T/CACM 006-2017 Clinical Practice Guidelines for the Treatment of Common Infectious Diseases with Traditional Chinese Medicine Alone or in Combination with Antibiotics: Community-Acquired Pneumonia

Scope

Main technical content: The problem of antibiotic resistance poses a serious threat to public health, economic growth, and global economic stability. In particular, the increase in drug-resistant bacteria caused by antibiotic misuse, strain mutations, and multiple bacterial infections have become prominent issues. Addressing antibiotic resistance has become a major international concern. Recently, the results of multicenter monitoring of antibiotic resistance in adults with community-acquired respiratory infections in urban tertiary hospitals showed that the resistance rate of Streptococcus pneumoniae to azithromycin reached 88.1% to 91.3%, and the resistance rate to clarithromycin reached 88.2%. The resistance rate of mycoplasma isolated from patients with community-acquired pneumonia (CAP) to erythromycin reached 58.9% to 71.7%, and the resistance rate to azithromycin reached 54.9% to 60.4%. To address the problem of antibiotic resistance in CAP, traditional Chinese medicine (TCM) has certain advantages. TCM differential treatment of mild CAP can avoid the use of antibiotics; combined antibiotic treatment can reduce the failure rate and mortality of severe CAP; combined treatment with macrolide antibiotics can significantly improve clinical efficacy and reduce adverse reactions; after discharge from the hospital, TCM differential treatment can reduce the rehospitalization rate and mortality of elderly CAP patients. At present, there is a lack of clinical practice guidelines for TCM monotherapy/combined antibiotic treatment of CAP, and the formulation of this Guidelines is of great significance. This Guidelines fully references the methods and processes of international clinical practice guidelines, and under the guidance of relevant laws and regulations and technical documents, it follows the principles of "evidence-based approach, consensus-based approach, and experience-based approach". Based on the best available evidence and fully integrating expert experience

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