2005 version  include the following: the use of the Grading of Recommendations Assessment,Development and Evaluation (GRADE) methodology for the evaluation of all available evidence(Table 1) ; the removal of the concept of healthcare-associated pneumonia (HCAP); and the recommendation that each hospital generate antibiograms to guide healthcare professionals with respect to the optimal choice of antibiotics (Kalil et al., 2016).Age and PneumoniaPneumonia affects people of all ages, however, two age groups are at greater risk of developing pneumonia and having more severe pneumonia: Infants who are two years old or younger because their immune systems are still developing during the first few years of life and people who are 65 years old or older because their immune systems begin to change as a normal part of aging (National Heart, Lung and Blood Institute, 2017). With children there are multiple drugs that cannot be prescribed due to age and weight and with the elderly there is an increased risk of medication noncompliance and antibiotic resistance. To reduce any negative side effects of treatment would depend solely on the side effects noted. If a patient exhibits any shortness of breath, oxygen would be given to those that require it, such as the elderly or compromised. Oral and IV antibiotics generally have the ability to causenausea, which can be treated with antiemetics and antidiarrheals for those with diarrhea issues. Plenty of fluids and rest for the patients would always be recommended.ReferencesAmerican Lung Association. (2018). Pneumonia. Retrieved June 20, 2018 from
Arcangelo, V., & Peterson, A. (2017). Pharmacotherapeutics for Advanced Practice, 4th Edition. Wolters Kluwer Health.Aronson, N., Herwaldt, B., Libman, M., Pearson, R., Lopez-Velez, R., Weina, P., Carvalho, E., Ephros, M., Jeronimo, S., & Magill, A. (2016). Diagnosis and treatment of Leishmaniasis: Clinical practice guidelines by the Infectious Diseases Society of America(IDSA) and the American Society of Tropical Medicine and Hygiene (ASTMH). ClinicalInfectious Diseases.63(12). e202-e264.
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