title: [Adult severe community-acquired pneumonia: from diagnosis to intensive care].
abstract: Severe community-acquired pneumonia is defined as a pneumonia acquired in an extra-hospital setting requiring intensive care. Clinical scores such as the ATS modified rule can help the clinician to recognize quickly the patients needing ICU. Evidence based interventions decreasing mortality consist of rapid administration of antibiotics, by probably privileging an association containing a macrolide, as well as fast and specialized care of shock and respiratory failure. Severe community-acquired pneumonia is burdened by a short and long-term important mortality.
authors.affiliation: Services des soins intensifs et de médecine, Département cantonal de médecine, Hôpital neuchâtelois - La Chaux-de-Fonds, 2300 La Chaux-de-Fonds. Laurent.Seravalli@ne.ch
authors.forename: Laurent
authors.initials: L
authors.lastname: Seravalli
authors.forename: Hervé
authors.initials: H
authors.lastname: Zender
authors.forename: Daniel
authors.initials: D
authors.lastname: Genné
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D017714:Community-Acquired Infections / Q000175:diagnosis / Q000628:therapy; D003422:Critical Care; D006801:Humans; D011014:Pneumonia / Q000175:diagnosis* / Q000628:therapy*; D012720:Severity of Illness Index
chemical_list: D000900:Anti-Bacterial Agents