Composition of the revised SWAB guidelines for community-acquired pneumonia: a systematic review of the literature

Abstract:

The Dutch Working Party on Antibiotic Policy (Stichting Werkgroep Antibiotica Beleid, SWAB) develops national guidelines to optimize the quality of use of antibiotics and to contribute to the containment of antimicrobial resistance. An update of the SWAB guideline for Community-acquired Pneumonia (1998) was considered necessary due to changing resistance patterns of common pathogens and new developments in epidemiology, diagnostic tests and treatment strategies. As opposed to the 1998 guideline, the current guideline is applicable to both primary and inpatient care. It was developed by a writing committee, composed of members of all professional organisations involved in the treatment of CAP. In the composition of the guideline, this committee followed Evidence Based Guideline Development recommendations. Assessment of a patient's" severity of illness" at presentation is considered important, when choosing an optimal empirical antibiotic regimen for CAP. Severely ill patients should be treated with antibiotics covering the most important expected pathogens, including Legionella spp. Assessment of the severity of illness may be facilitated by the use of (validated) scoring systems like the PSI-score and CURB-65 score. Patients can also be stratified based on their location of treatment: out of hospital, at a normal ward or at an Intensive Care Unit. Legionella urine antigen testing is considered an important tool in the process of deciding on an optimal antibiotic regimen for CAP.

Año de publicación:

Keywords:

Fuente:

google