1 This is indicated for the relevant sections. It should be stressed that other parts of the guideline were not updated and show a large overlap with the previously published 2011 guideline. Therefore, the Guideline committee decided to update the recommendations on imaging, empirical treatment, and the use of corticosteroids in CAP. Revision was considered necessary because in the past few years new – for a significant part Dutch – data have been published on the differences between the various disease severity classification systems on the percentage of patients treated as severe CAP, the sensitivity of chest computed tomography (CT scan) for diagnosis, the role of atypical coverage in patients with severe CAP, and the role of adjunctive prednisone therapy. The present guideline is an update of this guideline, prepared by SWAB in collaboration with NVALT, the Dutch Society of Intensive Care (NVIC), and the Dutch College of General Practitioners (NHG). ![]() In 2011 the SWAB and the Dutch Association of Chest Physicians (NVALT) published a joint guideline on the management of CAP. The Dutch Working Party on Antibiotic Policy (SWAB Stichting Werkgroep Antibiotica Beleid), established by the Dutch Society for Infectious Diseases (VIZ), the Dutch Society for Medical Microbiology (NVMM) and the Dutch Society for Hospital Pharmacists (NVZA), coordinates activities in the Netherlands aimed at optimising antibiotic use, and containment of the development of antimicrobial resistance. Worldwide, CAP remains the second cause of death and life years lost. This translates into an incidence of person-years. ![]() 2,3 In the Netherlands, approximately 250,000 patients develop pneumonia each year (, 2 August 2017). 1,2 CAP is a common condition that carries a high burden of mortality and morbidity, particularly in the elderly. Antimicrobial therapy, community-acquired pneumonia, guidelinesĬommunity-acquired pneumonia (CAP) is defined as an acute symptomatic infection of the lower respiratory tract in patients outside a hospital or a long-term care facility, whereby a new infiltrate is demonstrated.
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