The Role of Macrolides for the Management of Community-Acquired Pneumonia and Pneumonia by the Novel Coronavirus SARS-CoV-2 (COVID-19) : A Position Paper by Four Medical Societies from Greece

© The Author(s) 2021..

In light of the accumulating evidence for survival benefit coming from the use of macrolides for community-acquired pneumonia (CAP), a group of experts from the field of internal medicine and infectious diseases frame a position statement on the use of macrolides for the management of bacterial CAP and for infection by the novel coronavirus (COVID-19). The statement is framed taking into consideration existing publications and own research experience. The main content of this statement is that the combination of one β-lactam and a macrolide should be the first treatment of choice for patients with severe bacterial CAP. Severity is assessed as scoring 2 or more points on the CURB65 scoring system of severity or as pneumonia severity index III to V or C-reactive protein more than 150 mg/l; the suggested macrolide is either azithromycin or clarithromycin. The experts also suggest that in COVID-19 pneumonia, the combination of one β-lactam and a macrolide should be reserved only when there is strong suspicion of bacterial co-infection.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - year:2021

Enthalten in:

Infectious diseases and therapy - (2021) vom: 16. Juni, Seite 1-15

Sprache:

Englisch

Beteiligte Personen:

Giamarellos-Bourboulis, Evangelos J [VerfasserIn]
Daikos, George L [VerfasserIn]
Gargalianos, Panagiotis [VerfasserIn]
Gogos, Charalambos [VerfasserIn]
Lazanas, Marios [VerfasserIn]
Panagopoulos, Periklis [VerfasserIn]
Poulakou, Garyphallia [VerfasserIn]
Sambatakou, Helen [VerfasserIn]
Samarkos, Michael [VerfasserIn]

Links:

Volltext

Themen:

Azithromycin
COVID-19
Clarithromycin
Community-acquired pneumonia
Immunomodulation
Journal Article

Anmerkungen:

Date Revised 22.02.2024

published: Print-Electronic

figshare: 10.6084/m9.figshare.14672379

Citation Status Publisher

doi:

10.1007/s40121-021-00471-1

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM32702867X