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]

http://orcid.org/0000-0002-8730-6955

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;

http://orcid.org/0000-0003-0859-3106

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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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.

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

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

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