title: Swedish guidelines on the management of community-acquired pneumonia in immunocompetent adults--Swedish Society of Infectious Diseases 2012.
abstract: This document presents the 2012 evidence based guidelines of the Swedish Society of Infectious Diseases for the in- hospital management of adult immunocompetent patients with community-acquired pneumonia (CAP). The prognostic score 'CRB-65' is recommended for the initial assessment of all CAP patients, and should be regarded as an aid for decision-making concerning the level of care required, microbiological investigation, and antibiotic treatment. Due to the favourable antibiotic resistance situation in Sweden, an initial narrow-spectrum antibiotic treatment primarily directed at Streptococcus pneumoniae is recommended in most situations. The recommended treatment for patients with severe CAP (CRB-65 score 2) is penicillin G in most situations. In critically ill patients (CRB-65 score 3-4), combination therapy with cefotaxime/macrolide or penicillin G/fluoroquinolone is recommended. A thorough microbiological investigation should be undertaken in all patients, including blood cultures, respiratory tract sampling, and urine antigens, with the addition of extensive sampling for more uncommon respiratory pathogens in the case of severe disease. Recommended measures for the prevention of CAP include vaccination for influenza and pneumococci, as well as smoking cessation.
authors: Department of Infectious Diseases, Karolinska University Hospital, Stockholm. carl.spindler@karolinska.se
authors: Carl
authors: C
authors: Spindler
authors: Kristoffer
authors: K
authors: Strålin
authors: Lars
authors: L
authors: Eriksson
authors: Gunilla
authors: G
authors: Hjerdt-Goscinski
authors: Hans
authors: H
authors: Holmberg
authors: Christer
authors: C
authors: Lidman
authors: Anna
authors: A
authors: Nilsson
authors: Ake
authors: A
authors: Ortqvist
authors: Jonas
authors: J
authors: Hedlund
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D017714:Community-Acquired Infections / Q000175:diagnosis* / Q000188:drug therapy*; D003661:Decision Support Techniques; D004359:Drug Therapy, Combination / Q000379:methods; D006801:Humans; D008828:Microbiological Techniques / Q000379:methods; D011014:Pneumonia / Q000175:diagnosis* / Q000188:drug therapy*; D013548:Sweden
chemical_list: D000900:Anti-Bacterial Agents