Quality improvement in hospital management of community-acquired pneumonia: focus on new strategies and current challenges.

Abstract:

:Community-acquired pneumonia is a common reason for hospitalization and leads to significant morbidity and mortality. There are published evidence-based guidelines for the diagnosis, treatment, and management of community-acquired pneumonia. Many countries, including the US, have developed national, publically reported quality measures related to the treatment of community-acquired pneumonia. This review highlights recent published innovations aimed at improving the quality of care for patients hospitalized for community-acquired pneumonia. Interventions include standardized protocols and pathways, education and feedback from antimicrobial stewardship teams, and automated pharmacy technology. The importance of multidisciplinary collaboration and multidimensional interventions are discussed. Insight into local context and institutional support are essential to understanding the implementation of improvement efforts and these factors should be reported in future publications related to quality improvement.

journal_name

Curr Infect Dis Rep

authors

Richey EA,Dudley L,Liu SK

doi

10.1007/s11908-014-0395-z

subject

Has Abstract

pub_date

2014-02-01 00:00:00

pages

395

issue

2

eissn

1523-3847

issn

1534-3146

journal_volume

16

pub_type

杂志文章
  • The Influence of Influenza and Pneumococcal Vaccines on Community-Acquired Pneumonia (CAP) Outcomes Among Elderly Patients.

    abstract::Elderly are at high risk for hospitalization for community-acquired pneumonia (CAP), especially due to Streptococcus pneumoniae, and seasonal influenza viruses. Data suggest PPV23's influence on various CAP-related outcomes among the elderly may depend upon how many years have elapsed since they received this vaccine....

    journal_title:Current infectious disease reports

    pub_type: 杂志文章

    doi:10.1007/s11908-015-0505-6

    authors: Gubbins PO,Li C

    更新日期:2015-12-01 00:00:00

  • Structured Treatment Interruption: Approaches and Risks.

    abstract::Although highly active antiretroviral therapy suppresses HIV replication resulting in extraordinary clinical benefits, toxicity, adherence difficulties, and the monetary cost of medications limit the long-term effectiveness and availability of therapy for many HIV-infected individuals. Strategies to interrupt therapy ...

    journal_title:Current infectious disease reports

    pub_type: 杂志文章

    doi:10.1007/s11908-002-0059-2

    authors: Dybul M

    更新日期:2002-04-01 00:00:00

  • Cytology in the differential diagnosis of vaginitis.

    abstract::Vaginal discharge, vulvar pruritus, and dyspareunia are among the most common symptoms that prompt women to seek medical advice. They are frequently assumed to be due to vaginitis resulting from infection and are treated with anti-infective agents without further investigation. Such empirical treatment may be successf...

    journal_title:Current infectious disease reports

    pub_type: 杂志文章

    doi:10.1007/s11908-008-0079-7

    authors: Dennerstein GJ

    更新日期:2008-11-01 00:00:00

  • Community-associated methicillin-resistant Staphylococcus aureus: incidence, clinical presentation, and treatment decisions.

    abstract::Community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) infections have been reported with increasing frequency from many parts of the world. Most infections involve the skin and soft tissue structures, and CA-MRSA is now the most commonly identifiable cause of purulent skin and soft tissue infectio...

    journal_title:Current infectious disease reports

    pub_type: 杂志文章

    doi:10.1007/s11908-007-0061-9

    authors: Abrahamian FM,Snyder EW

    更新日期:2007-09-01 00:00:00

  • Mixed community-acquired lower respiratory tract infections.

    abstract::Although mixed infections are known to be clinically relevant in conditions such as nosocomial pneumonia and ventilator-related pneumonia, it is increasingly recognized that a substantial number of community-acquired lower respiratory tract infections may also be attributed to more than one pathogenic organism. A bett...

    journal_title:Current infectious disease reports

    pub_type: 杂志文章

    doi:10.1007/s11908-007-0017-0

    authors: Tarsia P,Aliberti S,Pappalettera M,Blasi F

    更新日期:2007-01-01 00:00:00

  • Infective Endocarditis in Adults with Congenital Heart Disease.

    abstract::Although modern medicine has improved survival in congenital heart disease dramatically, the long-term course carries a risk of late complications. The incidence of infective endocarditis in adults with congenital heart disease is more than 10 times higher than that of the normal population. Identification of the high...

    journal_title:Current infectious disease reports

    pub_type: 杂志文章

    doi:10.1007/s11908-003-0006-x

    authors: Thilén U

    更新日期:2003-08-01 00:00:00

  • Diagnosis and Management of Infectious Thyroiditis.

