Product Description
Centers for Disease Control and Prevention, Atlanta, GA. Compares bacterial, mycobacterial, viral, and fungal pneumonias and defines hospital-acquired pneumonias. Identifies patients with risk factors, discusses how to reduce or eliminate risk factors, and more. For students, clinicians, and hospital administrators. ... Read more

Product Description
This digital document is an article from Family Practice News, published by Thomson Gale on September 15, 2007. The length of the article is 814 words. The page length shown above is based on a typical 300-word page. The article is delivered in HTML format and is available in your Amazon.com Digital Locker immediately after purchase. You can view it with any web browser.

Citation Details
Title: Community-acquired pneumonia.(Clinical Guidelines For Family Physicians)(Disease/Disorder overview)
Author: Neil S. Skolnik
Publication: Family Practice News (Magazine/Journal)
Date: September 15, 2007
Publisher: Thomson Gale
Volume: 37Issue: 18Page: 32(1)

Article Type: Disease/Disorder overview

Distributed by Thomson Gale ... Read more

Product Description
Ventilator-associated pneumonia (VAP) continues to be one ofthe greatest challenges to critical care practitioners and one of thegreatest threats to the survival of our patients. The choice of thistopic for an issue of the PERSPECTIVES IN CRITICAL CAREINFECTIOUS DISEASES Series is therefore quite appropriate.

Despite its importance, many areas of the management ofventilator-associated pneumonia remain controversial. We therefore arepleased to include contributions from experts and investigatorsoffering different perspectives on some of these controversial areas. ... Read more

Customer Reviews (2)

Review by KAP, Norwell, MA
Most of the edited, multiauthor texts available in the medical marketplace avoid repetitive coverage of specific topics by design, if not always in practice.For instance, a typical book on ventilator-associated pneumonia (VAP) would include one chapter on epidemiology, one on diagnosis, one on treatment, and so on.The series Perspectives on Critical Care Infectious Diseases, of which the present volume represents the fourth contribution, is quite different in that any given subject is discussed by more than one author or group of authors.As stated in the preface by the series editor, Jordi Rello, MD, this was a calculated plan meant to present"...the different management perspectives for these controversial and evolving topics." Dr. Rello goes on t specify that two guest editors are chosen for each volume, one from Europe and one from North America, thus further guaranteeing a more international perspective.After reading Ventilator-Associated Pneumonia, it is clear that such an approach has many advantages for the sophisticated reader but presents a significant challenge to the novice.
The book begins with two discussions of diagnostic strategies for VAP, as presented by Jean-Yves Fagon and Jean Chastre (presumably, the European experience) and Michael S. Niederman (presumably, the North American counterpart).The editors clearly chose their authors wisely, since one could hardly imagine two more opposite viewpoints.the first advocates invasive, quantitative culture techniques while the latter maintains that a "clinical and empiric approach" makes better sense.Both chapters marshal considerable supporting evidence from the literature, but neither can cite definitive randomized controlled trials providing unequivocal evidence of the superiority of either approach.The reader is still left with the essential controversy unresolved.While the empiric view may be easier and more convenient, a diagnosis that relies on "a new or progressive infiltrate with at least 2 of the following 3 criteria:fever, purulent sputum, or leukocytosis" can hardly be specific when other common intensive care syndromes can and often do, duplicate these findings.On the other hand, quantitative culture techniques may lack sensitivity, particularly in the case of early infection and may be prone to false-negative results, especially when performed after antibiotic treatment already has been started.
The remainder of the book seems far less controversial.The prevention of VAP is covered by two different authors, the pathogenesis of VAP (including the putative roles of the oropharynx and digestive tract) is covered in one chapter, and the treatment of VAP in Europe and North America is discussed by representatives from those respective medical communities.The text concludes with two views on the emergence and control of resistant organisms, and with a brief chapter further discussing some of the controversies existing in the VAP literature (as exemplified in the previous chapers).This last chapter provides a degree of summation and resolution for the opposing opinions presented earlier in the book, but it could have been more comprehensive in that regard.Also, this particular chapter contained numerous grammatical and typographic errors that interfered with readability.There is much repetition present throughout the text, mainly among the chapters on treatment and antibiotic resistance, but this is certainly unavoidable given the central premise of a book that seeks to present differing opinions on identical topics.
Ventilator-Associated Pneumonia serves the needs of a more restricted audience compared to other texts.Since it presents varyng points of view on many topices, it is not particularly suitable for medical students, residents, or fellows who are new to critical care medicine and who will have difficulty coming away with a unified "game plan" for VAP management.Rather, this book is a usefull tool for the experienced critical care, pulmonary, or infectious disease clinician or researcher, who can interpret the material presented in light of his/her own experience and knowledge, and perhaps alter an already mature practice style accordingly.
Lee K. Brown, MD, FCCP, Albuquerque NM, bookshelf

WOW!
A rollicking good yarn:Fast-paced and tenacious, it'll hold you to your seat, work you up a good sweat, and never fail to dissapoint.Had me jumpping at shadows at some points, and crying myself to sweet sleep at others.In short, a must-read! ... Read more

