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Community-acquired pneumonia – An EFIM guideline critical appraisal adaptation for internists
Community-acquired pneumonia (CAP) is defined as an acute infection of the pulmonary parenchyma acquired outside the hospital and, is one of the most important causes of morbidity and mortality worldwide. According to The Global Burden of Disease Study, lower respiratory tract infections ranked 4th in terms of disability-adjusted life-years across all ages in 2019 and as a significant subset, CAP is the most frequent cause of death from infection in Europe [1,2]. Because the diagnosis is frequently made based on clinical and radiological findings and the microbial agent is not known most of the time, management of CAP can be challenging since no single antimicrobial regimen can cover all the possible causes.Medical and surgical co-management – A strategy of improving the quality and outcomes of perioperative care
With the increase of ageing population, rates of chronic diseases and complex medical conditions, the management of high-risk surgical patients is likely to become a great concern in most countries. Considering all these factors, it is certainly rational and intuitive that internists should be included into a collaborative model of medical and surgical co-management, where their multi-potentiality and synthesis capacity require them to coordinate the multidisciplinary team and to be the leading agent of change.
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