Community-acquired pneumonia: antibiotic therapy approach after the COVID-19 pandemic. A review

Pneumonia is clearly differentiated from other focal inflammatory lung diseases of non-infectious origin. A patient with community-acquired pneumonia (CAP) should receive antibacterial drugs no later than 4 hours after the diagnosis. Initial antibacterial therapy in CAP should be based on factors af...

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Main Authors: Andrey A. Zaytsev, Igor A. Guchev
Format: Article
Language:Russian
Published: ZAO "Consilium Medicum" 2023-09-01
Series:Consilium Medicum
Subjects:
Online Access:https://consilium.orscience.ru/2075-1753/article/viewFile/609535/138175
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author Andrey A. Zaytsev
Igor A. Guchev
author_facet Andrey A. Zaytsev
Igor A. Guchev
author_sort Andrey A. Zaytsev
collection DOAJ
description Pneumonia is clearly differentiated from other focal inflammatory lung diseases of non-infectious origin. A patient with community-acquired pneumonia (CAP) should receive antibacterial drugs no later than 4 hours after the diagnosis. Initial antibacterial therapy in CAP should be based on factors affecting the potential causative agents and the risk of drug-resistant microorganisms. Rational use of amoxicillin in terms of dose and frequency in CAP patients without severe comorbidities and risk factors for PES pathogens, the use of -lactam in combination with a macrolide or moxifloxacin monotherapy in high-risk groups of patients is the most effective strategy of empirical antibacterial therapy.
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spelling doaj.art-622bcb11217c4bb0bad60075e1e258d92024-03-15T09:57:58ZrusZAO "Consilium Medicum"Consilium Medicum2075-17532542-21702023-09-0125958158810.26442/20751753.2023.9.2024084722Community-acquired pneumonia: antibiotic therapy approach after the COVID-19 pandemic. A reviewAndrey A. Zaytsev0https://orcid.org/0000-0002-0934-7313Igor A. Guchev1Burdenko Main Military Clinical HospitalNikita and Co LLCPneumonia is clearly differentiated from other focal inflammatory lung diseases of non-infectious origin. A patient with community-acquired pneumonia (CAP) should receive antibacterial drugs no later than 4 hours after the diagnosis. Initial antibacterial therapy in CAP should be based on factors affecting the potential causative agents and the risk of drug-resistant microorganisms. Rational use of amoxicillin in terms of dose and frequency in CAP patients without severe comorbidities and risk factors for PES pathogens, the use of -lactam in combination with a macrolide or moxifloxacin monotherapy in high-risk groups of patients is the most effective strategy of empirical antibacterial therapy.https://consilium.orscience.ru/2075-1753/article/viewFile/609535/138175pneumoniamoxifloxacinmacrolidescovid-19
spellingShingle Andrey A. Zaytsev
Igor A. Guchev
Community-acquired pneumonia: antibiotic therapy approach after the COVID-19 pandemic. A review
Consilium Medicum
pneumonia
moxifloxacin
macrolides
covid-19
title Community-acquired pneumonia: antibiotic therapy approach after the COVID-19 pandemic. A review
title_full Community-acquired pneumonia: antibiotic therapy approach after the COVID-19 pandemic. A review
title_fullStr Community-acquired pneumonia: antibiotic therapy approach after the COVID-19 pandemic. A review
title_full_unstemmed Community-acquired pneumonia: antibiotic therapy approach after the COVID-19 pandemic. A review
title_short Community-acquired pneumonia: antibiotic therapy approach after the COVID-19 pandemic. A review
title_sort community acquired pneumonia antibiotic therapy approach after the covid 19 pandemic a review
topic pneumonia
moxifloxacin
macrolides
covid-19
url https://consilium.orscience.ru/2075-1753/article/viewFile/609535/138175
work_keys_str_mv AT andreyazaytsev communityacquiredpneumoniaantibiotictherapyapproachafterthecovid19pandemicareview
AT igoraguchev communityacquiredpneumoniaantibiotictherapyapproachafterthecovid19pandemicareview