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肺炎是指肺部實質組織遭到微生物感染,導致發炎所產生的疾病。本病為最嚴重的呼吸道感染,也是臨床上極為常見的疾病,每年估計全球造成數千萬人死亡。 在台灣,肺炎致死總數也逐步增加,進入國人十大死因的前四名。生活型態改變、 空氣汙染、人口老化、免疫不全患者增加都有其貢獻。

由於疾病負擔的增加,臨床醫師也面臨愈來愈大的挑戰。肺炎的致病微生物種類眾多,如何在早期診斷肺炎、臆測可能致病原、挑選最適當的抗微生物藥劑、 提供優質的支持及加護治療,影響肺炎病人癒後甚巨。因此一個及時的肺炎診治指引極為重要。

有鑑於此,台灣感染症醫學會與台灣胸腔暨重症加護醫學會及和數十名臨床專家,歷經一年,在多次會議之後終於完成 2018 年版的台灣肺炎診治指引,作為臨床醫師處理肺炎病人的重要根據。本指引除了肺炎診斷、治療外,也加入預防部分包括一般預防及疫苗預防。對於如何針對環境因素及利用現有流感、肺炎鏈球菌疫苗減少罹患肺炎亦有著墨。此外本指引不只包括成人,也將兒童肺炎列入, 堪稱目前最完整的指引。
Pneumonia refers to a disease caused by microbial infection of the parenchymal tissue of the lungs, resulting in inflammation. The disease is the most serious respiratory infection and is a very common clinical disease, with an estimated tens of millions of deaths worldwide each year. In Taiwan, the total number of deaths from pneumonia has gradually increased, entering the top four of the top ten causes of death among Chinese people. Changes in lifestyle patterns, air pollution, population aging, and increased immunization patients all contribute.

Due to the increased burden of disease, clinicians are also facing increasing challenges. There are many types of pathogenic microorganisms in pneumonia. How to diagnose pneumonia at an early stage, detect possible pathogens, select the most appropriate anti-microbial agents, provide high-quality support and care, and affect the pneumococcal patients. Therefore, a timely guidelines for the diagnosis and treatment of pneumonia are extremely important.

In view of this, the Taiwan Infectious Diseases Medical Association and the Taiwan Thoracic and Critical Care Medicine Association and dozens of clinical experts have completed the 2018 edition of the guidelines for the diagnosis and treatment of pneumonia in Taiwan after several meetings, as a clinician to treat pneumonia patients. The important basis. In addition to the diagnosis and treatment of pneumonia, this guide also includes preventive measures including general prevention and vaccine prevention. There is also an ink on how to reduce the risk of pneumonia by considering environmental factors and using existing influenza and pneumococcal vaccines. In addition, this guide not only includes adults, but also includes children's pneumonia, which is the most complete guideline at present.
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Updated
November 30, 2018
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20M
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台灣感染症醫學會、台灣胸腔暨重症加護醫學會、財團法人鄭德齡醫學發展基金會
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