Adulto mayor: propuesta de abordaje de la neumonía adquirida en la comunidad

MEDISUR

Melissa Serra Ruiz¹  Miguel Ángel Serra Valdés¹  Yordanka Yamilex Aleaga Hernández¹  Girelda Cordero López¹  Marlene Viera García¹  Lino Aboy Capote¹ 

[1] Hospital General Docente Enrique Cabrera. La Habana.

关键词: infecciones comunitarias adquiridas;    neumonía;    infecciones del sistema respiratorio;    anciano;    guías de prácticas clínicas;   

DOI  :  

学科分类：医学（综合）

来源: Centro Provincial de Informacion de Ciencias Medicas de Cinfuegos

【 摘 要 】

Background:community-acquired pneumonia is the leading cause of hospitalization among older adults. It has a high fatality rate. At present, there are several risk and prognosis scores and different clinical practice guidelines available. Objective:to develop a proposal for the management of community-acquired pneumonia in older adults, applicable in both primary care, and the hospital setting. Methods:a search on community-acquired pneumonia, especially in older adults or the elderly, was conducted using index terms and existing guidelines from different countries, companies and regional consensus included in Clinical Evidence, The Cochrane Library, PubMed, Google Scholar, MEDLINE, LIS, Scielo, Medscape, LILACS, Latindex, HINARI, MEDIGRAPHIC-NEWS and others. The publications providing high-quality evidence in accordance with the criteria of the Grading of Recommendations, Assessment, Development and Evaluations approach were selected. Results:a proposal for practical management of community-acquired pneumonia at any level of care in our health system was developed considering the list of medications currently available in the country. Epidemiology, risk factors, risk stratification, treatment, and fatality rate were considered. Conclusions:community-acquired pneumonia is a current problem and future challenge. This proposal can be used by professionals treating this condition at any level of care. Its application could improve care and quality of life and reduce the fatality rate and costs.

【 授权许可】

CC BY