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Review
. 2013 Jul;29(3):563-601.
doi: 10.1016/j.ccc.2013.03.009.

Severe community-acquired pneumonia

Wendy I Sligl  1 , Thomas J Marrie
Affiliations
Review

Severe community-acquired pneumonia

Wendy I Sligl et al. Crit Care Clin. 2013 Jul.

Abstract

Severe community-acquired pneumonia necessitating intensive care unit admission is associated with high morbidity, mortality, and health-care cost. This review article serves to summarize the epidemiology, diagnosis, treatment, and prognosis of this common life-threatening condition. Current practice guidelines as well as the role of several scoring systems (such as the PSI, CURB-65, and IDSA/ATS criteria) used to predict CAP severity, prognosis, and site of care are reviewed. In addition, common complications and prevention strategies are discussed.

Keywords: Community-acquired pneumonia; Intensive care; Lung; Pulmonary sepsis; Respiratory failure.

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Figures

Fig. 1
Fig. 1
Severe pneumonia in an intubated and mechanically ventilated critically ill patient. Radiograph demonstrates extensive dense left lung consolidation (with air bronchograms) and less-prominent focal right midlung consolidation. Support lines and tubes are well positioned (endotracheal tube, gastric feeding tube, right internal jugular central venous catheter).
Fig. 2
Fig. 2
Noncontrast helical CT imaging of the upper chest showing extensive pneumonic consolidation involving nearly the entire lingula and superior segment of left lower lobe.
See this image and copyright information in PMC

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