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Diagnosis and treatment of community acquired pneumonia - the German perspective

  • Tobias Welte
Part of the Birkhäuser Advances in Infectious Diseases book series (BAID)

Abstract

Current concepts of diagnosis and treatment of CAP are risk stratified and adapted to the national resistances of important pathogens. Thorough surveillance systems have to be implemented in all countries.

The risk of patients can be assessed reliably with a limited number of clinical data (CRB-65 score). Extended microbiological and laboratory diagnosis is recommended for hospitaliszed patients only. Outpatient treatment can be performed with classic antibiotics like amoxicillin or doxycyclin. Macrolides are only an alternative in these patients. In the hospital, treatment has to be adapted to the severity of the disease. Further studies concerning the duration of treatment and advantageous combinations are necessary.

Recommendations for treatment of CAP have to be adapted to the quickly changing epidemiology and have to be updated every 2 to 3 years.

Keywords

Community Acquire Pneumonia Lower Respiratory Tract Infection Respir Crit European Respiratory Society Pleural Empyema 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Birkhäuser Verlag Basel/Switzerland 2007

Authors and Affiliations

  • Tobias Welte
    • 1
  1. 1.Department of Pulmonary MedicineMedizinische Hochschule HannoverHannoverGermany

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