Abstract
Community-acquired pneumonia (CAP) is a major health problem in the United States
and is associated with substantial morbidity, mortality, and health care costs. Patients
with CAP commonly present to emergency departments where physicians must make critical
decisions regarding diagnosis and management of pneumonia in a timely fashion, with
emphasis on efficient and cost-effective diagnostic choices, consideration of emerging
antimicrobial resistance, timely initiation of antibiotics, and appropriate site-of-care
decisions. In light of the burden that pneumonia places on health care systems and
the emergency department in particular, this article reviews significant developments
in the management of CAP in the United States 5 years since the publication of the
2007 Infectious Diseases Society of America/American Thoracic Society consensus guidelines
on the management of CAP in adults, focusing on recent studies and recommendations
for managing CAP, the primary bacterial pathogens responsible for CAP, and trends
in resistance, new diagnostic technologies, and newer antimicrobials approved for
the treatment of CAP. These new data and additional guidelines pertaining to the treatment
of CAP further our knowledge and understanding of this challenging infection. Furthermore,
appreciation of the availability of new diagnostic testing and therapeutic options
will help meet the demand for improved management of CAP.
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Article Info
Publication History
Published online: February 04, 2013
Accepted:
December 2,
2012
Received in revised form:
November 30,
2012
Received:
October 11,
2012
Footnotes
☆This work was financially supported by Forest Research Institute, Inc.
Identification
Copyright
© 2013 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
