Erschienen in:
14.09.2015 | What's New in Intensive Care
What’s new in severe community-acquired pneumonia? Corticosteroids as adjunctive treatment to antibiotics
verfasst von:
Antoni Torres, Miquel Ferrer
Erschienen in:
Intensive Care Medicine
|
Ausgabe 8/2016
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Excerpt
Severity criteria occur in up to 18 % of hospitalized patients with community-acquired pneumonia (CAP), and still carry a high morbidity and mortality. In a French multicentre study on severe pneumococcal CAP admitted to intensive care units (ICU), the overall mortality rate was 29 %, with high proportions of patients in septic shock and needing mechanical ventilation [
1]. Patients with severe CAP (SCAP) might die despite an early and adequate antibiotic treatment. This is probably due, in part, to a misbalanced and disproportionate local and systemic inflammatory response that contributes to impairment of gas exchange, sepsis and end-organ dysfunction [
2]. …