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RESUMO
A Sociedade Portuguesa de Pneumologia apresenta um conjunto de recomendações que pretendem traduzir para o nosso país o “estado da arte” em relação à abordagem diagnóstica, terapêutica e preventiva da pneumonia adquirida na comunidade no adulto imunocompetente. Estas propostas devem ser entendidas como linhas de orientação geral, não devendo substituir o senso clínico, aplicado à resolução de cada caso individual.
Constituiu objectivo prioritário uma estratificação dos doentes de acordo com o risco de morbilidade e mortalidade, de modo a fundamentar mais racionalmente as seguintes decisões: escolha do local de tratamento(ambulatório ou internamento hospitalar), exames complementares a realizar e terapêutica antimicrobiana a adoptar. São igualmente enunciadas um conjunto de recomendações relativas à prevenção da PAC.
Os autores propõem a realização de estudos multicêntricos prospectivos, idealmente em colaboração com outras sociedades científicas, tendo em vista uma melhor caracterização da realidade nacional e a revisão periódica do presente documento.
REV PORT PNEUMOL 2003; IX(5): 435-461
Palavras-chave:
Pneumonia adquirida na comunidade
diagnóstico
terapêutica
prevenção
recomendações
ABSTRACT
The Portuguese Respiratory Society makes a series of recommendations as to the state of the art of the diagnostic, therapeutic and preventive approach to community-acquired pneumonia in immunocompetent adults in Portugal. These proposals should be regarded as general guidelines and are not intended to replace the clinical sense used in resolving each individual case.
Our main goal is to stratify the patients according to the risk of morbidity and mortality in order to justify the following decisions more rationally: the choice of place of treatment (outpatient or inpatient), diagnostic tests and antimicrobial therapy. We also make a set of recommendations for the prevention of CAP.
We plan to conduct multi-centre prospective studies, preferably in collaboration with other scientific societies, in order to be able to characterise the situation in Portugal more accurately and regularly update this document.
REV PORT PNEUMOL 2003; IX(5): 435-461
Key-words:
Community-acquired pneumonia
diagnostic
therapeutic
prevention
guidelines
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