Tratamiento de la neumonía del adulto adquirida en la comunidad

Appropriate antibiotic treatment reduces the duration of symptoms associated to pneumonia, the risk of complications and mortality. In most cases, it is not possible to identify the etiologic agent so antibiotic treatment is empirically prescribed. In Chile, one third of Streptococcus pneumoniae str...

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Autores principales:	Díaz F,Alejandro, Labarca L,Jaime, Pérez C,Carlos, Ruiz C,Mauricio, Wolff R,Marcelo
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Chilena de Infectología 2005
Materias:	neumonía tratamiento manejo de la enfermedad antibióticos
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0716-10182005000400008
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spelling	oai:scielo:S0716-101820050004000082005-12-06Tratamiento de la neumonía del adulto adquirida en la comunidadDíaz F,AlejandroLabarca L,JaimePérez C,CarlosRuiz C,MauricioWolff R,Marcelo neumonía tratamiento manejo de la enfermedad antibióticos Appropriate antibiotic treatment reduces the duration of symptoms associated to pneumonia, the risk of complications and mortality. In most cases, it is not possible to identify the etiologic agent so antibiotic treatment is empirically prescribed. In Chile, one third of Streptococcus pneumoniae strain isolates has diminished susceptibility to penicillin; in-vitro erythromycin resistance is about 10-15% and cefotaxime resistance 2-10%. It is recommended to classify patients with community acquired pneumonia in four risk categories: Group 1: patients under 65 years without co-morbidities, in ambulatory attendance. Treatment: oral amoxicillin 1 g TID, 7 days. Group 2: patients over 65 years and / or co-morbidities, in ambulatory attendance. Treatment: oral amoxicillin/clavulanate 500/125 mg TID or 875/125 mg BID, or cefuroxime 500 mg BID, 7 days. Group 3: patients admitted to general wards with criteria of moderate severity. Treatment: ceftriaxone 1-2 g once a day or cefotaxime 1 g TID, IV, 7-10 days. Group 4: patients with severe CAP that must be interned into ICU. Treatment: ceftriaxone 2 g once a day or cefotaxime 1 g TID, IV, associated to erythromycin 500 QID, levofloxacin 500-1.000 mg once a day, or moxifloxacin 400 mg/once a day, IV, 10-14 days. In the presence of allergy to or treatment failure with betalactam drugs and/or positive serology for Mycoplasma, Chlamydia or Legionella sp it is recommended to add: erythromycin 500 mg QID, IV or oral, oral clarithromycin 500 mg BID, or oral azythromycin 500 mg once a dayinfo:eu-repo/semantics/openAccessSociedad Chilena de InfectologíaRevista chilena de infectología v.22 suppl.1 20052005-01-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0716-10182005000400008es10.4067/S0716-10182005000400008
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	neumonía tratamiento manejo de la enfermedad antibióticos
spellingShingle	neumonía tratamiento manejo de la enfermedad antibióticos Díaz F,Alejandro Labarca L,Jaime Pérez C,Carlos Ruiz C,Mauricio Wolff R,Marcelo Tratamiento de la neumonía del adulto adquirida en la comunidad
description	Appropriate antibiotic treatment reduces the duration of symptoms associated to pneumonia, the risk of complications and mortality. In most cases, it is not possible to identify the etiologic agent so antibiotic treatment is empirically prescribed. In Chile, one third of Streptococcus pneumoniae strain isolates has diminished susceptibility to penicillin; in-vitro erythromycin resistance is about 10-15% and cefotaxime resistance 2-10%. It is recommended to classify patients with community acquired pneumonia in four risk categories: Group 1: patients under 65 years without co-morbidities, in ambulatory attendance. Treatment: oral amoxicillin 1 g TID, 7 days. Group 2: patients over 65 years and / or co-morbidities, in ambulatory attendance. Treatment: oral amoxicillin/clavulanate 500/125 mg TID or 875/125 mg BID, or cefuroxime 500 mg BID, 7 days. Group 3: patients admitted to general wards with criteria of moderate severity. Treatment: ceftriaxone 1-2 g once a day or cefotaxime 1 g TID, IV, 7-10 days. Group 4: patients with severe CAP that must be interned into ICU. Treatment: ceftriaxone 2 g once a day or cefotaxime 1 g TID, IV, associated to erythromycin 500 QID, levofloxacin 500-1.000 mg once a day, or moxifloxacin 400 mg/once a day, IV, 10-14 days. In the presence of allergy to or treatment failure with betalactam drugs and/or positive serology for Mycoplasma, Chlamydia or Legionella sp it is recommended to add: erythromycin 500 mg QID, IV or oral, oral clarithromycin 500 mg BID, or oral azythromycin 500 mg once a day
author	Díaz F,Alejandro Labarca L,Jaime Pérez C,Carlos Ruiz C,Mauricio Wolff R,Marcelo
author_facet	Díaz F,Alejandro Labarca L,Jaime Pérez C,Carlos Ruiz C,Mauricio Wolff R,Marcelo
author_sort	Díaz F,Alejandro
title	Tratamiento de la neumonía del adulto adquirida en la comunidad
title_short	Tratamiento de la neumonía del adulto adquirida en la comunidad
title_full	Tratamiento de la neumonía del adulto adquirida en la comunidad
title_fullStr	Tratamiento de la neumonía del adulto adquirida en la comunidad
title_full_unstemmed	Tratamiento de la neumonía del adulto adquirida en la comunidad
title_sort	tratamiento de la neumonía del adulto adquirida en la comunidad
publisher	Sociedad Chilena de Infectología
publishDate	2005
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0716-10182005000400008
work_keys_str_mv	AT diazfalejandro tratamientodelaneumoniadeladultoadquiridaenlacomunidad AT labarcaljaime tratamientodelaneumoniadeladultoadquiridaenlacomunidad AT perezccarlos tratamientodelaneumoniadeladultoadquiridaenlacomunidad AT ruizcmauricio tratamientodelaneumoniadeladultoadquiridaenlacomunidad AT wolffrmarcelo tratamientodelaneumoniadeladultoadquiridaenlacomunidad
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Tratamiento de la neumonía del adulto adquirida en la comunidad

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