    abstract::A broad range of disorders can cause inflammation of the thyroid gland. True thyroid infections are rare and can result from a variety of microorganisms, of which bacteria are the most common. Other rarer pathogens include fungi, parasites, and viruses. Gram-positive bacteria, especially staphylococci, predominate as ...

    journal_title:Current infectious disease reports

    pub_type: 杂志文章

    doi:10.1007/s11908-000-0027-7

    authors: Shah SS,Baum SG

    更新日期:2000-04-01 00:00:00

  • 2009 Pandemic Influenza A (H1N1): Diagnosis, Management, and Prevention- Lessons Learned.

    abstract::The 2009 pandemic influenza A (H1N1) was responsible for the first influenza pandemic of the 21st century. The virus- a previously unknown triple-reassortant virus containing segments of avian, human, and swine origins- generally caused mild disease. Unlike seasonal influenza, 2009 pandemic influenza A (H1N1) primaril...

    journal_title:Current infectious disease reports

    pub_type: 杂志文章

    doi:10.1007/s11908-010-0157-5

    authors: Swedish KA

    更新日期:2011-04-01 00:00:00

  • Update on varicella zoster virus vasculopathy.

    abstract::Primary infection of humans with varicella zoster virus (VZV) causes varicella (chickenpox), after which the virus becomes latent in cranial nerve ganglia, dorsal root ganglia and autonomic ganglia along the entire neuraxis. As VZV-specific cell-mediated immunity declines in elderly and immunocompromised individuals, ...

    journal_title:Current infectious disease reports

    pub_type: 杂志文章

    doi:10.1007/s11908-014-0407-z

    authors: Nagel MA,Gilden D

    更新日期:2014-06-01 00:00:00

  • Chikungunya virus infection.

    abstract::Chikungunya virus (CHIKV) is an alphavirus transmitted by mosquitoes, mostly Aedes aegypti and Aedes albopictus. After half a century of focal outbreaks of acute febrile polyarthralgia in Africa and Asia, the disease unexpectedly spread in the past decade with large outbreaks in Africa and around the Indian Ocean and ...

    journal_title:Current infectious disease reports

    pub_type: 杂志文章

    doi:10.1007/s11908-011-0180-1

    authors: Simon F,Javelle E,Oliver M,Leparc-Goffart I,Marimoutou C

    更新日期:2011-06-01 00:00:00

  • Sexually Transmitted Diseases in Men Who Have Sex with Men: A Clinical Review.

    abstract::Increases in sexually transmitted diseases (STDs) among men who have sex with men (MSM) have coincided with recent increases in sexual risk behaviors across the United States and Europe. The identification of same-sex sexual risk behavior in men and the subsequent risk for certain bacterial and viral infections requir...

    journal_title:Current infectious disease reports

    pub_type: 杂志文章

    doi:10.1007/s11908-003-0050-6

    authors: Klausner JD,Wong W

    更新日期:2003-04-01 00:00:00

  • Management of Increased Intracranial Pressure in Cryptococcal Meningitis.

    abstract::Therapy of cryptococcal meningitis has been focused primarily on optimizing the antifungal regimen to improve the previously high treatment failure rates. Until recently, relatively little attention has been paid to the impact of increased intracranial pressure, which is a frequent problem that complicates management ...

    journal_title:Current infectious disease reports

    pub_type: 杂志文章

    doi:10.1007/s11908-002-0026-y

    authors: Gambarin KJ,Hamill RJ

    更新日期:2002-08-01 00:00:00

  • Rituximab causing deep ulcerative suppurative vaginitis/pyoderma gangrenosum.

    abstract::Pyoderma gangrenosum (PG) is a rare cause of purulent vulvovaginal ulceration. Six recent cases of vulvovaginal pyoderma gangrenosum associated with rituximab are described. All cases were seen in the setting of rituximab used for the treatment of B cell non Hodgkin's lymphoma (NHL). Age range was 50-74; symptoms were...

    journal_title:Current infectious disease reports

    pub_type: 杂志文章

    doi:10.1007/s11908-015-0478-5

    authors: Selva-Nayagam P,Fischer G,Hamann I,Sobel J,James C

    更新日期:2015-05-01 00:00:00

  • The prospect of vaccination against group A beta-hemolytic streptococci.

    abstract::Group A streptococcus is a widespread human pathogen that causes a broad spectrum of human disease. The persistent high burden and severity of illness in developing and industrialized countries speaks to the need for a safe and effective vaccine. Modern approaches to vaccine construction include M protein type-specifi...

    journal_title:Current infectious disease reports

    pub_type: 杂志文章

    doi:10.1007/s11908-008-0032-9

    authors: Kotloff KL

    更新日期:2008-05-01 00:00:00

  • Special Challenges in the Prevention and Treatment of Malaria in Children.

