ABSTRACT
Infectious Diseases Society of America (IDSA) published a POSITION STATEMENT to declare not endorse the Surviving Sepsis Campaign guidelines (2016) which is issused shortly after. The article summarizes some of IDSA's specific concerns about distinguishing sepsis from non-infectious syndromes, time to initiation of empiric antibiotic therapy, blood cultures and iv access catheters, combination and multidrug therapy, procalcitonin, pharmacokinetics/pharmacodynamics, prolonged prophylaxis, and duration of therapy. IDSA pays more attention to reduce the unnecessary overexposure of antibiotics and its perspectives are valuable to optimize antibiotic therapy.
ABSTRACT
The guideline for diagnosis and treatment of adult community-acquired pneumonia (CAP) (2007 edition) jointly formulated by the Infectious Diseases Society of America ( IDSA) and the American Thoracic Society ( ATS) has a great impact on the clinical management for CAP in China.In October 2019, the two societies revised and updated the guide again.Compared with the 2007 guideline, the new guideline is more concise ; some contents were deleted and some contents have been updated.The main updated points are obvious changes in the compiling mode , the reduced recommendation intensity for macrolides in CAP treatment ,and more emphasizing the relevance of diagnosis and treatment activities to the clinical practice.