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- Ashley C Rider and Bradley W Frazee.
- Department of Emergency Physician, Alameda Health System - Highland Hospital, 1411 East 31st Street, Oakland, CA 94602, USA; UCSF, San Francisco, CA, USA.
- Emerg. Med. Clin. North Am. 2018 Nov 1; 36 (4): 665683665-683.
AbstractCommunity-acquired pneumonia is one of the most common infections seen in emergency department patients. There is a wide spectrum of disease severity and viral pathogens are common. After a careful history and physical examination, chest radiographs may be the only diagnostic test required. The first step in management is risk stratification, using a validated clinical decision rule and serum lactate, followed by early antibiotics and fluid resuscitation when indicated. Antibiotics should be selected with attention to risk factors for multidrug-resistant respiratory pathogens. Broad use of pneumococcal vaccine in adults and children can prevent severe community-acquired pneumonia.Copyright © 2018 Elsevier Inc. All rights reserved.
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