Nonresolving Pneumonia and Mimics of Pneumonia

Rome, Lauren; Murali, Ganesan; Lippmann, Michael

doi:10.1016/s0025-7125(05)70393-x

Cited by 40 publications

(12 citation statements)

References 64 publications

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“…However, if a patient has bacteraemia with a bacterium that is non-specific for the respiratory tract, such as Gram-negative enteric bacilli, the physician should question if the patient has a primary infection at another site. Infiltrates on chest Xray may be caused by non-infectious conditions [31]. Double infection with CAP and another community-acquired infection should also be considered.…”

Section: Blood Culturementioning

confidence: 99%

Usefulness of aetiological tests for guiding antibiotic therapy in community-acquired pneumonia

Strålin¹

2008

International Journal of Antimicrobial Agents

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Section: Blood Culturementioning

confidence: 99%

Usefulness of aetiological tests for guiding antibiotic therapy in community-acquired pneumonia

Strålin¹

2008

International Journal of Antimicrobial Agents

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“…24,25 Adherence to these guidelines did not seem to differ between cases and controls and does not seem to explain the high rate of NRP. The majority of patients who fulfilled our definition of NRP had an additional chest radiograph and a change of antibiotics at the first follow-up visit, actions generally supported by expert opinion.…”

Section: Discussionmentioning

confidence: 92%

“…In other studies causes of NRP included (but were not limited to) the following: overwhelming or progressive pneumonia, extrapulmonary spread, unusual, specific or resistant organisms, significant comorbid conditions, older age, incorrect antibiotic therapy, and malignant or nonmalignant clinical entities that present in conjunction with pneumonia or mimic the presentation of pneumonia (Table 6). [7][8][9][10]15,16,23,24 These previous studies involved almost exclusively hospitalized patients. However, in the previously referenced cohort of selected CAP patients treated as outpatients (with failure defined as need for hospitalization), those requiring hospitalization were older, of higher baseline risk class and had chronic cardiac and/or lung disease compared to those not hospitalized.…”

Section: Discussionmentioning

confidence: 99%

Clinical Approach to Nonresponsive Pneumonia in Adults Diagnosed by a Primary Care Clinician: A Retrospective Study

Wyst¹,

Kram²,

Baumgardner³

2016

Journal of Patient-Centered Research and Reviews

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Journal of Patient-Centered Research and Reviews ( JPCRR) is a peerreviewed scientific journal whose mission is to communicate clinical and bench research findings, with the goal of improving the quality of human health, the care of the individual patient, and the care of populations. Recommended CitationVander Wyst KB, Kram JJ, Baumgardner DJ. Clinical approach to nonresponsive pneumonia in adults diagnosed by a primary care clinician: a retrospective study. J Patient Cent Res Rev. 2016;3:79-89.

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“…18,19 Notably, there are several disease states that may mimic pneumonia in clinical, radiographic, and laboratory findings and represent a challenge to the diagnosing physician (Table 2). 20,21 It is important to add that a repeat CXR during treatment is necessary only when the patient is deteriorating or not improving. A repeat CXR is recommended in patients aged .…”

Section: Diagnostic Testingmentioning

confidence: 99%

The Hospitalist Perspective on Treatment of Community–Acquired Bacterial Pneumonia

Amin

Cerceo

Deitelzweig

et al. 2014

Postgraduate Medicine

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Community-acquired bacterial pneumonia (CABP) is an important health care concern in the United States and worldwide, and is associated with significant morbidity, mortality, and health care expenditure. Streptococcus pneumoniae is the most frequent causative pathogen of CABP. Other common pathogens include Staphylococcus aureus, Haemophilus influenzae, Enterobacteriaceae, Legionella pneumophila, Mycoplasma pneumoniae, and Chlamydophila pneumoniae. However, in clinical practice, the causative pathogen of CABP is most often not identified. Therefore, a common treatment approach for patients hospitalized with CABP is empiric antibiotic therapy with a β-lactam in combination with a macrolide, respiratory fluoroquinolones, or tetracyclines. An increase in the incidence of S. pneumoniae that is resistant to frequently used antibiotics, including β-lactams, macrolides, and tetracyclines, provides a challenge for the physician when selecting empiric antimicrobial therapy. When patients with CABP do not respond to initial therapy, they must be adequately reevaluated with further diagnostic testing, change in antimicrobial regimen, and/or transfer of the patient to a higher level of care. The role of hospital medicine physicians is crucial in treating patients who are hospitalized with CABP. An important focus of hospitalists is to provide care improvement in a way that addresses both patient and hospital needs. It is essential that the hospitalist provides best possible patient care, including adherence to quality measures, optimizing the patient's hospital length of stay, and arranging adequate post-discharge care in an effort to prevent readmission and provide appropriate ongoing outpatient care.

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Nonresolving Pneumonia and Mimics of Pneumonia

Cited by 40 publications

References 64 publications

Usefulness of aetiological tests for guiding antibiotic therapy in community-acquired pneumonia

Usefulness of aetiological tests for guiding antibiotic therapy in community-acquired pneumonia

Clinical Approach to Nonresponsive Pneumonia in Adults Diagnosed by a Primary Care Clinician: A Retrospective Study

The Hospitalist Perspective on Treatment of Community–Acquired Bacterial Pneumonia

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