Community-Acquired Pneumonia

Author: James D. Chalmers/Mathias W. Pletz/Stefano Aliberti Published year: 2014 Downloads: 5
Download

Brief content

The morbidity and mortality of respiratory tract infections in Europe throughout history are incalculable, but when the English writer John Bunyan coined the phrase ‘‘Captain of all these men of death’’ to describe tuberculosis (TB) in 1680, TB was estimated to cause 15–20% of all deaths in Europe. It was hard to imagine at that time that another infection might one day take this crown. In 1918, the father of modern medicine, Sir William Osler, observed that pneumonia had overtaken TB as one of the leading causes of death in Europe and described pneumonia as the ‘‘Captain of the men of death’’, an appellation it still justifies today.

While improvements in public health and sanitation reduced mortality from many, mostly food-borne, infections, it was not until the widespread introduction of antibiotics after the Second World War that mortality from pneumonia in Europe began to fall significantly. Since then, there have been few new treatments and limited progress in reducing mortality from pneumonia. While mortality rates for cardiovascular diseases and many cancers are falling in Europe, the rates for hospitalization and deaths from pneumonia are static or rising. This is a disease of huge clinical and public health importance.

It is, for this reason, we are delighted to introduce the 63rd issue of the European Respiratory Monograph (ERM), dedicated to the epidemiology, pathophysiology, microbiology, investigation, management, and prevention of community-acquired pneumonia (CAP). The 20 chapters of this ERM serve as a comprehensive text, describing the modern approach to this disease, each chapter written by internationally recognized experts in their field. Major changes in our understanding and management of pneumonia have been emphasized, including the new microbiology techniques that are set to change how we detect and diagnose infection, the emerging role of anti-inflammatory therapies, and the current controversy over inhaled corticosteroids as a cause of pneumonia in patients with chronic obstructive pulmonary disease. The changing face of pneumonia reflects the world around us, with an increasing impact of antibiotic resistance and an ageing population with comorbidities to the fore. We now recognise the important impact of this disease on long-term outcomes. Previously regarded as a purely ‘‘acute’’ condition, new evidence shows that pneumonia can destabilise the precarious balance in patients with comorbidities and poor performance status, even after apparent recovery from the acute episode.

This is a broad and multidisciplinary book, covering diverse specialities from epidemiology to the basic science of pneumococcal infection, and reviewing CAP in children, in primary care and in the intensive care unit.

As much as in any other disease, CAP requires improvements in clinical care and to achieve progress through innovative research. Every clinician in every specialty will encounter pneumonia in their daily practice and we hope that this ERM will serve as a complete and up-to-date reference for our colleagues.

Other downloads

Acute Bronchitis - A Medical Dictionary, Bibliography, and Annotated Research Guide

Acute Bronchitis - A Medical Dictionary, Bibliography, and Annotated Research Guide

Author: JAMES N. PARKER/PHILIP M. PARKER Published year: 2004 06 downloads

We hope these resources will prove useful to the widest possible audience seeking information on acute bronchitis.

Severe Pneumonia (Lung Biology in Health and Disease, Volume 206)

Severe Pneumonia (Lung Biology in Health and Disease, Volume 206)

Author: Michael S. Niederman Published year: 2005 06 downloads

Pneumonia exerts a toll in all countries and is even more of a burden in developing countries. Furthermore, it is now well recognized that pneumonia and influenza are significant risk factors for exacerbation and aggravation of chronic pulmonary diseases such as asthma and chronic obstructive pulmonary disease. 

Clinical Management of Bacterial Pneumonia

Clinical Management of Bacterial Pneumonia

Author: Antoni Torres & Catia Cillóniz Published year: 2015 05 downloads

Despite many advances in antibiotic therapies, diagnostic tools, and strategies for prevention, pneumonia is still the primary cause of death from infectious diseases worldwide.

Community-Acquired Pneumonia: Strategies for Management

Community-Acquired Pneumonia: Strategies for Management

Author: Antoni Torres & Rosario Menendez Published year: 2008 05 downloads

Community-acquired pneumonia (CAP) is one of the most common respiratory infections, with an incidence that ranges from 8 to 50 cases per 1000 habitants per year.

Streptococcus Pneumoniae: Molecular Mechanisms of Host-Pathogen Interactions

Streptococcus Pneumoniae: Molecular Mechanisms of Host-Pathogen Interactions

Author: Jeremy Brown/Others Published year: 2015 06 downloads

Streptococcus pneumonia (the pneumococcus) has been and continues to be among the chief causes of human misery and death. It is capable of a broad swath of disease manifestations, including otitis media, the more serious community-acquired pneumonia, and devastating illnesses such as septicemia and meningitis.

Physiotherapy in Respiratory Care_ An Evidence-Based Approach to Respiratory and Cardiac Management

Physiotherapy in Respiratory Care_ An Evidence-Based Approach to Respiratory and Cardiac Management

Author: Alexandra Hough Published year: 2001 06 downloads

Respiratory care is an immensely satisfying branch of physiotherapy. It challenges our intellect, exploits our handling skills, and employs our humanity to the full. 

Physiotherapy in Respiratory Care_ A problem-solving approach to respiratory and cardiac management

Physiotherapy in Respiratory Care_ A problem-solving approach to respiratory and cardiac management

Author: Alexandra Hough Published year: 1996 08 downloads

Respiratory care is an immensely satisfying branch of physiotherapy. It challenges our intellect, exploits our handling skills, and employs our humanity to the full.