    abstract::Malaria is a devastating disease, inflicting epidemic morbidity and mortality with an estimated 500 million cases and 2.5 million deaths annually. Children suffer the most severe morbidity; one child dies of malaria every 30 seconds, accounting for over 1 million of the deaths annually. There continues to be a tremend...

    journal_title:Current infectious disease reports

    pub_type: 杂志文章

    doi:10.1007/s11908-003-0064-0

    authors: Stauffer WM,Kamat D

    更新日期:2003-02-01 00:00:00

  • Community-acquired pneumonia in patients with chronic obstructive pulmonary disease.

    abstract::Chronic obstructive pulmonary disease (COPD) is a leading cause of morbidity and mortality worldwide. Patients with COPD are at increased risk for community-acquired pneumonia (CAP). COPD has been reported as a comorbidity in at least one third of the hospitalized patients with CAP. There is a controversy that the pre...

    journal_title:Current infectious disease reports

    pub_type: 杂志文章

    doi:10.1007/s11908-014-0444-7

    authors: Cilli A

    更新日期:2015-01-01 00:00:00

  • Multidrug Resistant Acinetobacter baumannii: Resistance by Any Other Name Would Still be Hard to Treat.

    abstract:PURPOSE OF REVIEW:Acinetobacter baumannii (AB) is an infamous nosocomial pathogen with a seemingly limitless capacity for antimicrobial resistance, leading to few treatment options and poor clinical outcomes. The debatably low pathogenicity and virulence of AB are juxtaposed by its exceptionally high rate of infection-...

    journal_title:Current infectious disease reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11908-019-0706-5

    authors: Butler DA,Biagi M,Tan X,Qasmieh S,Bulman ZP,Wenzler E

    更新日期:2019-11-16 00:00:00

  • Recurrent Bacterial Vaginosis.

    abstract::Bacterial vaginosis (BV) is a common cause of vaginal discharge in women of childbearing age. In some individuals, it recurs frequently after treatment, frustrating both the patient and the physician. Standard BV treatment--metronidazole or clindamycin, administered either intravaginally or orally--is followed by rela...

    journal_title:Current infectious disease reports

    pub_type: 杂志文章

    doi:10.1007/s11908-000-0053-5

    authors: Hay P

    更新日期:2000-12-01 00:00:00

  • Global trends in candidemia: review of reports from 1995-2005.

    abstract::Candida species are an important cause of health care-related bloodstream infections (BSI). Understanding the current Candida BSI incidence trends, the dominant species causing disease, and the mortality associated with this infection are important to help guide therapeutic and prophylaxis measures. In this review, tr...

    journal_title:Current infectious disease reports

    pub_type: 杂志文章

    doi:10.1007/s11908-005-0044-7

    authors: Morgan J

    更新日期:2005-11-01 00:00:00

  • Pharmacokinetics of antibiotics or antifungal drugs in intensive care units.

    abstract::Intensive care unit (ICU) patients present several unusual pharmacokinetic (PK) characteristics compared with less seriously ill patients, including increased distribution volume and variable clearance. Interpatient PK variability is often considerable and can produce a wide range of values for PK parameters and major...

    journal_title:Current infectious disease reports

    pub_type: 杂志文章

    doi:10.1007/s11908-009-0003-9

    authors: Dufour G,Montravers P

    更新日期:2009-01-01 00:00:00

  • Risk-based antifungal prophylaxis in hematologic malignancy and stem cell transplantation.

    abstract::Invasive fungal infection (IFI) is an important cause of morbidity and mortality in patients with hematologic malignancy, prolonged neutropenia, or after hematopoietic stem cell transplant. Antifungal prophylaxis prevents IFI in high-risk hematology patients. This article discusses recent developments in antifungal pr...

    journal_title:Current infectious disease reports

    pub_type: 杂志文章

    doi:10.1007/s11908-009-0061-z

    authors: Wolf J,Slavin MA

    更新日期:2009-11-01 00:00:00

  • A Virus-based Vaccine May Prevent Cervical Cancer.

    abstract::High-risk human papillomaviruses (HPVs) are now recognized as the etiologic agents of invasive cervical cancer, a major cancer in women. A single HPV type (type 16) is responsible for about 50% of the cancers. The major capsid protein of papillomaviruses, L1, when expressed by recombinant DNA technology, has the intri...

    journal_title:Current infectious disease reports

    pub_type: 杂志文章

    doi:10.1007/s11908-005-0072-3

    authors: Gravitt PE,Shah KV

    更新日期:2005-03-01 00:00:00

  • Biofilm Formations in Pediatric Respiratory Tract Infection Part 2: Mucosal Biofilm Formation by Respiratory Pathogens and Current and Future Therapeutic Strategies to Inhibit Biofilm Formation or Eradicate Established Biofilm.

