Improving outcomes from community-acquired pneumonia

Current Opinion in Pulmonary Medicine
Grant W Waterer, Lesley Bennett

Abstract

We are entering into a new era of healthcare wherein patient outcomes are increasingly being publicly reported, not just by institution, but by individual clinicians. This review focuses on the issue of quality of care of patients with community-acquired pneumonia (CAP), in particular the choice of outcome, quality of data needed and recommendations of the current bundle of care suggested by the available literature as delivering the best chance of favourable outcomes for patients. There is increasing evidence that pneumonia outcomes have improved over the past decade, particularly mortality. However, we have been oversimplistic in setting quality targets and that a bundle of care is required to deliver best outcomes, such as has been shown with the surviving sepsis campaign. Equally, the quality of data available to compare outcomes needs to be significantly improved on what is currently available. To achieve best outcomes for their patients, physicians must be actively comparing their outcomes against other institutions and not rely on historical data. A bundle of care that includes rapid administration of antibiotics, use of combination antibiotic therapy including a macrolide and early mobilization is a good starting point.

References

Jun 30, 2001·Intensive Care Medicine·P JollietJ C Chevrolet
Aug 30, 2001·Archives of Internal Medicine·G W WatererR G Wunderink
Sep 13, 2003·Chest·Linda M MundyWilliam Claiborne Dunagan
Dec 23, 2003·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Eric M MortensenMichael J Fine
Dec 25, 2003·American Journal of Respiratory and Critical Care Medicine·Grant W WatererRichard G Wunderink
Jun 9, 2004·American Journal of Respiratory and Critical Care Medicine·Larry M BaddourUNKNOWN International Pneumococcal Study Group
Aug 18, 2006·BMC Health Services Research·José M QuintanaAndrew Thompson
Sep 27, 2006·The American Journal of Medicine·Christopher R FreiDavid S Burgess
Feb 1, 2007·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Philip M PolgreenLoreen A Herwaldt
Apr 12, 2007·Quality Management in Health Care·Douglas E DrakeJeffrey Cohn
Jul 17, 2007·The Journal of Emergency Medicine·Ronald S BenensonSally Cavanaugh
Feb 27, 2008·Archives of Internal Medicine·James A WelkerJack D McCue
Mar 29, 2008·American Journal of Respiratory and Critical Care Medicine·Sachin YendeUNKNOWN GenIMS Investigators
Oct 1, 2008·The American Journal of Medicine·Alberto CapelasteguiAmaia Bilbao
Apr 9, 2009·Respirology : Official Journal of the Asian Pacific Society of Respirology·Michael S Niederman
Sep 16, 2009·Archives of Internal Medicine·Forest W ArnoldUNKNOWN Community-Acquired Pneumonia Organization (CAPO) Investigators
Feb 8, 2011·The American Journal of Medicine·Gregory W RuhnkeDavid M Cutler
Aug 11, 2011·The European Respiratory Journal·R MenéndezJ Ruiz-Manzano
Dec 21, 2011·Respiratory Medicine·Leyla AsadiSumit R Majumdar
Feb 10, 2012·Intensive Care Medicine·Andres CarrilloAntoni Torres
Mar 3, 2012·Chest·Mark L MeterskyDale W Bratzler
Mar 13, 2012·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·L AsadiS R Majumdar
Jul 31, 2012·Critical Care : the Official Journal of the Critical Care Forum·Christophe MartiArnaud Perrier
Nov 28, 2012·BMC Health Services Research·Andrew DickPatricia W Stone
Jan 24, 2013·JAMA : the Journal of the American Medical Association·Kumar DharmarajanHarlan M Krumholz
Feb 14, 2013·JAMA : the Journal of the American Medical Association·Harlan M KrumholzSharon-Lise T Normand
Mar 5, 2013·International Journal of Antimicrobial Agents·Dafna YahavMical Paul
Mar 20, 2013·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Jose BordonJulio Ramirez

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Citations

Sep 7, 2016·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·F S BitekerH Sözen
Dec 27, 2017·Respirology : Official Journal of the Asian Pacific Society of Respirology·Grant Waterer
Nov 19, 2017·Respirology : Official Journal of the Asian Pacific Society of Respirology·Jane Hadfield, Lesley Bennett
Mar 19, 2015·Current Opinion in Pulmonary Medicine·Alimuddin Zumla, Michael S Niederman
Nov 2, 2019·Infectious Disease Clinics of North America·Deirdre Fitzgerald, Grant W Waterer

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