Management of community-acquired pneumonia in immunocompetent adults: updated Swedish guidelines 2017

Infect Dis (Lond). 2018 Apr;50(4):247-272. doi: 10.1080/23744235.2017.1399316. Epub 2017 Nov 9.

Abstract

Based on expert group work, Swedish recommendations for the management of community-acquired pneumonia in adults are here updated. The management of sepsis-induced hypotension is addressed in detail, including monitoring and parenteral therapy. The importance of respiratory support in cases of acute respiratory failure is emphasized. Treatment with high-flow oxygen and non-invasive ventilation is recommended. The use of statins or steroids in general therapy is not found to be fully supported by evidence. In the management of pleural infection, new data show favourable effects of tissue plasminogen activator and deoxyribonuclease installation. Detailed recommendations for the vaccination of risk groups are afforded.

Keywords: Antibiotic; Community acquired; Guidelines; Pneumonia; Sweden; Treatment.

Publication types

  • Review

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Anti-Bacterial Agents
  • Antiviral Agents
  • Community-Acquired Infections / therapy*
  • Humans
  • Influenza Vaccines
  • Middle Aged
  • Noninvasive Ventilation
  • Pneumonia, Bacterial / therapy*
  • Pneumonia, Viral / therapy*
  • Practice Guidelines as Topic
  • Steroids

Substances

  • Anti-Bacterial Agents
  • Antiviral Agents
  • Influenza Vaccines
  • Steroids