Behandlung von erwachsenen Patienten mit ambulant erworbener Pneumonie und Prävention – Update 2016^[*]

Zusammenfassung

Die vorliegende Leitlinie umfasst ein neues und aktualisiertes Konzept der Behandlung und Prävention von erwachsenen Patienten mit ambulant erworbener Pneumonie und löst die bisherige Leitlinie aus dem Jahre 2009 ab.

Sie wurde entsprechend den Maßgaben zur Methodologie einer S3-Leitlinie erarbeitet und verabschiedet. Hierzu gehören eine systematische Literaturrecherche und -bewertung, die strukturierte Diskussion der aus der Literatur begründbaren Empfehlungen sowie eine Offenlegung und Bewertung möglicher Interessenskonflikte.

Die Leitlinie zeichnet sich aus durch eine Zentrierung auf definierte klinische Situationen, eine aktualisierte Maßgabe der Schweregradbestimmung, Empfehlungen zu einer individualisierten Auswahl der initialen antimikrobiellen Therapie sowie zur primären und sekundären Prävention.

Abstract

The present guideline provides a new and updated concept of treatment and prevention of adult patients with community-acquired pneumonia. It replaces the previous guideline dating from 2009.

The guideline was worked out and agreed on following the standards of methodology of a S3-guideline. This includes a systematic literature search and grading, a structured discussion of recommendations supported by the literature as well as the declaration and assessment of potential conflicts of interests.

The guideline has a focus on specific clinical circumstances, an update on severity assessment, and includes recommendations for an individualized selection of antimicrobial treatment as well as primary and secondary prevention.

^* Folgende Fachgesellschaften haben die Leitlinie inhaltlich unterstützt:
Deutsche Gesellschaft für Innere Medizin
Deutsche Gesellschaft für Gerontologie und Geriatrie
Deutsche Sepsisgesellschaft
Deutsche Gesellschaft für interdisziplinäre Intensiv- und Notfallmedizin (DIVI)

^* Verabschiedet von den Vorständen der beteiligten Fachgesellschaften am 21.01.2016.

¹ Sprecher für die Deutsche Gesellschaft für Pneumologie und Beatmungsmedizin e. V. (federführend)

² Sprecher für die Paul-Ehrlich-Gesellschaft für Chemotherapie e. V.

³ Sprecher für die Deutsche Gesellschaft für Infektiologie e.V.

⁴ Sprecher für das Kompetenznetzwerk CAPNETZ Deutschland e. V.

⁵ Sprecher für die Österreichische Gesellschaft für Pneumologie

⁶ Sprecher für die Österreichische Gesellschaft für Infektionskrankheiten und Tropenmedizin

⁷ Sprecher für die Schweizerische Gesellschaft für Pneumologie

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