Severity of illness scoring systems in community-acquired Legionella pneumonia

Community-Acquired Legionella pneumophila Pneumonia

Legionella pneumophila has been increasingly recognized as a cause of community-acquired pneumonia (CAP) and an important public health problem worldwide. We conducted the present study to assess trends in epidemiology, diagnosis, clinical features, treatment, and outcomes of sporadic community-acquired L. pneumophila pneumonia requiring hospitalization at a university hospital over a 15-year p...

Legionella species community-acquired pneumonia.

Severity assessment in community-acquired pneumonia.

In current guidelines for the management of adults with community-acquired pneumonia (CAP), the triaging decision about hospitalization or intensive care unit (ICU) admission, and, as a consequence, selection of initial antimicrobial treatment is largely based on the assessment of pneumonia severity. The proposed severity criteria are mainly derived from studies determining predictors of advers...

Community-acquired Legionella pneumonia: new insights from the German competence network for community acquired pneumonia.

BACKGROUND The Competence Network for Community Acquired Pneumonia (CAPNETZ) offers a unique opportunity to study the epidemiology of legionellosis throughout Germany, applying sophisticated diagnostic tools. METHODS The incidence, clinical characteristics, and outcome of Legionella pneumonia in 2503 adult patients with community-acquired pneumonia, participating in the German Multicenter Stu...

Importance of severity assessment: community-acquired pneumonia.

Pneumonia Severity Index and CURB 65 are the two most important prognostic scoring tools to predict mortality for patients with CAP. These tools accurately predict mortality but do not directly measure disease severity. The clinical assessment is still required to decide hospital admission or ICU care. Prognostic scoring systems have been used to assist in the site-of-care decisions, with limit...