BMJ Best Practice
最后审核时间： 十月 2018
最近更新时间： 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 存在危险因素
  • 年龄＜50 岁
  • 持续性咳嗽
  • 干咳
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其他诊断因素

  • 近期社区暴露
  • 喉部受累
  • 近期社区暴露
  • 发热
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危险因素

  • 密集的社区环境
  • 免疫抑制
  • 吸烟
  • 慢性肺疾病
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诊断性检查

首要检查

  • 胸部 X 线检查 (CXR)
  • 白细胞计数
  • 血红蛋白
  • 肝功能检查
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需要考虑的检查

  • 尿液中的军团菌抗原
  • 针对军团菌的痰培养
  • 肺炎支原体或肺炎衣原体的分子学诊断
  • 非典型病原体的血清学检查
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治疗流程

急性

可能为非典型细菌性肺炎：未怀孕的成年人

可能为非典型细菌性肺炎：孕妇或儿童

贡献者

Ran Nir-Paz MD

Associate Professor in Medicine

Department of Clinical Microbiology and Infectious Diseases

Hadassah Hebrew University Medical Center

Jerusalem

Israel

利益冲突披露
RNP is chairman of the International Research Program on Comparative Mycoplasmology group Clinical Aspects of Human Mycoplasmas, and chairman of the European Society of Clinical Microbiology and Infectious Diseases (ESCMID) Study Group for Mycoplasma Infections (ESGMI).

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Honorary Senior Lecturer (University of Manchester)

Consultant in General & Respiratory Medicine

Department of Respiratory Medicine

Manchester Royal Infirmary

Manchester

UK

利益冲突披露
MW is an author of a reference cited in this monograph.

H.E. Sellers Research Chair in Infectious Diseases

Head

Section of Adult Infectious Diseases

Department of Internal Medicine

Department of Medical Microbiology

University of Manitoba

Winnipeg

Canada

利益冲突披露
At the time of the peer review, Professor Rubinstein declared no competing interests. We were made aware that Professor Rubinstein is now deceased.

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