Management of Community acquired pneumonia in the Emergency Room

The incidence of community-acquired pneumonia (CAP) ranges from 2-15 cases/1,000 inhabitants/year, being higher in those over 65 or in patients with comorbidities. In Emergency Room (ER) it represents up to 1.35% of the care. Approximately 75% of all diagnosed CAPs are treated in ER. The CAP repres...

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Autores principales:	Eduardo Esteban-Zubero, Cristina García-Muro, Moisés Alejandro Alatorre-Jiménez, Alejandro Marín-Medina, Carlos Arturo López-García, Ahmed Youssef, Rocío VilledaGonzález
Formato:	article
Lenguaje:	EN
Publicado:	Emergency Department of Hospital San Pedro (Logroño, Spain) 2019
Materias:	pneumonia emergency room treatment diagnosis Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/9f56162a3fc24ec1b716bb533ea5bef5
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spelling	oai:doaj.org-article:9f56162a3fc24ec1b716bb533ea5bef52021-12-02T19:14:48ZManagement of Community acquired pneumonia in the Emergency Room10.5281/zenodo.34022832695-5075https://doaj.org/article/9f56162a3fc24ec1b716bb533ea5bef52019-09-01T00:00:00Zhttps://doi.org/10.5281/zenodo.3402283https://doaj.org/toc/2695-5075The incidence of community-acquired pneumonia (CAP) ranges from 2-15 cases/1,000 inhabitants/year, being higher in those over 65 or in patients with comorbidities. In Emergency Room (ER) it represents up to 1.35% of the care. Approximately 75% of all diagnosed CAPs are treated in ER. The CAP represents the origin of the majority of septic sepsis and shock diagnosed in ER, the leading cause of death and admission to the intensive care unit (ICU) for infectious disease. A global mortality of 10-14% is attributed according to age and associated risk factors. 40-60% of CAPs will require hospital admission, including observation areas (with very variable ranges of 22-65% according to centers, time of year and patient characteristics), and between them 2-10% will be in the ICU. From all that has been said, the importance of CAP in ER is translated, and also of the “impact of emergency care on patients with CAP”, as it is the device where initial, but fundamental, decisions are made for evolution of process. The great variability among clinicians in the management of diagnostic-therapeutic aspects in the CAP is known, which is one of the reasons that explain the large differences in admission rates, of achieving the microbiological diagnosis, request for complementary studies, the choice of antimicrobial regime or the diversity of care applied. In this sense, the implementation of clinical practice guidelines with the use of prognostic severity scales and the new tools available in HUSs such as biomarkers can improve the care of patients with CAP in ER. Therefore, based on a multidisciplinary group of emergency professionals and specialists participating in the CAP care process, this clinical guide has been designed with various recommendations for decisions and key moments in the process of patient care with NAC in the Emergency Room.Eduardo Esteban-ZuberoCristina García-MuroMoisés Alejandro Alatorre-JiménezAlejandro Marín-MedinaCarlos Arturo López-GarcíaAhmed YoussefRocío VilledaGonzálezEmergency Department of Hospital San Pedro (Logroño, Spain)articlepneumoniaemergency roomtreatmentdiagnosisMedicine (General)R5-920ENIberoamerican Journal of Medicine, Vol 1, Iss 1, Pp 3-15 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	pneumonia emergency room treatment diagnosis Medicine (General) R5-920
spellingShingle	pneumonia emergency room treatment diagnosis Medicine (General) R5-920 Eduardo Esteban-Zubero Cristina García-Muro Moisés Alejandro Alatorre-Jiménez Alejandro Marín-Medina Carlos Arturo López-García Ahmed Youssef Rocío VilledaGonzález Management of Community acquired pneumonia in the Emergency Room
description	The incidence of community-acquired pneumonia (CAP) ranges from 2-15 cases/1,000 inhabitants/year, being higher in those over 65 or in patients with comorbidities. In Emergency Room (ER) it represents up to 1.35% of the care. Approximately 75% of all diagnosed CAPs are treated in ER. The CAP represents the origin of the majority of septic sepsis and shock diagnosed in ER, the leading cause of death and admission to the intensive care unit (ICU) for infectious disease. A global mortality of 10-14% is attributed according to age and associated risk factors. 40-60% of CAPs will require hospital admission, including observation areas (with very variable ranges of 22-65% according to centers, time of year and patient characteristics), and between them 2-10% will be in the ICU. From all that has been said, the importance of CAP in ER is translated, and also of the “impact of emergency care on patients with CAP”, as it is the device where initial, but fundamental, decisions are made for evolution of process. The great variability among clinicians in the management of diagnostic-therapeutic aspects in the CAP is known, which is one of the reasons that explain the large differences in admission rates, of achieving the microbiological diagnosis, request for complementary studies, the choice of antimicrobial regime or the diversity of care applied. In this sense, the implementation of clinical practice guidelines with the use of prognostic severity scales and the new tools available in HUSs such as biomarkers can improve the care of patients with CAP in ER. Therefore, based on a multidisciplinary group of emergency professionals and specialists participating in the CAP care process, this clinical guide has been designed with various recommendations for decisions and key moments in the process of patient care with NAC in the Emergency Room.
format	article
author	Eduardo Esteban-Zubero Cristina García-Muro Moisés Alejandro Alatorre-Jiménez Alejandro Marín-Medina Carlos Arturo López-García Ahmed Youssef Rocío VilledaGonzález
author_facet	Eduardo Esteban-Zubero Cristina García-Muro Moisés Alejandro Alatorre-Jiménez Alejandro Marín-Medina Carlos Arturo López-García Ahmed Youssef Rocío VilledaGonzález
author_sort	Eduardo Esteban-Zubero
title	Management of Community acquired pneumonia in the Emergency Room
title_short	Management of Community acquired pneumonia in the Emergency Room
title_full	Management of Community acquired pneumonia in the Emergency Room
title_fullStr	Management of Community acquired pneumonia in the Emergency Room
title_full_unstemmed	Management of Community acquired pneumonia in the Emergency Room
title_sort	management of community acquired pneumonia in the emergency room
publisher	Emergency Department of Hospital San Pedro (Logroño, Spain)
publishDate	2019
url	https://doaj.org/article/9f56162a3fc24ec1b716bb533ea5bef5
work_keys_str_mv	AT eduardoestebanzubero managementofcommunityacquiredpneumoniaintheemergencyroom AT cristinagarciamuro managementofcommunityacquiredpneumoniaintheemergencyroom AT moisesalejandroalatorrejimenez managementofcommunityacquiredpneumoniaintheemergencyroom AT alejandromarinmedina managementofcommunityacquiredpneumoniaintheemergencyroom AT carlosarturolopezgarcia managementofcommunityacquiredpneumoniaintheemergencyroom AT ahmedyoussef managementofcommunityacquiredpneumoniaintheemergencyroom AT rociovilledagonzalez managementofcommunityacquiredpneumoniaintheemergencyroom
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Management of Community acquired pneumonia in the Emergency Room

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