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https://ahro.austin.org.au/austinjspui/handle/1/23594| Title: | "Management of Community-Acquired Pneumonia in Immunocompromised Adults: A Consensus Statement Regarding Initial Strategies". | Austin Authors: | Ramirez, Julio A;Musher, Daniel M;Evans, Scott E;Dela Cruz, Charles;Crothers, Kristina A;Hage, Chadi A;Aliberti, Stefano;Anzueto, Antonio;Arancibia, Francisco;Arnold, Forest;Azoulay, Elie;Blasi, Francesco;Bordon, Jose;Burdette, Steven;Cao, Bin;Cavallazzi, Rodrigo;Chalmers, James;Charles, Patrick G P ;Chastre, Jean;Claessens, Yann-Erick;Dean, Nathan;Duval, Xavier;Fartoukh, Muriel;Feldman, Charles;File, Thomas;Froes, Filipe;Furmanek, Stephen;Gnoni, Martin;Lopardo, Gustavo;Luna, Carlos;Maruyama, Takaya;Menendez, Rosario;Metersky, Mark;Mildvan, Donna;Mortensen, Eric;Niederman, Michael S;Pletz, Mathias;Rello, Jordi;Restrepo, Marcos I;Shindo, Yuichiro;Torres, Antoni;Waterer, Grant;Webb, Brandon;Welte, Tobias;Witzenrath, Martin;Wunderink, Richard | Affiliation: | Department of Infectious Diseases, Austin Health, Heidelberg, Victoria, Australia Division of Infectious Diseases, University of Louisville, Louisville, KY, USA Division of Infectious Diseases and Clinical Epidemiology, Intermountain Healthcare, Salt Lake City, UT Division of Infectious Diseases and Geographic Medicine, Stanford Medicine, Palo Alto, CA, USA Department of Medicine, University of Melbourne, Australia Providence Health Center, Section of Infectious Diseases, Washington, DC, USA Baylor College of Medicine and Michael E. DeBakey VA Medical Center, Houston, TX, USA Department of Pulmonary Medicine, University of Texas MD Anderson Cancer Center, Houston, TX, USA Pulmonary, Critical Care and Sleep Medicine, Yale University, New Haven, CT, USA Veterans Puget Sound Health Care System, University of Washington, Seattle WA, USA Thoracic Transplant Program, Indiana University, Indianapolis, IN, USA South Texas Veterans Health Care System Audie L. Murphy and University of Texas Health San Antonio, TX, USA Division of Infectious Diseases, University of Louisville, Louisville, KY, USA Wright State University Boonshoft School of Medicine, Dayton, OH, USA Division of Pulmonary, Critical Care, and Sleep Disorders Medicine, University of Louisville, Louisville, KY, USA Intermountain Medical Center and the University of Utah, Salt Lake City, Utah, USA Infectious Disease Section, Northeast Ohio Medical University and Infectious Disease Division, Summa Health, Akron, OH, USA Division of Pulmonary, Critical Care and Sleep Medicine and Center for Bronchiectasis Care, University of Connecticut Health, Farmington, CT, USA Icahn School of Medicine at Mount Sinai, New York, NY,USA Department of Medcine, University of Connecticut Health Center, Farmington, CT, USA Pulmonary and Critical Care New York Presbyterian/ Weill Cornell Medical Center and Weill Cornell Medical College, New York, NY, USA Pulmonary and Critical Care, Northwestern University Feinberg School of Medicine, Chicago, IL, USA Department of Pathophysiology and Transplantation, University of Milan, and Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Respiratory Unit and Cystic Fibrosis Adult Center, Milan, Italy Scottish Centre for Respiratory Research, School of Medicine, Ninewells Hospital and Medical School, Dundee, DD1 9SY, UK School of Medicine, University of Western Australia, Perth, Australia Pneumology Service, Instituto Nacional del Tórax and Clínica Santa María, Santiago de Chile, Chile Medical Intensive Care Unit, Saint-Louis Teaching Hospital, APHP, Paris, France Department of Pulmonary and Critical Care Medicine, Center of Respiratory Medicine, National Clinical Research Center for Respiratory Diseases, China-Japan Friendship Hospital, Beijing, China Service de Médecine Intensive - Réanimation, Hôpital La Pitié-Salpêtrière, Sorbonne Université,Assistance Publique-Hôpitaux de Paris, Paris, France Department of emergency medicine, Centre Hospitalier Princesse Grace, avenue Pasteur 98012 Monaco UMR 1137, IAME, INSERM, and CIC 1425, Hôpital Bichat-Claude Bernard, Assistance Publique-Hôpitaux de Paris (APHP), Paris, France Service de Médecine intensive Réanimation, Hôpital Tenon, Assistance Publique Hôpitaux de Paris, and AP-HP.Sorbonne Université, Faculté de Médecine Sorbonne Université, Paris, France Department of Internal Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa Intensive Care Unit, Chest Department, Hospital Pulido Valente - Centro Hospitalar Universitário Lisboa Norte, Lisbon, Portugal Fundación del Centro de Estudios Infectológicos, Buenos Aires, Argentina Pulmonary Diseases Division, Universidad de Buenos Aires, Buenos Aires, Argentina Department of Respiratory Medicine, National Hospital Organization Mie National Hospital, Tsu, Japan Pneumology Department, La Fe University and Polytechnic Hospital, La Fe Health Research Institute, 46026 Valencia, Spain Institute for Infectious Diseases and Infection Control, Jena University Hospital, Jena, Germany Centro de Investigacion Biomedica en Red de Enfermedades Respiratorias, Instituto de Salud Carlos III, and Infections Area, Vall d'Hebron Institute of research (VHIR), Barcelona, Spain Department of Respiratory Medicine,Nagoya University Graduate School of Medicine 65 Tsurumai-cho, Showa-ku, Nagoya, Japan Servei de Pneumologia. Hospital Clinic. Universitat de Barcelona. Barcelona . CIBERES . Spain German Center for Lung Research (DZL), Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH) Clinic of Pneumology, Hannover Medical School, Hannover, Germany Division of Pulmonary Inflammation and Department of Infectious Diseases and Respiratory Medicine, Charité-Universitätsmedizin Berlin, Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, German |
Issue Date: | 16-Jun-2020 | Date: | 2020-06-16 | Publication information: | Chest 2020; online first: 16 June | Abstract: | Community-acquired pneumonia (CAP) guidelines have improved the management and outcomes of patients with CAP, primarily by standardization of initial empiric therapy. But current society-published guidelines exclude immunocompromised patients. There is no concensus regarding the initial management of immunocompromised patients with suspected CAP. This consensus document was created by a multidisciplinary panel of 45 physicians with experience in the management of CAP in immunocompromised patients. The Delphi survey methodology was used to reach consensus. The panel focused on 21 questions addressing initial management strategies. The panel achieved consensus in defining the population, site of care, likely pathogens, microbiological work-up, general principles of empiric therapy, and empiric therapy for specific pathogens. This document offer general suggestions for the initial management of the immunocompromised patient who arrives at the hospital with pneumonia. | URI: | https://ahro.austin.org.au/austinjspui/handle/1/23594 | DOI: | 10.1016/j.chest.2020.05.598 | Journal: | Chest | PubMed URL: | 32561442 | Type: | Journal Article |
| Appears in Collections: | Journal articles |
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