Skip to main content

Severe Community- Acquired Pneumonia

  • Chapter
Handbook of Evidence-Based Critical Care

Abstract

In the United States, community-acquired pneumonia (CAP) in adults results in approximately 600,000 hospital admissions annually and ranks as the sixth leading cause of death. Of those patients with CAP hospitalized, between 18% and 36% require treatment in an ICU. The mortality of these patients is about 35%. While approximately 20% of patients admitted to the ICU with CAP are in septic shock, the mortality of these patients may be as high as 60%.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 74.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Selected References

  1. Bartlett JG, Breiman BR, Mandell LA, File TM. Community-acquired pneumonia in adults: Guidelines for management. Clin Infect Dis. 1998;26: 811–838.

    Article  PubMed  CAS  Google Scholar 

  2. Davies RJ, Traill ZC, Gleeson FV. Randomised controlled trial of intrapleural streptokinase in community acquired pleural infection. Thorax. 1997;52:416–421.

    Article  PubMed  CAS  Google Scholar 

  3. Guidelines for the initial management of adults with community-acquired pneumonia: diagnosis, assessment of severity and initial antimicrobial therapy. Am Rev Respir Dis. 1993;148:1418–1426.

    Google Scholar 

  4. Harwell JI, Brown RB. The drug-resistant pneumococcus. Clinical relevance, therapy and prevention. Chest. 2000;117:530–541.

    Article  PubMed  CAS  Google Scholar 

  5. Henke CA, Leatherman JW. Intrapleurally administered streptokinase in the treatment of acute loculated nonpurulent parapneumonic effusions. Am Rev Respir Dis. 1992;145:680–684.

    PubMed  CAS  Google Scholar 

  6. Leroy O, Santre C, Beuscart C, et al. A five-year study of severe community-acquired pneumonia with emphasis on prognosis in patients admitted to an intensive care unit. Intensive Care Med. 1995;21:24–31.

    Article  PubMed  CAS  Google Scholar 

  7. Leroy O, Vandenbussche C, Coffinier C, et al. Community-acquired aspiration pneumonia in intensive care units. Epidemiological and prognosis data. Am J Respir Crit Care Med. 1997;156:1922–1929.

    PubMed  CAS  Google Scholar 

  8. Moine P, Vercken JB, Chevret S, Gajdos P. Severe community-acquired pneumococcal pneumonia. The French Study Group of Community- Acquired Pneumonia in ICU. Scand J Infect Dis. 1995;27:201–206.

    Article  PubMed  CAS  Google Scholar 

  9. Niederman MS. Severe community-acquired pneumonia: what do we need to know to effectively manage patients? Intensive Care Med. 1996;22: 1285–1287.

    Article  PubMed  CAS  Google Scholar 

  10. Rudin ML, Michael JR, Huxley EJ. Community-acquired acinetobacter pneumonia. Am J Med. 1979;67:39–43.

    Article  PubMed  CAS  Google Scholar 

  11. Thornsberry C, Hickey ML, Kahn J, Mauritz Y, Sahm DE Surveillance of antimicrobial resistance among respiratory tract pathogens in the United States, 1997 to 1998. Drugs. 1999;58(suppl 2):361–363.

    Article  CAS  Google Scholar 

  12. Torres A, Serra-Bataille J, Ferrer A et al. Severe community-acquired pneumonia epidemiology and prognostic factors. Am Rev Respir Dis. 1991;144: 312–318.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2001 Springer-Verlag New York, Inc.

About this chapter

Cite this chapter

Marik, P.E. (2001). Severe Community- Acquired Pneumonia. In: Handbook of Evidence-Based Critical Care. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-86943-3_9

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-86943-3_9

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-78093-9

  • Online ISBN: 978-3-642-86943-3

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics