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美國胸腔醫學會及感染症醫學會之社區型肺炎診斷及治療準則介紹

摘要


美國胸腔醫學會(American Thoracic Society, ATS)/美國感染症醫學會(Infectious Diseases Society of America, IDSA)針對社區型肺炎,上一版的指引在2007年發表,2019年底發表新的診斷及治療指引,將先前指引的敘述方式,改成Grading of Recommendations Assessment, Development, and Evaluation(GRADE)架構。此準則提出一系列的問題,並依照現有證據給予建議。此指引的範圍含診斷到抗生素治療,但不涵蓋臨床診斷標準,或是肺炎的預防。肺炎為一異質性極高的疾病,此指引提出的問題,並不包含照護病人的所有相關問題,而是一些經專家小組考量,較優先的核心問題。此外,雖然每個問題皆採用現有的高品質的研究,做系統性的回顧,但證據力仍時常不足。因此,臨床醫師的判斷和治療經驗,以及未來持續的研究仍然是相當重要的。

參考文獻


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