Diagnosis and management of lung infections.

Author: Jaroszewski DE, Webb BJ, Leslie KO
Affiliation: Division of Cardiothoracic Surgery, Department of Surgery, Mayo Clinic, Arizona, 5777 East Mayo Boulevard, Phoenix, AZ 85054, USA.
Conference/Journal: Thorac Surg Clin.
Date published: 2012 Aug
Other: Volume ID: 22 , Issue ID: 3 , Pages: 301-24 , Word Count: 107



This article describes contemporary methods of diagnosis and current treatment regimens for most pulmonary infections. Modern techniques used to improve diagnostic yield in pulmonary infection include bronchoscopy, ultrasound- and electromagnetic-guided endoscopy, transthoracic needle biopsy, and samples obtained with thoracoscopy. The spectrum of bacterial, mycobacterial, fungal, and viral pathogens implicated in pulmonary disease is discussed. Treatment strategies and guideline recommendations for antimicrobial selection are described for community-acquired, health care-associated, hospital-acquired, and ventilator-associated pneumonia, and for the most common fungal, mycobacterial, and viral infections. The state-of-the art in topical and aerosolized anti-infective therapy and an algorithm for managing hemoptysis are also presented.
Copyright © 2012 Elsevier Inc. All rights reserved.
PMID: 22789595