PNEUMONIA AND TREATMENT
Çorum Private Hospital Chest Diseases Specialist Dr. Şengül UYSAL; He gave information about pneumonia and its treatment.
Çorum Private Hospital Chest Diseases unit pneumonia in the treatment of any kind of treatment, indicating that the Uzm. Dr. Şengül UYSAL, ° unaIn the policlinic conditions at the University, Chest Diseases Clinic and Intensive Care Units pneumonia treatment is done according to the patient's condition.
Dr. Şengül UYSAL gave the following information about pneumonia and its treatment.
The medical name of pneumonia is pneumonia. It's lung inflammation. It may occur with various microbes such as bacteria, viruses and fungi. The most common cause of death, leading to the physician, is among the most common diseases. It is more common in children, especially those who are older than 65 years, who have a chronic disease (such as kidney, sugar, heart or lung disease), and in smokers, when they use a disease or drug that suppresses the immune system. Community-acquired pneumonia (TGP) is responsible for a significant portion of hospital admissions, treatment costs, work-school day losses and deaths all over the world.
Today, due to the widespread use of antibiotics and effective immunization policies, deaths from infectious diseases are gradually decreasing, while community-acquired pneumonia is still the cause of high morbidity and mortality. While the mortality rate is 1-5% in outpatients, the rate in hospitalized patients reaches 12% and in patients requiring intensive care support reaches 40%. In our country, lower respiratory tract infections are in the 5th place with 4.2% among the causes of death. Studies in our country have shown that the rate of pneumonia varies between 1% and 60% in relation to the severity of the disease and the rate of pneumonia in hospitalized treatment is significantly higher (10.3-60%).
WHAT'S THE SIGNS?
Fever, cough, expectoration, chest pain are the most common symptoms. Symptoms such as shortness of breath, loss of consciousness, nausea and vomiting, frequent breathing, muscle-joint pain, and weakness can be seen. In severe pneumonia cases, a patient may have a blue color of the skin and mucosa, severe shortness of breath, low blood pressure, and blurred consciousness.
HOW DO I KNOW?
The patients who come with pneumonia symptoms are diagnosed and their diagnosis is made mostly by chest radiographs. Further investigations such as blood tests, computed tomography and sputum tests may be required in patients with severe pneumonia and hospitalization. To determine the microbe that causes pneumonia, the sputum specimen needs to be examined. However, it is often not possible to determine the microbe for different reasons.
HOW TO TREAT?
Treatments such as antibiotics, abundant fluid intake, rest, painkillers and antipyretics are often used. Patients who require hospitalization may require different treatments. In case of very severe pneumonia, intensive care and respiratory support may be required.
It is often not possible to determine the microbe that causes pneumonia. However, antibiotic treatment should be started as soon as possible after diagnosis of pneumonia. Therefore, antibiotic treatment is started by taking into consideration the patient's age, chronic diseases and the severity of pneumonia. Data on the detection of traces of any germ in sputum and which antibiotics can be treated with this microbe result in 72 hours. According to the results, antibiotic therapy can be rearranged.
It is decided whether the patient is treated as outpatient or hospitalized according to age, diseases, and severity of pneumonia.
The duration of treatment may vary depending on the initial severity of the disease, the responsible microbe, the presence of a concomitant disease, and the individual response of the patient. Usually it is recommended to continue the antibiotic for 5-7 days after the fever falls. However, it may be necessary to extend the duration of treatment to 10-14 days, sometimes up to 21 days in cases of pneumonia due to some microbes.
WHAT TO DO TO PROTECT?
Control of underlying chronic diseases, balanced diet, hygienic measures, control of smoking and alcohol habits, pneumococcal and annual influenza vaccines can reduce the frequency and mortality of pneumonia. Active or passive smoking is an independent risk factor for pneumonia, and patients diagnosed with pneumonia should be given medical support for smoking cessation.