    abstract:PURPOSE OF REVIEW:The purpose of this review is to discuss the unique pathways of biofilm formation utilized by respiratory pathogens and current and future therapeutic strategies to inhibit biofilm formation or eradicate established biofilm in the context of these pathogens. Both nonselective and selective strategies ...

    journal_title:Current infectious disease reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11908-019-0657-x

    authors: Hamilos DL

    更新日期:2019-03-02 00:00:00

  • Molecular diagnosis of diarrhea: current status and future potential.

    abstract::Determining the microbiologic etiology of enteric infection remains an elusive goal. Conventional approaches, including culture, microscopy, and antigen-based tests have significant limitations such as limit of detection and the need for multiple procedures. Molecular diagnostics, especially PCR based tests, are rapid...

    journal_title:Current infectious disease reports

    pub_type: 杂志文章

    doi:10.1007/s11908-011-0223-7

    authors: Platts-Mills JA,Operario DJ,Houpt ER

    更新日期:2012-02-01 00:00:00

  • Healthcare Economics in HIV.

    abstract::In an era of cost-consciousness in the delivery of medical care, the economics of healthcare delivery for HIV-infected persons has been an area of active interest. Interested parties include the payors of HIV care, particularly public insurers, who are paying for an increasing amount of the overall cost of HIV care in...

    journal_title:Current infectious disease reports

    pub_type: 杂志文章

    doi:10.1007/s11908-000-0018-8

    authors: Moore RD

    更新日期:2000-08-01 00:00:00

  • Pulmonary Nocardiosis.

    abstract::Pulmonary nocardiosis is an uncommon but serious infection that is increasingly found in immunosuppressed persons, especially transplant recipients and persons with AIDS. The Nocardia species are denizens of soil and decaying plants that gain entry to humans through inhalation or inoculation. Pulmonary nocardiosis typ...

    journal_title:Current infectious disease reports

    pub_type: 杂志文章

    doi:10.1007/s11908-001-0032-5

    authors: Baracco GJ,Dickinson GM

    更新日期:2001-06-01 00:00:00

  • Infections of the Central Nervous System in Returning Travelers and Immigrants.

    abstract:PURPOSE OF REVIEW:This review highlights current knowledge in travel-related neuroinfectious diseases, providing insight on approaches to prevention, diagnosis, and treatment of infections of the central nervous system (CNS) in travelers and immigrants. RECENT FINDINGS:Updates on travel vaccine recommendations includi...

    journal_title:Current infectious disease reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11908-017-0594-5

    authors: Thompson H,Thakur K

    更新日期:2017-10-03 00:00:00

  • Update on Traveler's Diarrhea.

    abstract::Diarrhea is one of the most common health problems among travelers. Although enterotoxigenic Escherichia coli is implicated most commonly, enteroaggregative E. coli has recently been described as a major pathogen. Shigella, Campylobacter, and Salmonella organisms are less common causes of acute diarrhea, and intestina...

    journal_title:Current infectious disease reports

    pub_type: 杂志文章

    doi:10.1007/s11908-002-0070-7

    authors: Cheng AC,Thielman NM

    更新日期:2002-02-01 00:00:00

  • HIV in Africa: Challenges and Directions for the Next Decade.

    abstract::Africa carries a disproportionate burden of the global HIV endemic, accounting for two thirds of the global 33.3 million people living with HIV. While tremendous advances have been made in addressing the HIV epidemic in Africa, considerable challenges remain. Testing for HIV increased by 86% from 2007 to 2009 but more...

    journal_title:Current infectious disease reports

    pub_type: 杂志文章

    doi:10.1007/s11908-011-0230-8

    authors: Gilliam BL,Patel D,Talwani R,Temesgen Z

    更新日期:2012-02-01 00:00:00

  • Prevention of Invasive Pneumococcal Disease: Problems Emerged After Some Years of the 13-Valent Pneumococcal Conjugate Vaccine Use.

    abstract::Starting from 2010, the 13-valent pneumococcal conjugate vaccine (PCV13) was introduced in several countries. This paper discusses some of the problems recently emerged after PCV13 use and their clinical impact. The impact of PCV13 has been relevant and has saved millions of children and adults by severe infectious di...

    journal_title:Current infectious disease reports

    pub_type: 杂志文章,评审

    doi:10.1007/s11908-018-0607-z

    authors: Principi N,Di Cara G,Bizzarri I,Isidori C,Borgia P,Mignini C,Saponara M,Argentiero A,Esposito S

    更新日期:2018-01-24 00:00:00