BTS GUIDELINES
BTS guidelines for the management of community acquired pneumonia in adults: update 2009
Correspondence to:
Correspondence to Dr W S Lim, Respiratory Medicine, Nottingham University Hospitals, David Evans Building, Hucknall Road, Nottingham NG5 1PB, UK; weishen.lim@nuh.nhs.uk
Accepted 6 July 2009
| The first 150 words of the full text of this article appear below. |
A summary of the initial management of patients admitted to hospital with suspected community acquired pneumonia (CAP) is presented in fig 8. 
Tables 4 and 5, respectively, summarise (1) the relevant microbiological investigations and (2) empirical antibiotic choices recommended in patients with CAP.
Figure 8 Hospital management of community acquired pneumonia (CAP) in the first 4 h. CXR, chest x ray; DBP, diastolic blood pressure; SBP, systolic blood pressure.
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View this table: Table 4 Recommendations for the microbiological investigation of community acquired pneumonia (CAP)
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View this table: Table 5 Initial empirical treatment regimens for community acquired pneumonia (CAP) in adults
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When should a chest radiograph be performed in the community?
- It is not necessary to perform a chest radiograph in patients with suspected CAP unless:
- The diagnosis is in doubt and a chest radiograph will help in a differential diagnosis and management of the acute illness. [D]
- Progress following treatment for suspected CAP is not satisfactory at review. [D]
- The patient is considered at risk of underlying lung pathology such
. . . [Full text of this article]
- The diagnosis is in doubt and a chest radiograph will help in a differential diagnosis and management of the acute illness. [D]
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