Practice Guidelines for the Management of Community-Acquired Pneumonia in Adults

Topic: Risk, prevention and care in population studies

The of establishing the diagnosis of pneumonia and cause is with the antibiotic studies for of community-acquired studies for of community-acquired The diagnosis of is based on a of clinical and laboratory The diagnosis of is and and as well as disease, congestive heart failure, with pneumonia and cases of and are of do not require and are the of antibiotic antimicrobial is usually for and a chest radiography is usually to establish the diagnosis of examination to or is for detecting pneumonia Chest radiography is considered is for the etiologic the and or conditions. Chest in patients with pneumonia are for to of but this is not for the are in detecting but the clinical of these is and the not the of this of the of the and of the of may to patients for on the basis of without radiographic should be the and of antimicrobial in of and the of pneumonia with that from only in a outpatient to in an The that chest radiography be included in the of patients for pneumonia is considered a diagnosis The on microbiological studies staining and culture of expectorated in the guidelines represents a from the guidelines of the Society against microbiological studies the in and the of in of or A of the is that the quality of microbiological as to with that in an is that of the Laboratory which from to this the or other of attempts to studies to this have not rationale for the of microbiological and is in which with to the individual and The to the etiologic agent is by empirical selection of of the and In the of and microbiological the rationale considered to the of guidelines based on etiologic for establishing an etiologic for establishing an etiologic A may be for a that may to are in have as to of these have not to controlled a of with and infection. and by and are of is with pneumonia to influenzae or or with S. pneumoniae. indicates by studies of have that clinical do not etiologic support the of clinical for an etiologic diagnosis conditions to in patients with community-acquired conditions to in patients with community-acquired the clinical diagnosis of should be to microbiological diagnosis with studies of and blood for and of to common are in require tests for which are in The for is Gram staining of usually expectorated staining of or urinary antigen assay for for in urinary antigen assay for S. pneumoniae, staining for detection of and tests for Recommendations for expectorated and Recommendations for expectorated and studies for of community-acquired studie

@article{bartlett2000-10987697,
  author  = {Bartlett, John Gilles and Dowell, Scott F. and Mandell, Lionel A. and File, Thomas M. and Musher, Daniel M. and Fine, Michael J.},
  title   = {{Practice Guidelines for the Management of Community-Acquired Pneumonia in Adults}},
  journal = {Clinical Infectious Diseases},
  year    = {2000},
  doi     = {10.1086/313954},
  pmid    = {10987697},
  url     = {https://doi.org/10.1086/313954}
}

Key findings

• The of establishing the diagnosis of pneumonia and cause is with the antibiotic studies for of community-acquired studies for of community-acquired The diagnosis of is based on a of clinical and laboratory The diagnosis of is and and as well as disease, congestive heart failure, with pneumonia and cases of and are of do not require and are the of antibiotic antimicrobial is usually for and a chest radiography is usually to establish the diagnosis of examination to or is for detecting pneumonia Chest radiography is considered is for the etiologic the and or conditions.
• Chest in patients with pneumonia are for to of but this is not for the are in detecting but the clinical of these is and the not the of this of the of the and of the of may to patients for on the basis of without radiographic should be the and of antimicrobial in of and the of pneumonia with that fr
• The etiologic diagnosis be for and a diagnosis the to to treatment be with in a based on the and antibiotic by selection of antimicrobial with a or a an appropriate be of blood of for is with a in to studies have that with in patients is the for those with and without an etiologic diagnosis studies were not to the the is based on of cases with and without an etiologic also of that have not are of and do of these studies For and that a diagnosis by Gram staining with of of antimicrobial therapy. by that antibiotic treatment to poor which that the of an etiologic diagnosis is The of microbiological studies for patients is A from the Pneumonia with of patients that the of Gram staining and culture of were and studies were on only of outpatients with in this and most other studies of are at which microbiological studies are in other care The of a pathogen in blood in patients with The with studies is from to for patients and usually for outpatients The studies is by in the quality of microbiological and the patient It is that of an etiologic with of blood of antimicrobial treatment and Gram staining and culture for patients who require hospitalization.
• The is to establish a diagnosis that be used for and of antimicrobial the other the of studies for of severity is studies are to the of studies in these in the of the diagnosis on the pathogen and on the as follows. a is established by a clinical the of a etiologic agent from an or or the from of a
• In cases of S. pneumoniae may be in culture in only of cases are used The of S. pneumoniae is from and of antibiotic may reduce the of common in of from and is with for such as or S. the of these for detecting other or tuberculosis is these tests are usually not in the of patients with but may for i