Product Description
Pneumonia is one of the most common medical problems encountered in clinical practice and the leading fatal infectious disease worldwide. In the United States alone, 4 million individuals develop pneumonia each year and 1 million individuals require hospitalization, resulting in 75,000 deaths and $10 billion in health care expenditures. Despite the ability of antimicrobial therapy to augment normal host defenses and prevent/control infection, prescribing errors are common, including treatment of colonization, suboptimal empiric therapy, inappropriate combination therapy, dosing and duration errors, and mismanagement of apparent antibiotic failure. Inadequate consideration of antibiotic resistance potential, tissue penetration, drug interactions, side effects, and cost also limits the effectiveness of antimicrobial therapy. Pneumonia Essentials is a concise, practical, and authoritative guide to the diagnosis, evaluation, treatment, and prevention of community-acquired pneumonia (CAP), nursing home-acquired pneumonia (NHAP), hospital-acquired pneumonia, ventilator-associated pneumonia (VAP), tuberculosis (TB), chronic pneumonias, and pneumonia in the immunocompromised host. ... Read more

Product Description
Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free.This is an OCR edition with typos.Excerpt from book:CHAPTER IV. GENERAL DESCRIPTION. Of all the diseases which may be classified as typical, i. e., those which generally follow so definite a course, going through certain changes from day to day with such constancy that they may be safely predicted and lasting a period so close to the average that the duration of the! illness may be accurately estimated at its onset, of all such diseases there is none truer to its type than the pneumococcus pneumonia. And yet it is true, as Juergensen says: "There is no disease which presents so diverse a picture as the croupous pneumonia." Between the insidious, afebrile pneumonia of the senile and the stormy disease of the young child with severe men- ingeal symptoms, there is so very marked a contrast that at first glance they have no feature in common and yet in both instances the diagnosis must rest upon the same physical signs, and in neither instance can the diagnosis be made in any other way. The difference between the ordinary pneumonia and a primary pneumococcus meningitis, peritonitis or general sepsis is still greater and yet they are due to the same bacterium. While admitting freely the wide diversity in onset, course and outcome frequently seen in individual cases, I still believe thereis no truer typical disease than the croupous pneumonia and that even in the most widely diverse pictures there are certain features which suggest the existence of a common cause.More often than not this disease comes on suddenly, frequently in the midst of sleep, with a severe, shaking, teeth-rattling chill. No matter what is done the patient feels cold. At the same time he becomes conscious of some difficulty in breathing and often complains of sharp cutting pain in the chest, oftenest in the region of one or the other nipple.In other cases... ... Read more

Product Description
Pneumonia (along with influenza) is the sixth leading cause ofdeath in adults. About 4 million adults develop pneumonia each year inthe US, resulting in 64 million days of restricted activity, 39million days of bed confinement, and 10 million days of lost work. Yetthe admission rates to hospital, length of stay, investigations,antimicrobial therapy and prevention strategies vary greatly from onegeographic area to the next, and the scientific basis for many of ourmanagement strategies for pneumonia is weak to nonexistent. There areover 100 microbial agents that can cause pneumonia and many of these,especially Streptococcus pneumoniae, Group A streptococcus, andStaphylococcus aureus, are in a state of flux in terms ofchanging antimicrobial resistance. This book is designed to providenew information about pneumonia and identify critical researchquestions that will come to the fore as we enter the 21st century. ... Read more

Product Description

Product Description
To hospitalize or not to hospitalize is often the question physicians face when patients present with pneumonia. Recent research has defined criteria to help differentiate patients who may be safely treated as outpatients from those who require inpatient care. Dr Kohler outlines these criteria, discusses the pathogens most often found in patients hospitalized with pneumonia, reviews various treatment regimens, and offers insights into the value of diagnostic studies. ... Read more

Product Description
This digital document is an article from Focus on Healthy Aging, published by Belvoir Media Group, LLC on February 1, 2008. The length of the article is 1127 words. The page length shown above is based on a typical 300-word page. The article is delivered in HTML format and is available immediately after purchase. You can view it with any web browser.

Citation Details
Title: Difficulty swallowing? Treatments can provide relief: dysphagia--difficulty swallowing--can lead to pneumonia and malnutrition, so be alert for symptoms and see your doctor if they appear.
Author: Unavailable
Publication: Focus on Healthy Aging (Magazine/Journal)
Date: February 1, 2008
Publisher: Belvoir Media Group, LLC
Volume: 11Issue: 2Page: 1(2)

