Brazilian guidelines for community-acquired pneumonia in immunocompetent adults - 2009.
Community-acquired pneumonia continues to be the acute infectious disease that has the greatest medical and social impact regarding morbidity and treatment costs. Children and the elderly are more susceptible to severe complications, thereby justifying the fact that the prevention measures adopted have focused on these age brackets. Despite the advances in the knowledge of etiology and physiopathology, as well as the improvement in preliminary clinical and therapeutic methods, various questions merit further investigation. This is due to the clinical, social, demographical and structural diversity, which cannot be fully predicted. Consequently, guidelines are published in order to compile the most recent knowledge in a systematic way and to promote the rational use of that knowledge in medical practice. Therefore, guidelines are not a rigid set of rules that must be followed, but first and foremost a tool to be used in a critical way, bearing in mind the variability of biological and human responses within their individual and social contexts. This document represents the conclusion of a detailed discussion among the members of the Scientific Board and Respiratory Infection Committee of the Brazilian Thoracic Association. The objective of the work group was to present relevant topics in order to update the previous guidelines. We attempted to avoid the repetition of consensual concepts. The principal objective of creating this document was to present a compilation of the recent advances published in the literature and, consequently, to contribute to improving the quality of the medical care provided to immunocompetent adult patients with community-acquired pneumonia.
Corrêa
Ricardo de Amorim
Rde A
Universidade Federal de Minas Gerais - UFMG, Federal University of Minas Gerais - School of Medicine, Belo Horizonte, Brazil.
Lundgren
Fernando Luiz Cavalcanti
FL
Pereira-Silva
Jorge Luiz
JL
Frare e Silva
Rodney Luiz
RL
Cardoso
Alexandre Pinto
AP
Lemos
Antônio Carlos Moreira
AC
Rossi
Flávia
F
Michel
Gustavo
G
Ribeiro
Liany
L
Cavalcanti
Manuela Araújo de Nóbrega
MA
de Figueiredo
Mara Rúbia Fernandes
MR
Holanda
Marcelo Alcântara
MA
Valery
Maria Inês Bueno de André
MI
Aidê
Miguel Abidon
MA
Chatkin
Moema Nudilemon
MN
Messeder
Octávio
O
Teixeira
Paulo José Zimermann
PJ
Martins
Ricardo Luiz de Melo
RL
da Rocha
Rosali Teixeira
RT
D000328:Adult; D001938:Brazil; D017714:Community-Acquired Infections / Q000175:diagnosis / Q000188:drug therapy / Q000517:prevention & control; D006801:Humans; D007121:Immunocompetence; D018410:Pneumonia, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000517:prevention & control; D012720:Severity of Illness Index