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Infectious Diseases Volume 50, 2018 - Issue 4
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Review Article

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

Simon AthlinDepartment of Infectious Diseases, Örebro University Hospital, Örebro, Sweden; ;Faculty of Medicin and Health, Örebro University, Örebro, Sweden; Correspondence[email protected]
ORCID Iconhttp://orcid.org/0000-0002-8730-6955
ORCID Icon,
Christer LidmanUnit of Infectious Diseases, Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden; ;Department of Infectious Diseases, Karolinska University Hospital, Stockholm, Sweden;
,
Anders LundqvistDepartment of Infectious Diseases, Södra Älvsborgs Hospital, Borås, Sweden;
,
Pontus NauclerUnit of Infectious Diseases, Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden; ;Department of Infectious Diseases, Karolinska University Hospital, Stockholm, Sweden;
,
Anna C. NilssonInfectious Disease Research Unit, Department of Translational Medicine, Lund University, Malmö, Sweden; ORCID Iconhttp://orcid.org/0000-0003-0859-3106
ORCID Icon,
Carl SpindlerDepartment of Infectious Diseases, Karolinska University Hospital, Stockholm, Sweden;
,
Kristoffer StrålinFaculty of Medicin and Health, Örebro University, Örebro, Sweden; ;Department of Infectious Diseases, Karolinska University Hospital, Stockholm, Sweden; ;Unit of Infectious Diseases, Department of Medicine Huddinge, Karolinska Institutet, Stockholm, Sweden
&
Jonas HedlundUnit of Infectious Diseases, Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden; ;Department of Infectious Diseases, Karolinska University Hospital, Stockholm, Sweden;
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Pages 247-272 | Received 22 Oct 2017, Accepted 25 Oct 2017, Published online: 09 Nov 2017
 
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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.

Disclosure statement

No potential conflict of interest was reported by the authors.

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