Vol.63 No.6 November 2015
Research and standardization on the diagnosis and treatment of pneumonia -Aimed at better management of pneumonia based on guidelines-
Trustee, Vice President, Nagasaki University; Emeritus Professor of the Second Department of Internal Medicine, Nagasaki University Hospital, 1-7-1 Sakamoto, Nagasaki, Japan
Abstract
I worked as a professor at the second department of internal medicine, Nagasaki University School of Medicine, for 19 years. During this period, I was involved in the development of the Japanese practical guidelines for the diagnosis and management of pneumonia. When the first edition of the guidelines for community-acquired pneumonia and hospital-acquired pneumonia were published, evidence for the management of pneumonia was limited. However, in the second edition, new severity classifications have been proposed based on stored clinical data. In addition, in response to the recent problem of pneumonia in the elderly, which is often encountered in nursing care facility residents or patients receiving healthcare, nursing and healthcare-associated pneumonia is defined as a new category. In the guidelines, a novel approach, in which treatment is not determined based on the severity of pneumonia alone, is newly proposed.
In order to ensure benefit for the patients, society and healthcare providers, continual evolution of the pneumonia guidelines is necessary. I shall be honored to contribute to the development of the next edition of the Japanese guidelines for the diagnosis and management of pneumonia.
Key word
pneumonia, guidelines
Received
May 28, 2015
Accepted
October 20, 2015
Jpn. J. Chemother. 63 (6): 535-539, 2015
