. II. SWAB guidelines for the antimicrobial therapy of pneumonia in patients at home and as nosocomial infections. The Netherlands Antibiotic Policy Foundation].
abstract: The Netherlands Antibiotic Policy Foundation issued guidelines for empirical antimicrobial therapy of adult pneumonia patients in hospitals. A distinction is made between pneumonia contracted at home or in hospital because of the differences in micro-organisms and resistance patterns. These two categories are subdivided further with an empirical antibiotic treatment being chosen on the basis of the causative agents to be expected. For instance, pneumonia contracted at home is mostly caused by Streptococcus pneumoniae, to be treated with benzylpenicillin or amoxicillin. With regard to nosocomial pneumonia, treatment varies according to whether a pneumonia has or has not been contracted in the intensive care unit. Combating development of resistance is alloted an important place. Emphasis is laid on 'streamlining' the therapy, i.e. its adjustment (including choosing an antibiotic with the narrowest possible spectrum) once the causative agent is known.
authors.affiliation: Academisch Ziekenhuis, afd. Inwendige Geneeskunde, Nijmegen.
authors.forename: M E
authors.initials: ME
authors.lastname: van Kasteren
authors.forename: W J
authors.initials: WJ
authors.lastname: Wijnands
authors.forename: E E
authors.initials: EE
authors.lastname: Stobberingh
authors.forename: R
authors.initials: R
authors.lastname: Janknegt
authors.forename: J W
authors.initials: JW
authors.lastname: van der Meer
mesh_terms: D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000145:classification / Q000627:therapeutic use*; D003422:Critical Care / Q000592:standards; D003428:Cross Infection / Q000188:drug therapy*; D004352:Drug Resistance, Microbial; D006291:Health Policy; D006701:Home Nursing / Q000592:standards; D006761:Hospitals / Q000592:standards; D006801:Humans; D007882:Legislation, Hospital / Q000458:organization & administration / Q000592:standards; D008875:Middle Aged; D009426:Netherlands; D011014:Pneumonia / Q000188:drug therapy* / Q000453:epidemiology
chemical_list: D000900:Anti-Bacterial Agents
vernacular_title: Optimaliseren van het antibioticabeleid in Nederland. II. SWAB-richtlijnen voor antimicrobiële therapie bij thuis opgelopen pneumonie en bij nosocomiale pneumonie.