Distributed by Gale, a part of Cengage Learning ... Read more

Product Description
This up-to-date and comprehensive set of two CD-ROM discs provides a superb collection of authoritative documents on the subject of Pneumocystis Carinii Pneumonia (PCP). PCP is a fungal infection of the lungs.For patients, practical information is provided in clearly written patient education documents. For medical professionals, doctor reference tools and texts have detailed technical information and clinical background material. There is no other reference that is as fast, convenient, and portable - everything you need to know, from the federal sources you trust. This thoroughly researched collection presents vital information from many authoritative sources: Food and Drug Administration (FDA), Centers for Disease Control (CDC), National Institutes of Health (NIH) and the relevant institute for this disease, and others.In addition to the comprehensive disease-specific coverage, this disc set also includes our Medical Encyclopedia, a $19.95 value! The Encyclopedia presents a collection of official documents about a wide range of medical topics, diseases, illnesses, health and wellness. There is vital information from the National Institutes of Health (NIH), the Centers for Disease Control (CDC), National Cancer Institute, and more. Topics covered include: major diseases, including cancer, heart and vascular disease, stroke, blood diseases and disorders, lung diseases, and neurological disorders such as dementia and epilepsy * CDC Health Topics A to Z, Foodborne Illnesses, Infants and Children, Injuries, Occupational Health, Older Adults, Women * CDC Travelers' Health - Destinations, Vaccinations, Diseases, Mosquito, Tick, Food, Water, Clinics, Yellow Book, Children, Airplanes, Cruise Ships, Special Needs, Relief Workers * Dietary Guidelines * NIH A to Z from abnormalities to X-rays.Since navigating the Internet to find additional non-governmental medical information can be confusing, we've also provided our exclusive "Guide to Leading Medical Websites" with updated links to 67 of the best sites for medical information! Built-in weblinks let you quickly check for the latest clinical updates directly from the government and the best commercial portals, news sites, reference/textbook/non-commercial portals, and health organizations. ... Read more

Product Description
Abstract: The microbiology of community-acquired pneumonia (CAP) in older adults, particularly in residents of long-term care facilities, differs from that in the general US population. Respiratory syncytial virus (RSV) and human metapneumovirus (HMPV) are important, newly appreciated causes of pneumonia and triggers of comorbid disease exacerbations that often lead to hospitalization of high-risk elderly patients with underlying heart or lung disease. Here, Dr High examines the diagnostic and treatment strategies that are needed in older adults and outlines preventive methods that may greatly reduce the risk of illness in this population. ... Read more

Product Description
Guidelines Pocketcards are multi-folded cards containing society-endorsed, evidence-based treatment guidelines in a brief algorithmic format that is most preferred by practicing clinicians, quality managers, nurses, educators, and medical students. The Community-Acquired Pneumonia Guidelines Pocketcard is endorsed by the Infectious Diseases Society of America (IDSA) and American Thoracic Society (ATS) and is based on the latest IDSA and ATS guidelines. This practical quick-reference tool contains screening, diagnostic, treatment algorithm, drug therapy, dosing information, patient monitoring, and counseling points. It provides all that is needed to make accurate clinical decisions at the point of care including: Key Points;CURB-65 Severity Scores for CAP; Pneumonia PORT Severity Index (PSI); Evaluation and Initial Management Algorithm; Criteria for Severe Community Acquired Pneumonia; Clinical Indications for more Extensive Diagnostic Testing; Initial Empirical Antibiotic Therapy for Suspected Bacterial CAP; Current Medication Tables with Brand and Generic Names; Detailed drug information - strengths, formulations, comments. Applications: point-of-care, education, QI interventions, clinical trials, medical reference, clinical research. ... Read more

Product Description

Product Description
Viral pneumonias resulting from community outbreaks of influenza, respiratory syncytial virus infection, and parainfluenza can be life-threatening in elderly and immunocompromised persons. In this article, Drs Chien and Johnson discuss the clinical characteristics of these viruses, therapeutic options, and preventive measures. Part 1 of this article, in the January issue, presented a multifaceted approach to diagnosis of viral pneumonias. Part 2, published in February, focused on the five pathogens most likely to cause pneumonia in immunocompromised patients. Chien JW, Johnson JL. Viral pneumonias: epidemic respiratory viruses. Postgrad Med 2000;107(3):41-52 ... Read more

Product Description
Pneumonia Essentials is a concise, practical, and authoritative guide to the diagnosis, evaluation, treatment, and prevention of community-acquired pneumonia (CAP), nursing home-acquired pneumonia (NHAP), nosocomial (hospital-acquired) pneumonia (NP), tuberculosis (TB), chronic pneumonias, and pneumonias in the immunocompromised host. ... Read more

Product Description
Aspiration pneumonia and pneumonitis are common clinical syndromes that occur in hospitalized patients. Aspiration pneumonia occurs in patients with dysphagia and usually presents as a community-acquired pneumonia with a focal infiltrate in a dependent brochopulmonary segment. Patients with aspiration pneumonia require treatment with broad-spectrum antibiotics and management of the underlying dysphagia. Aspiration pneumonitis follows the aspiration of gastric contents, usually in patients with a marked decreased level of consciousness. Treatment of aspiration pneumonitis is essentially supportive; however, corticosteroids and other immunomodulating agents may have a role in these patients. ... Read more

Product Description
This is a reproduction of a book published before 1923.This book may have occasional imperfections such as missing or blurred pages, poor pictures, errant marks, etc. that were either part of the original artifact, or were introduced by the scanning process.We believe this work is culturally important, and despite the imperfections, have elected to bring it back into print as part of our continuing commitment to the preservation of printed works worldwide.We appreciate your understanding of the imperfections in the preservation process, and hope you enjoy this valuable book. ... Read more