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Treatment of Nursing Home-Acquired Pneumonia: Dogma vs. Data

机译:护理性家庭获得性肺炎的治疗:教条与数据

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摘要

[...] which guideline takes precedence in terms of treatment recommendations for hospitalized residents with pneumonia? the recommendations in the atS/IDSA a guideline 2 do not match those published in other CAaP guidelines for treating nursing home-acquired pneumonia in hospitalized residents7,8; this difference in recommendations is not discussed in the atS/IDSA a guideline.2 Second, because the atS/IDSA a guideline2 may be interpreted as replacing previous guideline recommendations,7,8 physicians might try to apply this guideline to all nursing home residents hospitalized with a diagnosis of pneumonia. third, the atS/IDSA a guideline2 may be promoted as a standard of care by which to judge physician or hospital performance in the management of nursing home-acquired pneumonia, even though there are no clinical trials to support the validity of the recommendations.
机译:[...]就住院肺炎住院患者的治疗建议而言,哪个指南优先? atS / IDSA a准则2中的建议与其他CAaP准则中发布的有关在住院居民中治疗护理院所获得性肺炎的建议不匹配7,8;建议中的这种差异未在atS / IDSA指南中讨论。2其次,因为atS / IDSA指南2可能被解释为替代先前的指南建议,7,8医生可能会尝试将此指南应用于所有住院的疗养院居民诊断为肺炎。第三,即使没有临床试验支持建议的有效性,atS / IDSA指南2仍可作为一种护理标准被推广,通过该标准可以判断医师或医院在护理家庭获得性肺炎的治疗中的表现。

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  • 来源
    《American Family Physician 》 |2009年第11期| p.945-947| 共3页
  • 作者

    Joseph M Mylotte;

  • 作者单位

    JOSEPH M. MYLOTTE, MD, State University of New York at Buffalo, Buffalo, New YorkAddress correspondence to Joseph M. Mylotte, MD, at mylotte@buffalo.edu. Reprints are not available from the author.Author disclosure: Nothing to disclose.;

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