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1、EuropeanCAPGuidelinesHLodeRationaleforAntibioticTherapyGuidelinesEnsureappropriateprescribingPromotetherationaluseofantibioticsLimittheemergenceofresistanceConservenewagentsEnsurecost-effectivepracticeEducatephysiciansbutAreonlyastartingpointNiedermanMS.CurrOpinPulmMed1996;2:161–5.Proportiono
2、fCases(%)KeyPathogensAssociatedwithCommunity-AcquiredPneumonia(CAP)–Europe(5,961AdultHospitalizedCAPPatientsin26ProspectiveStudiesfrom10EuropeanCountries)Atypicals:25%WoodheadMA.Chest1998;113:183S–187SPracticeGuidelinesforCAPYearCountry/society1991France1993AmericanThoracicSociety(ATS),Canada
3、,UK1995Italy1997Spain1998InfectiousDiseasesSocietyofAmerica(IDSA) EuropeanRespiratorySociety(ERS)2000CentersforDiseaseControlandPrevention(CDCP), IDSA,CanadianInfectiousDiseasesSociety/Canadian ThoracicSociety(CIDS/CTS),Japan2001ATSHuchonG,etal.EurRespRev.1998;8:391-426.MandellLA,etal.ClinInf
4、ectDis.2000;31:383-421.BartlettJG,etal.ClinInfectDis.2000;31:347-82.HeffelfingerJD,etal.ArchInternMed.2000;160:1399-408.JapaneseRespiratorySociety:Tokyo,2000.AmericanThoracicSociety.AmJRespirCritCareMed.2001;163:1730-54.AimsofGuidelinesATS20011–Aframeworkfortheevaluationand therapyofthepatien
5、twithCAPERS19982–Generalguidelinesforthecareofpatients withcommunity-acquiredLRTIsCIDS/CTS20003–Arationalapproachtotheinitial antimicrobialmanagementofpatientswith CAPCDCP20004–Toproviderecommendationsforthe managementofCAPandthesurveillance ofdrugresistantSpneumoniae1AmericanThoracicSociety.
6、AmJRespirCritCareMed.2001;163:1730-54.2HuchonG,etal.EurRespRev.1998;8:391-426.3MandellLA,etal.ClinInfectDis.2000;31:383-421.4HeffelfingerJD,etal.ArchInternMed.2000;160:1399-408.Outpatients—TreatmentOptions(1)ERSPenicillin*,aminopenicillin±-lactamaseinhibitor(especiallyifHinfluenzaesuspected)
7、,macrolide,tetracycline,cephalosporin,quinolone,oralstreptograminIDSAMacrolide,doxycycline,fluoroquinoloneCIDS/CTSMacrolide*,doxycyclineCOPD,norecentRXMacrolide*,doxycyclineCOPD,recentRXFluoroquinolone*, amoxicillin/clavulanate+macrolideSuspe