Why it matters

These are practice guidelines for managing community-acquired pneumonia in adults. They are not about Alzheimer's disease and do not test any treatment, cure or prevention for it.

New to this subject? Start with our plain-English guide: Risk factors, ranked →

Study details

• Study designrandomized controlled trial
• Evidence strengthHigh

Read the original

• DOI: 10.1086/313954
• PubMed: 10987697
• Original source →
• Free full text: Clinical Infectious Diseases →

Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).

Related studies in Risk factors

• Epidemiology and outcomes in community-acquired versus hospital-acquired AKI Clinical journal of the American Society of Nephrology : CJASN · 2014-03-27 · usefulness score 52/100
• International Exercise Recommendations in Older Adults (ICFSR): Expert Consensus Guidelines The journal of nutrition, health & aging · 2021-01-01 · usefulness score 61/100
• Health care management of adults with Down syndrome American family physician · 2001-09-01 · usefulness score 36/100
• Interventions to Reduce Loneliness in Community-Living Older Adults: a Systematic Review and Meta-analysis Journal of general internal medicine · 2024-01-10 · usefulness score 82/100
• Hearing Impairment and Cognitive Decline in Older, Community-Dwelling Adults The journals of gerontology. Series A, Biological sciences and medical sciences · 2020-02-14 · usefulness score 70/100
• Telehealth Home Support During COVID-19 Confinement for Community-Dwelling Older Adults With Mild Cognitive Impairment or Mild Dementia: Survey Study Journal of Medical Internet Research · 2020-05-12 · usefulness score 52/100

Also tagged “delirium”

858 studies in the library carry the topic tag “delirium”; these are this study's neighbours in a fixed, alphabetical-by-hash tour of them, not the closest in content. All 858 tagged studies.

• Predicting six-month mortality for patients who are on maintenance hemodialysis Clinical journal of the American Society of Nephrology : CJASN · 2009-12-03 · usefulness score 53/100 · End-of-life care
• Predicting death in the nursing home: development and validation of the 6-month Minimum Data Set mortality risk index The journals of gerontology. Series A, Biological sciences and medical sciences · 2005-04-01 · usefulness score 52/100 · End-of-life care
• Advance care planning: the future BMJ supportive & palliative care · 2020-05-15 · usefulness score 40/100 · End-of-life care

Similar studies

• Risk factors for community-acquired pneumonia in adults in Europe: a literature review 2013 · Prevention and risk
• Community-acquired pneumonia in the elderly. Clinical and nutritional aspects 1997 · Clinical safety
• Pneumonia in the very old 2004 · Clinical safety
• Development of a practice guideline for optimal symptom relief for patients with pneumonia and dementia in nursing homes using a Delphi study 2015 · End-of-life care
• Improving comfort in people with dementia and pneumonia: a cluster randomized trial 2016 · Treatments
• Comparison of 2 interventions for liquid aspiration on pneumonia incidence: a randomized trial 2008 · Clinical safety

More on Risk factors

• A review that covers this ground The 2015 Dutch food-based dietary guidelines European journal of clinical nutrition · 2016-04-06 · usefulness score 62/100
• Newest in this subject Neuroscience-Informed Psychoeducation for Dementia: From Network Degeneration to Compassionate and Skilled Care PsyArXiv · 2026-10-28 · Preprint — not yet peer-reviewed · usefulness score 16/100
• Newest in this subject Geographic Heterogeneity in the Association Between Schooling and Cognitive Change Among Older Adults in India medRxiv · 2026-10-28 · Preprint — not yet peer-reviewed · usefulness score 16/100

See all studies in Risk factors →